In Ohio: Community Insurance Company. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Prior authorization is not required for COVID-19 testing. Anthem is committed to helping our members gain timely access to care and services in a way that places the least burden on the health care system. Dont stop taking your medicines as prescribed, and get your refills on time. 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. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. 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 is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? Some Anthem health plans include LiveHealth Online. 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. Good health habits can also help prevent and fight COVID-19. We're here to make sure you have the resources and care you need to keep yourself safe and well. Taking care of your emotional health is important during this stressful time. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Call the Pharmacy Member Services number on your ID card to find out about your options. 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. At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. To access your member services, please visit your BCBS company. 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. whQf C4[IiKd"3\D.IK^C]&zD"V2. 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. All Rights Reserved. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Check out the changes and updates to our plan in 2023. 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. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. See the Allowed Virtual Services document located on anthem.com/For Providers/Provider Resources/Forms & Guides/Select a State/Allowed Virtual Services (Telehealth/Telemedicine) for allowable codes for telehealth visitsfor physical, occupational and speech therapies for visits coded with place of service (POS) 02 and modifier 95 or GT for our fully-insured employer, individual, Individual, Medicare Advantage plans and Medicaid plans, where permissible. 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. Call the National Information Center weekdays from 8 a.m. to 8 p.m. Members can call the number on the back of their identification card to confirm coverage. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. 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. %%EOF The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. 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. 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 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. The best way to prevent infection is to avoid being exposed to the virus. } You can even get them through home delivery pharmacy. 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). What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. COVID-19 is a new strain of coronavirus. If you have Medicare, you wont pay for your vaccine, Stay Informed About COVID-19 and Prevention, The best way to prevent infection is to avoid exposure to the virus. None of these drugs is approved for use with COVID-19, and many are still being investigated. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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). 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. No. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? 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. These actions are intended to support the protective measures taken across the country to help prevent the spread of COVID-19 and are central to the commitment of Anthems affiliated health plans to remove barriers for our members and support communities through this unprecedented time. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. Anthems affiliated health plans are also providing coverage for members to have an extra 30-day supply of medication on hand, and we are encouraging that when member plans allow that they switch from 30-day home delivery to 90-day home delivery. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Members can check their symptoms and connect with a doctor right from their phone. Your health is important. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. No copays for telehealth services provided by Teladoc. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. Serving California. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. 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. Making healthcare affordable. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. 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. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) 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. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. Diagnostic tests, under the direction of a medical clinician, show whether or not someone has COVID-19. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. 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. The most common early symptoms appear between 2 and 14 days after being infected. 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. Visit COVIDtests.gov to order your free test kits. 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. You may also receive a bill for any charges not covered by your health plan. A diagnostic test is used to determine if a person has COVID-19. FEP will waive copays for all virtual doctor visits by Teladoc during this time. The protection of your privacy will be governed by the privacy policy of that site. Call us at 888-832-2583 to explore your options. }. This modifier should be used for COVID-19 evaluation and testing services in any place of service. If you have questions or would like help finding testing, please call the Member Services number on your ID card. endstream endobj startxref Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. If you are not, please use our Test Site Finder to learn about options near you. CDC information for household members and caregivers can be found here. Are COVID-19 tests covered? Providers can print double-sided or email these flyers to Nevada Medicaid recipients. What codes would be appropriate for COVID-19 lab testing? To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. We use cookies on this website to give you the best experience and measure website usage. The waiver of member out-of-pocket costs for COVID-19 treatment, which is not required by law, has been extended for an additional three months through March 31, 2021. 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 extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. Avoid close contact with people who are sick. The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. The Centers for Disease Control and Prevention (CDC) provides guidelines for who should get a diagnostic test and when based on your current health, your vaccination status, and your history of infection. 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. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. 111 0 obj <> endobj Here are some additional ways Horizon BCBSNJ members can receive advice and support: The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locallyoperated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Anthem will cover the COVID-19 vaccine. The over-the-counter tests give results within 30 minutes. Screening tests show whether or not someone has COVID-19. 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. At-home test kits are available to eligible Anthem members for a limited time. 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. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. 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. Read verified patient reviews and make an appointment instantly. Anthems affiliated health plans will waive cost shares for our fully-insured employer, individual, Medicare and Medicaid plan membersinclusive of copays, coinsurance and deductiblesfor COVID-19 test and visits and services during the visit when the purpose of the visit is to be screened and/or tested for COVID-19, including telehealth visits. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. 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. 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. -webkit-border-radius: 50%; Need coverage now due to job loss? We will waive cost sharing requirements for urgent care, telehealth and office visits to screen or determine whether COVID-19 testing is needed, when received from an in-network provider, or if no in-network provider is reasonably available, then from an out-of-network provider. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. 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? Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. 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! Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? We are waiving your costs for telehealth visits with your doctor through January 31, 2021. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. 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