Copays, coinsurance and meeting a deductible will not apply to in-network COVID-19 testing and in-network outpatient visits leading to COVID-19 testing for ALL members in any plan (Premier, Standard, Limited, CDHP) with either carrier (BCBST, Cigna).
This benefit will take effect immediately and could also include claims prior to 3/17/20 which meet these requirements.
Regular cost-sharing will apply for any treatment associated with COVID-19 under the current cost-sharing based on the plan members are enrolled in.
If you use telehealth you will be charged at the time of service. If you have a COVID-19 test within 48 hours you will receive a refund after all claims are processed. Refunds may take a few weeks after you receive your EOB. Call BCBST or Cigna if you have questions.
The University continues to work with our medical carriers on coding and system changes for COVID-19 coverage. Some members may still receive a bill or Explanation of Benefits (EOB) showing a member cost when it should be waived. Benefits Administration and our medical carriers will work with members to correct this if it occurs.
1. If a member believes they have a claim issue, here is what they can do:
- If members paid upfront, once they receive their EOB, they can contact the provider or hospital and ask for a refund.
- If members believe their claims were processed incorrectly, once they receive their EOB, members should call their carrier, BlueCross BlueShield or Cigna member services for a correction.
2. Members who have questions should call BCBS and Cigna member services:
- BlueCross BlueShield of Tennessee
Monday – Friday, 7:00 – 5:00 p.m. CT
Make the most of your CVS/Caremark Pharmacy Benefit. You can plan ahead and avoid crowds by setting up mail order prescription fills, refilling prescriptions before you run out, and filling your 30-day or 90-day supplies on most of your prescriptions (excluding controlled substances, like opioids, and specialty medications).
If you have concerns about picking up your prescription in person you may want to call your pharmacy and ask about shipping and delivery options. Some pharmacies are offering to mail or deliver prescriptions at no additional cost.
You may wish to take advantage of relaxed refill restrictions. We are temporarily waiving early refill limits on 30-day and 90-day prescriptions for maintenance medications (such as high blood pressure, high cholesterol, coronary artery disease, congestive heart failure, depression, and asthma/chronic obstructive pulmonary disease (COPD) at any in-network pharmacy. You can now fill maintenance medication prescriptions ahead of schedule.
If you have any trouble, tell your pharmacy staff to check for messaging in their system from CVS/Caremark and that your plan sponsor is temporarily allowing early refill overrides. If they have trouble with the override, they should contact the CVS/Caremark pharmacy help desk (your pharmacy has the phone number).
For more help with your CVS/Caremark pharmacy benefits, visit info.caremark.com/stateoftn or call 877-522-TNRX (8679) 24/7.