Formally Southwestern Montana Insurance Center, LLC.

BCBS COVERAGE INFORMATION FOR EMPLOYERS AND MEMBERS REGARDING COVID-19

We are closely monitoring the 2019 Novel Coronavirus (COVID-19) outbreak. We are committed to helping our employer customers and members stay informed and educated about COVID-19 and assisting those who might be affected.

With regard to treatment for COVID-19, our plans cover medically necessary health benefits, including physician services, hospitalization, and emergency services consistent with the terms of the member’s benefit plan. Members should always call the number on the ID card for answers to their questions.
For diagnostic testing for COVID-19, please note the following coverage information.

Coverage for fully insured members: Effective immediately for all fully insured members, for testing to diagnose COVID-19 when medically necessary and consistent with Centers for Disease Control and Prevention (CDC) guidance:

No prior authorization
No member co-pays or deductibles

The same coverage guidelines mentioned above apply to HSA qualified high-deductible health plans, pursuant to the IRS notice on COVID-19, issued March 11, 2020.

Self-insured and split-funded employers MUST OPT-IN BY MARCH 31, 2020 to offer their employees the testing to diagnose COVID-19 when medically necessary and consistent with CDC guidance with

No prior authorization needed
No member co-pays or deductibles

Self-insured and split-funded groups must communicate their agreement to opt-in by emailing their account manager or broker to activate this coverage.
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