are independent licensees of the Blue Cross and Blue Shield Association. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. of Maryland (used in VA by: First Care, Inc.). In Virginia, CareFirst MedPlus is the business name of First Care, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and Group Hospitalization and Medical Services, Inc. Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. University of Maryland Upper Chesapeake Health Maryland Department of Health’s Regional Infusion Centers As supply increases, the state will open additional locations. Department of Health and Human Services is now available to assist healthcare providers and patients in finding potential locations for treatment with monoclonal antibody therapeutics. Additionally, in Maryland, the health department has opened regional infusion locations across the state. An outpatient treatment locator maintained by the U.S. The information below is for historical purposes.ĬareFirst covers Monoclonal antibody treatments approved for emergency use authorization when administered by a qualified provider.
There are limited clinical scenarios mentioned in the CDC guidelines where serology testing could have a role: 1) to support diagnosis in persons who present to care 9 to 14 days after illness onset and 2) to help establish the diagnosis of multisystem inflammatory syndrome in children.Īt this time, there is no authorized monoclonal antibody treatment.
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We anticipate further clarification and direction as to how to use these tests and newer tests in the future. The current role for these tests is in the surveillance of communities to track where the virus has been and where it is heading. The duration of any protection that might exist.ĬareFirst is in agreement with CDC guidance that serology tests should not be used to inform important policy decisions, such as opening schools or requiring employees to return to work.What level of antibodies is needed to confer protection and,.Whether individuals with antibodies are protected against reinfection with SARS-CoV-2.Additionally as recently stated in the CDC Guidelines, the following remains uncertain: The tests will not indicate whether an individual has an active infection of COVID-19. Have a high likelihood of impacting clinical decision making.Be ordered by a physician or other authorized provider.To be covered by CareFirst the test should: In accordance with the Families First Coronavirus Response Act, CareFirst is covering the antibody test for SARs-CoV-2. For questions regarding a member’s benefits and coverage for COVID-19 testing, please call provider customer service. Some large employers may have elected different benefits. However, CareFirst will not cover testing when this code is used except where required by law. Providers should use code Z02.X - Encounter for Administrative Examination on claims for surveillance, work, or social purposes. This policy will apply to all CareFirst members except where testing for surveillance, work or social purposes is required by law. to participate in recreational activities (e.g., concerts, public events, cruises).
for the return to school or to participate in school activities (e.g., sports) or.at the direction of a member’s employer to obtain or maintain employment.Beginning January 15, 2022, and for the duration of the Federal Public Health Emergency, over-the-counter tests used for diagnostic purposes that are purchased online or at a store or pharmacy will also be covered.ĬareFirst does not provide benefits for COVID-19 testing for surveillance, work or social purposes, which includes but is not limited to testing conducted: The information below is for historical purposes and is effective until May 12, 2023.ĬareFirst covers, with no cost share to the member (including our members enrolled in high deductible health plans), the appropriate diagnostic testing for COVID-19. Member cost sharing does apply if applicable. Effective May 12, 2023, COVID-19 testing is processed according to the member’s benefit contract.
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