Please be sure to add a 1 before your mobile number, ex: 19876543210. Lab-based PCR home collection kits are not covered at this time by the OTC kit mandate. 2Disclaimer: Regulations regarding testing for Aetna Medicaid members vary by state and, in some cases, may change in light of the current situation. To make sure I didn't have COVID, I purchased a COVID test kit from Walgreens . Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Routine testing for influenza, strep, and other respiratory infections without a COVID-19 test will be covered subject to applicable cost sharing under the members plan. Biden's free at-home test promise could come with added costs CPT only Copyright 2022 American Medical Association. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. $51.33. This search will use the five-tier subtype. Examples of such documentation could include the UPC code for the OTC COVID-19 test and/or a receipt from the seller of the test, documenting the date of purchase and the price of the OTC COVID-19 test. Will Medicare cover the cost of at-home COVID tests? License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. COVID-19 Testing, Treatment, Coding & Reimbursement. Medicare Sets COVID-19 Testing Reimbursement Amounts How to get your at-home Covid test kits reimbursed - CNBC These tests dont require an order from your physician to qualify for reimbursement, although tests ordered by a provider arent subject to the frequency limit. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. COVID-19 testing, vaccines, hospitalizations and related expenses will return to the standard coverage for in-network and out of network services. *The content below is not intended to be a substitute for professional medical advice, diagnosis or treatment. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. The omicron surge may be receding in Michigan, but more than 13,000 in the state are still testing . Treating providers are solely responsible for medical advice and treatment of members. Aetna is complying with the CMS coding guidelines for COVID-19 lab testing.
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