Policy Update: Antibody Testing Claims

On February 26, 2021, the Department of Labor (DOL), the Department of Health and Human Services (HHS) and the Department of the Treasury (the Tri-Agencies) released answers to frequently asked questions about the implementation of the Families First Coronavirus Response Act (the FFCRA) and the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act).

Based on this updated guidance, Horizon BCBSNJ will cover antibody testing claims for our fully insured members of any age for claims with dates of service of February 26, 2021 and after. Proof of an individual clinical assessment is no longer required.

For our self-insured members, the above requirements will generally apply. Some accounts may adopt differing requirements equally compliant with the FFCRA and the CARES Act.