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Health Plan Options |
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This is intended for producers with business in Delaware, Pennsylvania, and West Virginia. OVER THE COUNTER COVID-19 TESTING PHARMACY NETWORK PRESS RELEASE Beginning on January 15, 2022, Highmark began complying with federal guidelines to reimburse its members for the cost of over-the-counter (OTC) COVID tests.
To expand the options for members to access testing, Highmark will announce in a press release on January 31, 2022 that we will be using our existing pharmacy networks for members to receive OTC COVID antigen tests without any up-front costs, eliminating the need for reimbursement via claim form. To receive an OTC COVID antigen test without any out-of-pocket costs, members can now visit the same pharmacy where they get their prescriptions filled - or any in-network pharmacy - locate a test, take the test to the pharmacy counter and show their Highmark insurance card to have the test processed through their pharmacy benefit.
We have created a client flyer for clients who carve-in pharmacy with our integrated ESI solution and member FAQs for you to use to help facilitate conversations with our mutual clients.
Additionally, we have written a letter for ASO clients advising them of the new federal guidelines, with information on the program we established to facilitate timely compliance. We have also created FAQs regarding the Safe Harbor under the new Guidance for our ASO clients who have carved-out pharmacy benefits. Client managers will be in touch as appropriate regarding our mutual ASO clients.
Please reach out to your client manager or sales executive with any questions.
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