Yes, but coverage for testing varies by plan. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. Members in California and Nevada: You can also make an appointment withLiveHealth Online and see a doctor from your smartphone. What you need to know about the disease and our coverage commitment. Use Psych Hub's resources to help you manage and cope in stressful times. To access your member services, please visit your BCBS company. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. cdc.gov/coronavirus/2019-ncov/about/index.html. 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. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. 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. 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. What Are Your Thoughts On The Vaccines Against Covid-19? 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. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. And let them know if youve been in close contact with a person known to have COVID-19, or if you live in or have recently traveled to an area where the virus has spread. 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. 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. border-radius: 50%; Get the latest news and information from the CDC at 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. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Its part of the same family of coronaviruses that includes the common cold. Call our 24/7 Nurse Line for COVID-related health questions and advice. This applies to both diagnostic and screening tests. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. 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. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. People at most risk of contracting COVID-19 or developing complications of illness are scheduled to receive vaccinations first. Waiving cost-sharing for COVID-19 testing and treatment. -webkit-border-radius: 50%; If your doctor isnt available for some reason, well help you find alternate care. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) Please discuss additional questions about COVID-19 treatments and medicines with your doctor. You may also receive a bill for any charges not covered by your health plan. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Heres what the CDC says about COVID-19 vaccine safety. 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. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Your health is important. Please note that the above information applies to Anthems Commercial health 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 . You may also receive a bill for any charges not covered by your health plan. Are COVID-19 tests covered? To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Diagnostic tests are for people who have symptoms of COVID-19. In compliance with California state law, some Anthem plans cover COVID-19 screening with no out-of-pocket costs. Use the. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Do you have medicines you take regularly? Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. On April 30, 2020, we hosted a webinar to share information and resources with network providers regarding opportunities to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. Check the. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. What is changing regarding prior authorization requirements? An attending health care provider may order a test. We will support you and help you get the care you need. 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). 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. 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. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. .treatment-testing-cont:nth-child(2) { Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. None of these drugs is approved for use with COVID-19, and many are still being investigated. Cover your cough or sneeze with a tissue, and throw away the tissue. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? Reimbursement for over-the-counter tests. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? How can a provider submit Anthems Roster Billing claim form? Call 911 if you see emergency warning signs like the below. endstream endobj 112 0 obj <>/Metadata 8 0 R/Pages 109 0 R/StructTreeRoot 23 0 R/Type/Catalog/ViewerPreferences 133 0 R>> endobj 113 0 obj <>/MediaBox[0 0 612 792]/Parent 109 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 114 0 obj <>stream Where permissible, these guidelines apply to FEP members. Read verified patient reviews and make an appointment instantly. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): Mention they have COVID-19 (or symptoms of it). Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. performed during a provider visit that results in an order for, or administration of, diagnostic testing for COVID-19. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. You should try to see your PCP or a doctor in your plan. Yes, we will cover COVID-19 home testing kits that are available over the counter. 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. 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. FEP will now reimburse up to 8 over-the-counter COVID-19 tests per member on a contract per calendar month. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. 111 0 obj <> endobj LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. The Department would like to bring to your attention the importance of the role you play as a provider in mental health screening and early identification of mental and behavioral health difficulties. The health of our members is always our top priority. 2023 Blue Cross Blue Shield Association. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. 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. People who are diagnosed with COVID-19 may have long-term symptoms. Good health habits can also help prevent and fight COVID-19. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is committed to making sure you can get the care you need. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. We'll also explore the additional care and support available for your protection and everyday needs. Avoid close contact with people who are sick. 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. 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. 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. The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. Go to the main page on anthem.com/ca to log in and search for a doctor, or call the Member Services number on your ID card. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. 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. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 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. In Connecticut: Anthem Health Plans, Inc. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Anthem.com and Anthems COVID-19 site (https://www.anthem.com/blog/member-news/how-to-protect/) are great resources for members with questions and are being updated regularly. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. As an Anthem member, you have access to a wide range of online resources to help you and your family members address emotional health and life challenges. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. 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. 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. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? 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. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. 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. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Treatment that's safe and convenient 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. CMS has provided coding guidelines related to COVID-19 vaccines:https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. 24/7 access is provided at no cost. Please note this coverage does not apply to LiveHealth Online visits. 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. 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. If you have specific questions about the medicine you take, call the pharmacy services number on your member ID card.*. Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. Anthem will cover the COVID-19 vaccine. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? Our commitment to ensuring you have the strength of Blue Cross and Blue Shield Globalor GeoBlue if see. 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