You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. It also lets you notify the CDC of any side effects you may experience. margin-bottom: 40px;
The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. How does my plan cover the over-the-counter test? We use cookies on this website to give you the best experience and measure website usage. For more information, view our privacy policy. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. We have resources and partners to help you handle not just everyday needs, but extra ones you may be facing in this outbreak. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. An attending health care provider may order a test. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Please log in and update your communication preferences to make sure you receive the latest information. The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. What Are Your Thoughts On The Vaccines Against Covid-19? Are COVID-19 tests covered? When are COVID-19 tests covered? 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? FEP will now reimburse up to 8 over-the-counter COVID-19 tests per member on a contract per calendar month. Members can rest assured that if they do fall ill with COVID-19, they will not need to pay any out-of-pocket costs or get a prior authorization for their treatment. Medicare Advantage and Medicare GRS plans are waived through February 28, 2021. cost sharing for telehealth services not related to the treatment of COVID-19 from Anthem's telehealth provider, LiveHealth Online, from March 17, 2020, through May 31, 2021, for our fully-insured employer, individual, and where permissible, Medicaid plans. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. What diagnosis codes would be appropriate to consider for a patient with known or suspected COVID-19 for services where a members cost shares are waived? You may also receive a bill for any charges not covered by your health plan. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. 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. Call our 24/7 Nurse Line for COVID-related health questions and advice. Heres what the CDC says about COVID-19 vaccine safety. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Healthcare Solutions. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. 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. Members will pay no deductible, copay or coinsurance for services ranging from doctors visits to hospital stays when their testing or treatment is related to COVID-19. endstream
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Member Discounts Take advantage of member-only discounts on health-related products and services. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. How can I find a COVID-19 testing location? To learn where you can obtain a test visit the State of New Jerseys. They also are for people who have no symptoms but know or suspect that they have recently been exposed to someone who has COVID-19. We will support you and help you get the care you need. Anthem will cover the COVID-19 vaccine. The protection of your privacy will be governed by the privacy policy of that site. Lets look at the latest information on COVID-19 and how your health care plan can help. If you have any questions, please contact the Provider Service number on the back of the members ID card, or your Provider Solutions contact on our Escalation Contact List. Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing To help address providers questions, Anthem has developed the following FAQ list: Get the answers to these questions and more in our Talking Points PDF: The latest updates regarding prior authorization requirements will be posted: We look forward to working with you to provide quality services to our members. Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. How can a provider submit Anthems Roster Billing claim form? To access your member services, please visit your BCBS company. What is changing regarding prior authorization requirements? We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. Waiving all prior authorization requirements for COVID-19 testing and related covered services. In addition, Anthem will waive member cost shares for a limited set of remote monitoring codes (99453, 99454, 99457, or 99091) with in-network providers for visits coded with POS 02 and modifier 95 or GT. This information can be found in the, March 2023 Anthem Provider News - Colorado, February 2023 Anthem Provider News - Colorado, Working with Anthem webinars - January 2023 overview, Telephonic-only care allowance extended through April 11, 2023 - Colorado, January 2023 Anthem Provider News - Colorado, https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies, Allowed Virtual Services (Telehealth/Telemedicine), https://www.anthem.com/blog/member-news/how-to-protect/, https://www.anthem.com/docs/public/inline/COV19_BillRoster_ABCBS.pdf, Federal Resources Available for Care Providers and Employers in the Federal CARES Act, COVID-19 Information Colorado Publication RETIRED as of November 8, 2022. cost sharing for the treatment of COVID-19 from April 1, 2020, through January 31, 2021, for members of our fully-insured employer, Individual, Medicare Advantage and Medicaid plans. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. What member cost-shares will be waived by Anthems affiliated health plans for virtual care through internet video + audio or telephonic-only care? For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. If your doctor offers telehealth visits, your plan will pay for those, too. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. 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. In Connecticut: Anthem Health Plans, Inc. Diagnostic tests, under the direction of a medical clinician, show whether or not someone has COVID-19. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. All Rights Reserved. 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. Cant reach your doctor? Avoid close contact with people who are sick. 111 0 obj
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Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. whQf C4[IiKd"3\D.IK^C]&zD"V2. This applies to both diagnostic and screening tests. CDC information for household members and caregivers can be found here. Page one is in English and page two is in Spanish for each flyer. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. The electronic process is the quickest way to get the claims to Anthem. Researchers from UNR Med, in partnership with the NV Department of Health and Human Services and Immunize NV, are conducting a survey to learn about the public's knowledge about the COVID-19 vaccines. For COVID-19 treatments via telehealth visits, Anthems affiliated health plans will cover telehealth and telephonic-only visits from in-network providers and will waive cost shares through January 31, 2021. Wash your hands often with soap and water for at least 20 seconds. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. When member cost sharing has been waived (where permissible) by Anthem as outlined in this FAQ for COVID-19 testing and visits associated screening and/or tested for COVID-19, telehealth (video + audio) services, and in-network telephonic-only services, how does that impact provider reimbursement? 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. cdc.gov/coronavirus/2019-ncov/about/index.html. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. Use Psych Hub's resources to help you manage and cope in stressful times. Reimbursement for over-the-counter tests. It lets you see a doctor through live chat or video on your phone, tablet, or computer. }. Anthem members also can call the Anthem 24/7 NurseLine at the number listed on their Anthem ID card to speak with a registered nurse about health questions. From March 19, 2020, through January 11, 2023, Anthem will cover and waive cost shares for telephonic-only visits with in-network providers for our Medicare Advantage 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 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. What codes would be appropriate for COVID-19 lab testing? 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. Cost sharing will be waived for members using Anthems authorized telemedicine service, LiveHealth Online, as well as care received from other providers delivering virtual care through internet video + audio services. Cost shares will be waived for emergency services related to COVID-19 testing or screening from either an in-network or out-of-network provider in Colorado. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. If your doctor isnt available for some reason, well help you find alternate care. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. 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). Here are some tips: Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. }
*Applies only for members with Anthem pharmacy benefits. No. While a test sample cannot be obtained through a telehealth visit, the telehealth provider can help you get to a provider who can do so. Oct 13, 2022 Anthems enterprise wide business continuity program includes recovery strategies for critical processes and supporting resources, automated 24/7 situational awareness monitoring for our footprint and critical support points, and Anthems Virtual Command Center for Emergency Management command, control and communication. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. 2023 Blue Cross Blue Shield Association. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. performed during a provider visit that results in an order for, or administration of, diagnostic testing for COVID-19. Are there any in-network or out-of-network limitations on these guidelines? Many plans include telephone care benefits during this public health emergency. 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. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. No. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. The cost-sharing waiver includes copays, coinsurance and deductibles. People who are diagnosed with COVID-19 may have long-term symptoms. COVID-19 testing remains an important part of keeping our families and communities safe. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. Many thousands of people across the United States took part in research trials over many months. If you have a Medicaid plan with us, you do not have to pay anything for the COVID-19 test or the doctor visit to get the test. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. Independent licensees of the Blue Cross and Blue Shield Association. Were sharing information about how you can protect yourself and the people you care about. Yes, Anthem will accept Roster Billing from providers and state agencies that are offering mass vaccinations for their local communities. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. At-home test kits from Anthem: Are FDA-authorized. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. No cost share for diagnostic tests or treatment. Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. No. As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. HHS is also announcing an additional distribution of Provider Relief Funds to safety net hospitals: Anthem is closely monitoring COVID-19 developments and what it means for our customers and our health care provider partners. Check out the changes and updates to our plan in 2023. Call 911 if you see emergency warning signs like the below. Find free and reduced-cost support for food, transportation, housing, health and more. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. You do not need a doctors order for the over-the-counter diagnostictest. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. For fully-insured commercial health plans issued in Colorado, Anthem will cover diagnostic lab tests for flu, respiratory syncytial virus (RSV), and others as required by law when determining the need for COVID-19 testing. Members can check their symptoms and connect with a doctor right from their phone. Based on standard AMA and HCPCS coding guidelines, for participating hospitals with a lab fee schedule, Anthem will recognize the codes 87635 and U0002, and will reimburse drive thru COVID-19 tests according to the lab fee schedule inclusive of member cost-share amounts waived by Anthem. -moz-border-radius: 50%;
Please review the Medicare and Medicaid specific sites noted below for details about these plans. Call the National Information Center weekdays from 8 a.m. to 8 p.m. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . 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. Administration for Community Living: COVID-19 and what you need to know, Members with Cal MediConnect plans (Los Angeles County), Members with Cal MediConnect plans (Santa Clara County), You can still use in-person diagnostic COVID-19 testing sites. Type at least three letters and we will start finding suggestions for you. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. 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. Need coverage now due to job loss? You can get 90-day supplies of most prescription medicines, depending on your plans pharmacy benefits. Each state will decide how and when to distribute vaccines. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. 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. Talk to your doctor to see if a 90-day supply would work for you. . Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Where permissible, these guidelines apply to FEP members. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. Call the Pharmacy Member Services number on your ID card to find out about your options. If their symptoms get worse, call their doctor. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. 24/7 access is provided at no cost. This modifier should be used for evaluation and testing services in any place of service including a physicians office, urgent care, ER or even drive-thru testing once available. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. Navigate COVID-19 challenges like social isolation and job loss with a free mental health resource hub, powered by Psych Hub and supported by Anthem. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? 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