We are fielding questions about the outbreak from our customers, members, providers and associates. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. To help address care providers questions, Anthem has developed the following updates and frequently asked questions. Additionally, members who have a pharmacy plan that includes a 90-day mail-order benefit should talk to their doctor about whether changing from a 30-day supply to a 90-day supply of their prescriptions is appropriate. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. Dont stop taking your medicines as prescribed, and get your refills on time. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Visit your member website for information on how your health plan covers COVID-19 testing. No prior authorizations for diagnostic tests and covered services. Our standard health plan contracts do not have exclusions or limitations on coverage for services for the treatment of illnesses that result from a pandemic. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. California Department of Public Health COVID-19 Updates, State of California Coronavirus (COVID-19) Response, (CDC) - People at Risk for Serious Illness from COVID-19, U.S. Department of State, Travel Advisories, World Health Organization (WHO), Coronavirus, Members with Cal MediConnect plans (Los Angeles County), Members with Cal MediConnect plans (Santa Clara County), vaccination prevents severe illness, hospitalizations, and death, cdc.gov/coronavirus/2019-ncov/about/index.html. As we announced on March 6, 2020, Anthem will waive cost shares for members of our fully insured employer-sponsored, individual, Medicare, Medicaid and self-funded plan membersinclusive of copays, coinsurance and deductiblesfor COVID-19 test and visits to get the COVID-19 test. We'll also explore the additional care and support available for your protection and everyday needs. We use cookies on this website to give you the best experience and measure website usage. COVID-19 testing remains an important part of keeping our families and communities safe. This modifier should be used for evaluation and testing services in any place of service including a physician's office, urgent care, ER or even drive-thru testing once available. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. The protection of your privacy will be governed by the privacy policy of that site. Plus, we will keep you updated as things develop. Future updates regarding COVID-19 will appear in the monthly Provider News publication. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. Please discuss additional questions about COVID-19 treatments and medicines with your doctor. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. 3. Who can order a test? Call 911 if you see emergency warning signs like the below. Diagnostic tests are for people who have symptoms of COVID-19. We're here to make sure you have the resources and care you need to keep yourself safe and well. font-size: 50px; We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Need coverage now due to job loss? Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? Cost share waiver extends to the end of the public health emergency. Confusion; bluish lips or face; or unconsciousness. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. The most common early symptoms appear between 2 and 14 days after being infected. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. What codes would be appropriate for COVID-19 lab testing? If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. cost sharing for telehealth in-network visits for COVID-19 treatment from March 17, 2020, through January 31, 2021, including visits for behavioral health, for our fully-insured employer, individual plans, and where permissible, Medicaid. For members who arent feeling well, telehealth services are available so you can get care at home. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. To avoid paying any out-of-pocket costs, you must go to an in-network retail pharmacy, take the testing kit to the pharmacy counter and provide your Service Benefit Plan member ID card to the pharmacist and/or pharmacy technician. COVID-19 vaccines are safe and effective. Making healthcare affordable. Find free and reduced-cost support for food, transportation, housing, health and more. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. 0 Yes, Anthem will accept Roster Billing from providers and state agencies that are offering mass vaccinations for their local communities. Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is covered under certain conditions. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. 155 0 obj <>stream Please review the terms of use and privacy policies of the new site you will be visiting. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Anthem does not cover telephonic-only services today (with limited state exceptions) but we are providing this coverage effective from March 19, 2020, through January 11, 2023, to reflect the concerns we have heard from providers about the need to support continuity of care for Plan members during extended periods of social distancing. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. All Rights Reserved. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. For non-COVID-19 tests (like flu, RSV, etc.) The CDC has provided coding guidelines related to COVID-19: Error! The 90-day waiver of cost-shares for telehealth visits unrelated to COVID-19 (such as general medical and behavioral health care) applies to in and out of network providers. Get Reimbursed for Over-the-Counter COVID-19 Tests. Please review the Medicare and Medicaid specific sites noted below for details about these plans. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. cost sharing for COVID-19 diagnostic tests as deemed medically necessary by a healthcare clinician who has made an assessment of a patient, including serology or antibody tests, for members of our employer-sponsored, individual, Medicare and Medicaid plans. This modifier should be used for evaluation and testing services in any place of service including a physician's office, urgent care, ER or even drive-thru testing once available. COVID-19 is a new strain of coronavirus. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis. Our benefits already state that if members do not have appropriate access to network physicians that we will authorize coverage for out-of-network physicians as medically necessary. To help reduce the burden on the states health care facilities and ensure members get the care they need when they need it, the cost-sharing waiver also applies totelemedicine visits, includingtelephonic visits. Check your COVID-19 benefits by using the Sydney Health or Engage Wellbeing mobile app, logging into anthem.com/ca, or calling the Member Services number on your ID card. During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them: Effective March 20, 2020, hydroxychloroquine and chloroquine prescriptions will require a diagnosis code on the prescription. Do a video or phone visit with a doctor or therapist from home. What can I do to keep from running out of medication? Every home in the U.S. can order four at-home COVID-19 tests at no cost. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. Wash your hands or use hand sanitizer when entering their house or room. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. The Division of Health Care Financing and Policy (DHCFP) has created three flyers to provide information to Nevada Medicaid recipients on COVID-19 covered services, COVID-19 vaccines, and COVID-19 vaccination prioritization lanes. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. From March 17, 2020, through September 30, 2020, Anthems affiliated health plans waived member cost shares for telehealth visits for services not related to the treatment of COVID-19 from in-network providers, including visits for behavioral health, for insured health plans in Colorado under this guidance, including our fully-insured employer plans, individual plans and health savings account-qualified high deductible health plans (HSA-HDHPs). Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. Effective April 19, 2021, the following COVID-19 monoclonal antibody codes and corresponding administration codes were added to the Medicaid Management Information System (MMIS) and can be billed with the dates of service indicated . For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Many plans include telephone care benefits during this public health emergency. Please note that the above information applies to Anthems Commercial health plans. You can get 90-day supplies of most prescription medicines, depending on your plans pharmacy benefits. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Diagnostic tests, under the direction of a medical clinician, show whether or not someone has COVID-19. When are COVID-19 tests covered? FEP will also encourage members to use the 90-day mail order benefit, if available through your health plan.If you are having difficulty paying for your treatment, contact the retail pharmacy phone number on the back of your ID card for assistance. Anthems affiliated health plans are committed to help provide increased access to care, while eliminating costs and help alleviate the added stress on individuals, families and the nations healthcare system. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. Member Discounts Take advantage of member-only discounts on health-related products and services. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. As there is a heightened awareness of COVID-19 and more cases are being diagnosed in the United States, LiveHealth Online is increasing physician availability and stands ready to have physicians available to see the increase in patients, while maintaining reasonable wait times. Use the. This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. div.treatment-testing-cont div.motif-icon.motif-syringe:before, CDC information for household members and caregivers can be found here. How does my plan cover the over-the-counter test? Blue Shield and Blue Shield Promise will cover most COVID-19 tests at no out-of-pocket cost to you for specified plans noted below. If your doctor isnt available for some reason, well help you find alternate care. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. Effective from March 19, 2020, through May 31, 2021, unless a longer period is required by law, Anthem will cover telephone-only medical and behavioral health services from in-network providers and out-of-network providers when required by state. We will pay for care you get from doctors outside your plan (called out of network) as long as the services are medically needed. Providers who currently submit electronic claims are encouraged to do so. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. No. Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. *Applies only for members with Anthem pharmacy benefits. margin-bottom: 40px; However, to assist providers our COVID-19 Vaccination Roster Billing Form provides a default Z23 diagnosis code. These trials show the FDA whether a vaccine is safe and effective. This applies to both diagnostic and screening tests. If you are not, please use our Test Site Finder to learn about options near you. If you have employer coverage, or an individual or family plan, you can get over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSIL/Prime Therapeutics pharmacy benefits. An attending health care provider may order a test. As the number of COVID-19 cases in New Jersey moves in the wrong direction, Horizon Blue Cross Blue Shield of New Jersey will continue to do whats right for our members and communities. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. Effective March 17, 2020, through September 30, 2020, unless a longer period is required by law, Anthems affiliated health plans will waive member cost share for telehealth (video + audio) in-network visits, including visits for behavioral health, for our fully-insured employer plans and individual plans. Nevada Department of Health and Human Services Directors Office Urges Youth Screening (November 23, 2020), COVID-19 information from Anthem Blue Cross and Blue Shield Healthcare Solutions (October 22, 2020), Attention All Providers: New Phase 3 Provider Relief Funding Available (October 13, 2020), Deadline for Provider Relief Fund Has Been Extended to August 3, 2020 (July 23, 2020), HHS announces additional distributions from the Provider Relief Fund to eligible Medicaid and CHIP providers (6/15/2020), COVID-19 update: Guidance for telehealth/telephonic care for behavioral health services (June 9, 2020), Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment, COVID-19 update: Anthem Blue Cross and Blue Shield Healthcare Solutions suspends select prior authorization rules and announces significant policy adjustments in response to unprecedented demands on health care providers, Listen now! The guidance here can make it easier for you to refer your patients to high-quality, lower-cost COVID-19 testing sites, find Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem)-contracted laboratories and identify the proper CPT codes to use. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. An airway and lung infection, similar to a cold. Johns Hopkins University has resources to help you learn more about the disease. We know how important it is to continue taking your prescriptions as directed by your doctor. cost sharing for visits where the purpose of the visit is to be screened and/or tested for COVID-19, regardless of whether test is administered, beginning March 18, 2020, for members of our employer-sponsored, individual, Medicare and Medicaid plans. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. What member cost-shares will be waived by Anthems affiliated health plans for virtual care through internet video + audio or telephonic-only care? The U.S. Department of Health and Human Services (HSS) announced the distribution of approximately $15 billion from the Provider Relief Fund to eligible providers who participate in state Medicaid and the Children's Health Insurance Program (CHIP): On June 9, 2020, the Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced additional distributions from the Provider Relief Fund to eligible Medicaid and Childrens Health Insurance Program (CHIP) providers who participate in state Medicaid and CHIP programs. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Arrive in 2 to 5 business days. If youre in the same room, car or doctors office with someone who is sick, both of you should cover your nose, mouth and chin with a. Anthems affiliated health plans are committed to help our members gain timely access to care and services in a way that places the least burden on the healthcare system. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. Our actions are intended to support the protective measures taken across the country to help prevent the spread of COVID-19 and reduce barriers to seeing a doctor, getting tested and maintaining adherence to medications for long-term health issues. The Nevada Department of Health and Human Services (DHHS) and its Divisions, including the Division of Health Care Financing and Policy (DHCFP), are concerned about the effect of the pandemic on rates of anxiety, depression and suicide among youth. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Book an appointment online now with NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual of Houston, TX (77057). You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. Members in California and Nevada: You can also make an appointment withLiveHealth Online and see a doctor from your smartphone. At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. Through May 31, all BCBS companiesincluding the BCBS Federal Employee Program (FEP)are: It is important that our members feel safe and secure during these unprecedented times, said Scott P. Serota, current president and CEO of the Blue Cross Blue Shield Association. Mild to severe fever, cough and shortness of breath. Ordering at-home test kits from Anthem. No. Otenti said if someone has been near a person with COVID-19 within a two-week time frame, there is also good reason to test for the virus . Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. 2023 Blue Cross Blue Shield Association. In Maine: Anthem Health Plans of Maine, Inc. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. This applies to all members, regardless of the type of health plan they have or which doctor or healthcare professional they choose to visit for COVID-19 vaccination. Read verified patient reviews and make an appointment instantly. If your doctor recommended you get tested, find a nearby COVID-19 testing site. Get the latest news and information from the CDC at In addition to Availity.com, providers and state agencies who wish to submit Roster Billing claims can submit paper forms: Is there a specific diagnosis code Anthem would look for on the COVID-19 Vaccination Roster Billing Form? By continuing to use this website, you consent to these cookies. A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. Get Reimbursed for Over-the-Counter COVID-19 Tests As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? What you need to know about the disease and our coverage commitment. Telemedicine not only helps members get the care they need, but helps reduce the spread of the coronavirus protecting the health of our members and the doctors and nurses who care for them. Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. Visit COVIDtests.gov to order your free test kits. whQf C4[IiKd"3\D.IK^C]&zD"V2. background-color: #7fcdbb; If you dont show any symptoms and havent been exposed to an individual diagnosed with COVID-19, its unlikely your doctor will prescribe a test. No copays for telehealth services provided by Teladoc. Good health habits can also help prevent and fight COVID-19. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. If an in-network provider is not reasonably available, the cost share waivers will include testing or screening for COVID-19 when received from an out-of-network provider. For more information, view our privacy policy. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. Anthem will cover the administration of COVID-19 vaccines with no cost share for in- and out-of-network providers, during the national public health emergency, and providers are not permitted under the federal mandate to balance-bill members. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. Its part of the same family of coronaviruses that includes the common cold. 111 0 obj <> endobj As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. This modifier should be used for COVID-19 evaluation and testing services in any place of service. Anthem members will receive the COVID-19 vaccination at no cost Coverage for COVID-19 testing COVID-19 treatment Visit a doctor from home Refill your prescription medication early Emotional and mental health support resources are available Sources Are you aware of any limitations in coverage for treatment of an illness/virus/disease that is part of a pandemic? cdc.gov/coronavirus/2019-ncov/about/index.html. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. Anthem is a registered trademark. Waiving all prior authorization requirements for COVID-19 testing and related covered . Cant reach your doctor? Each state will decide how and when to distribute vaccines. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Heres everything you need to know about it. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. On December 11, 2020, the U.S. Food and Drug Administration (FDA) approved the Pfizer COVID-19 vaccine for individuals aged 16 years and older for emergency use authorization (EUA). To access your member services, please visit your BCBS company. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. endstream endobj startxref A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, COVID-19 vaccines for youth toolkit available, Monoclonal Antibodies Approved for Treatment of COVID-19 Infection (June 7, 2021), New COVID-19 Vaccine Codes and Vaccine Administration Codes, Medicaid Services Manual Chapter 400 Updated (April 29, 2021), Attention All Providers Performing COVID-19 Diagnostic Testing with Procedure Code 87426 (April 28, 2021), Maximizing efficient, high quality COVID-19 screenings (April 4, 2021), Encounter-Based Providers and COVID-19 Vaccine Billing (March 8, 2021), DHCFP COVID-19 covered services, vaccines, and vaccination prioritization lanes information for members (February 18, 2021), Rate Change for COVID-19 Testing Codes U0003 and U0004 (February 18, 2021), Attention Providers Who Wish to Enroll with Nevada Medicaid to Administer the COVID-19 Vaccine (January 5, 2020), COVID-19 Vaccine Administration Coverage and Billing (January 5, 2020). Get the latest information on the COVID-19 vaccines. Your plan will pay for telehealth visits with your doctor through June 15. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Anthem members will receive the COVID-19 vaccination at no cost, Anthem will help you coordinate COVID-19 care, Anthems alternative virtual care offerings, Prescription Medications and Pharmacy Services, Take advantage of emotional and mental health support. Members can call the number on the back of their identification card to confirm coverage. Be sure to log in and check your communication preferences. Increasing access to prescription medications. Lets look at the latest information on COVID-19 and how your health care plan can help. What codes would be appropriate to consider for a telehealth visit with a patient who wants to receive health guidance during the COVID-19 crisis? 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New Orleans Rapper Warren Mayes,
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