Clarification of COVID-19 Testing

September 16, 2020

As students head back to school and employees move back into offices, Blue Cross and Blue Shield of Oklahoma (BCBSOK) is clarifying our coverage of COVID-19 testing.

BCBSOK will continue to cover the cost of diagnostic testing services, with no cost to the member, if they:

  • Meet primary coverage criteria for COVID-19 as defined by the CDC and CMS public health service response, or
  • Are determined medically necessary in situations where it is not covered as part of the public health service response.

BCBSOK does not intend to cover the cost of non-medically necessary testing such as:

  • Screenings for general school or workplace health and safety.
  • Public health surveillance for SARS-CoV-2.
  • Any other purpose not primarily intended for individualized diagnosis or treatment of COVID-19 is not covered.

Note: Testing performed for the above non-medically necessary situations should not be billed to BCBSOK.

If you have any questions regarding this publication, please Email provider inquiries or call the Provider Contract Support Unit at 800-722-3730, Option 2.