COVID-19: Polymerase Chain Reaction (PCR) & Testing for Back to School/Work

COVID-19: Testing for Polymerase Chain Reaction (PCR) & Back to School/Work

In response to the COVID-19 pandemic, BlueCross® BlueShield® of South Carolina and its subsidiary BlueChoice HealthPlan have been working diligently and actively to ensure the provider community is abreast of pertinent information that will allow continuous, uninterrupted service. Currently, both plans cover testing to diagnose COVID-19 at 100 percent of the allowed amount for members when medically necessary and prescribed by health providers.

Testing for COVID-19 includes Polymerase Chain Reaction (PCR) testing. Only one COVID-19 PCR/DAIG test is considered medically appropriate, per day and will be covered based on our medical policy and best clinical evidence.

At this time, testing for back to school and work will not be included in coverage, which aligns with the Centers for Disease Control and Prevention (CDC).

More details can be located in CAM 244.

Note: After clicking the link to CAM 244, accept the disclaimer and search for “COVID-19 Testing”.

If you have any questions, contact Provider Education using the Provider Education Contact Form located on www.BlueChoiceSC.com.