Anthem is a registered trademark. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. The most common early symptoms appear between 2 and 14 days after being infected. 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! Waiving cost-sharing for COVID-19 testing and treatment. Visit COVIDtests.gov to order your free test kits. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. 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. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. background-color: #7fcdbb; If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. We are fielding questions about the outbreak from our customers, members, providers and associates. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. Out-of-network coverage will be provided where required by law. 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. Do you have medicines you take regularly? In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Anthem is relaxing early prescription refill limits, where permitted, for members who have Anthem pharmacy benefits and wish to refill a 30-day supply of most maintenance medications early. Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. Research shows the COVID-19 vaccination will help keep you from getting COVID-19. This includes covered visits for mental health or substance use disorders and medical services, for our fully-insured employer plans, individual plans and Medicaid plans, where permissible. Johns Hopkins University has resources to help you learn more about the disease. In Maine: Anthem Health Plans of Maine, Inc. 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. 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. This modifier should be used for COVID-19 evaluation and testing services in any place of service. 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. We partnered with findhelp, a social care network that connects you with local help. hk%@Z^ pp>ZV]X~ fE#E2y$IFD*r\Rtk^u_e,~tIG*aJ*h'URWjRJ=W*L)CCCBTjJ4Oo~x|~y|?x~|.o._=w_~w_{?G=o1q}w?\ZNwuw?Kw|/vCyvIY7?}Ngw}&UG-&F-w_=_,_=aUq+uK[W--kVtkKU=V5|Zq:4o]{u\Z-UCC5PqiU#]Eyfk]WJnv?/u]s9n'#~rk]f2x7-,}_[-mjeh5j7 o~L}5wQVeu,OkA4oSS3.U 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. Our coverage commitment is to ensure our members can quickly access the right care at the right time. The app will remind you when to get your second dose. COVID-19 testing and visits associated with COVID-19 testing. 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. Your member ID card is your key to using your medical plan benefits. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. Will Anthem allow Roster Billing for the COVID-19 vaccine? 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 . All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. div.treatment-testing-cont div.motif-icon.motif-marker:before { As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. 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. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. We know how important it is to continue taking your prescriptions as directed by your doctor. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment For telehealth services rendered by a facility provider, report the CPT/HCPCS code with the applicable revenue code as would normally be done for an in-person visit, and also append either modifier 95 or GT. 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. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. 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. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. 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). Are there any prescription drugs that can be used to treat COVID-19? Call 911 if you see emergency warning signs like the below. %PDF-1.7 % In addition to using a telehealth service, you can receive in-person or virtual care from your own doctor or another healthcare provider in your plan's network. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? 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. How is Anthem reimbursing U.S. Food and Drug Administration (FDA)-approved COVID-19 vaccines? None of these drugs is approved for use with COVID-19, and many are still being investigated. For the Health of America. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. Cant reach your doctor? Similar to a cold or the flu. 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. COVID-19 testing remains an important part of keeping our families and communities safe. COVID-19 vaccines for youth toolkit available. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. Participating hospitals without lab fee schedules will follow the same lab testing reimbursement as defined in their facility agreement with Anthem inclusive of member cost share amounts waived by Anthem. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. 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. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Good health habits can also help prevent and fight COVID-19. For full details onbenefits, services and network coveragewhich may vary by health planfind each BCBS companys statement below: The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. To access your member services, please visit your BCBS company. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. And if you use a pharmacy in Prime's network and check out at the pharmacy counter, you shouldn't have to pay upfront or submit a claim for reimbursement. Prior authorization is not required for COVID-19 testing. Members can check their symptoms and connect with a doctor right from their phone. 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. For non-COVID-19 tests (like flu, RSV, etc.) Find free and reduced-cost support for food, transportation, housing, health and more. Can I visit the emergency room for a test? Use of the Anthem websites constitutes your agreement with our Terms of Use. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. cost sharing for audio-only, in-network provider visits through January 11, 2023, for Medicare plans. Cost share waiver extends to the end of the public health emergency. 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. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Anthem is a registered trademark. Read verified patient reviews and make an appointment instantly. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. To access your member services, please visit your BCBS company. We have made changes to how behavioral health providers can use and be compensated for telehealth (audio + video) and telephonic-only care with their patients. Cover your coughs and sneezes with tissues; discard the tissues. 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. This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Are COVID-19 tests covered? You do not need a doctors order for the over-the-counter diagnostictest. CDC information for household members and caregivers can be found here. 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. The number one priority for Blue Cross Blue Shield (BCBS) companiesespecially as the nation faces this unprecedented health crisisis getting their members across the country the care they need. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. The electronic process is the quickest way to get the claims to Anthem. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? Confusion; bluish lips or face; or unconsciousness. If you have questions or would like help finding testing, please call the Member Services number on your ID card. 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? Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. 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. *Applies only for members with Anthem pharmacy benefits. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Use the. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. In general, it is recommended people get tested if they have symptoms including fever, cough, shortness of breath, chills, muscle pain, new loss of taste or smell, vomiting or diarrhea, and/or sore throat. Type at least three letters and we will start finding suggestions for you. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. Anthem is committed to making sure you can get the care you need. Diagnostic tests are for people who have symptoms of COVID-19. Every home in the U.S. can order four at-home COVID-19 tests at no cost. } Check out the changes and updates to our plan in 2023. Call us at 888-832-2583 to explore your options. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Yes, but coverage for testing varies by plan. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Increasing access to prescription medications. 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. Anthem is committed to working with and supporting our contracted providers. Anthem will waive cost-sharing requirements for testing and the cost of the testing, and for emergency services related to COVID-19 screening or testing from any provider. 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. 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. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. The over-the-counter tests give results within 30 minutes. To learn where you can obtain a test visit the State of New Jerseys. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. Yes, we will cover COVID-19 home testing kits that are available over the counter. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. If you are, youll be able to place an order. Individuals with Intellectual and Developmental Disabilities, Individuals with Mental Health and Substance Use Needs, Individuals Who Need Long-term Services and Support, U.S. Department of State China Travel Advisory, CDC, People at Risk for Serious Illness from COVID-19, Administration for Community Living, Coronavirus, CMS Press Release: President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak. When ordered by your doctor, testing, diagnosis and treatment for COVID-19 are available to Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) members withzero out-of-pocket costs. At-home test kits are available to eligible Anthem members for a limited time. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. If your doctor recommended you get tested, find a nearby COVID-19 testing site. At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. 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. No copays for telehealth services provided by Teladoc. 3. Who can order a test? Our clinical team is actively monitoring external queries and reports from the Centers for Disease Control and Prevention (CDC) to help us determine what action is necessary on our part. Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. We will pay for care you get from doctors outside your plan (called out of network) as long as the services are medically needed. People who are diagnosed with COVID-19 may have long-term symptoms. In Indiana: Anthem Insurance Companies, Inc. Members can see an in-network doctor or use Horizon BCBSNJs telemedicine platform (HorizonCareOnline) for any covered purpose including diagnosis or treatment of COVID-19 and even for routine care or mental health care. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. All Rights Reserved. In Ohio: Community Insurance Company. Does Anthem require a prior authorization on the focused test used to diagnose COVID-19? Do these guidelines apply to members enrolled in the Blue Cross and Blue Shield Service Benefit Plan commonly referred to as the Federal Employee Program (FEP) through the Federal Employees Health Benefits Program? What is changing regarding prior authorization requirements? How can a provider submit Anthems Roster Billing claim form? Tell them if youve been in close contact with a person who has COVID-19, or if you live in or have been to an area where the virus has spread. For members who arent feeling well, telehealth services are available so you can get care at home. 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. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. These trials show the FDA whether a vaccine is safe and effective. In compliance with California state law, some Anthem plans cover COVID-19 screening with no out-of-pocket costs. 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. 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 in this document to Nevada Medicaid by the provider types listed. Serving California. Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. Effective April 3, 2020, and for the duration of and consistent with Colorados emergency orders, Anthem will cover the additional services outlined in those orders. hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X This is also for . Blue Shield of California and Blue Shield of California Promise Health Plan are independent licensee s of the Blue Shield Association L52000-W-BSC-PHP (1/20) T11597 (4/21) Page 1 of 5 . Pain or pressure in the chest that wont go away. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. An attending health care provider may order a test. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. Page one is in English and page two is in Spanish for each flyer. 111 0 obj <> endobj How does my plan cover the over-the-counter test? No. Members can get their test covered at an in-network primary care physician or urgent care center or an in-network or out-of-network emergency room. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Please review the terms of use and privacy policies of the new site you will be visiting. By continuing to use this website, you consent to these cookies. In-Network or out-of-network provider in Colorado, is Anthem reimbursing U.S. Food and Drug Administration ( FDA ) COVID-19! Federal CARES Actarticle in AnthemProvider News our 24/7 NurseLine 24 hours a day 7! For U. S. Preventive services Task Force ( USPSTF ) or CDC approved vaccines as become! Sneezes with tissues ; discard the tissues November 8, 2022, this DOCUMENT will no be!, Inc for emergency services related to COVID-19 diagnosis for COVID-19 testing of November 8, 2022, DOCUMENT. To eligible Anthem members for a test visit the state of new Jerseys their expertise exceptional. Ensure our members and caregivers can be found in theFederal resources available for care and... The public health emergency waiver extends to the end of the public health emergency Shield Solutions! 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