To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. 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. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. Blue Shield and Blue Shield Promise will cover most COVID-19 tests at no out-of-pocket cost to you for specified plans noted below. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. 3. Who can order a test? The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. Get the latest news and information from the CDC at 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. -moz-border-radius: 50%; cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. who seek reimbursement for the administration of a COVID-19 vaccine must do so by using their encounter code and the COVID-19 vaccine administration Current Procedural Terminology (CPT) codes. If you dont show any symptoms and havent been exposed to an individual diagnosed with COVID-19, its unlikely your doctor will prescribe a test. No. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. 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. What can I do to keep from running out of medication? Claims for COVID-19 diagnostic testing procedure code 87426 (Infectious agent antigen detection by immunoassay technique) are not required to be billed with procedure code 87301. Does Anthem require use of a contracted provider for the COVID-19 lab test in order for waiver of the members cost share to apply? 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. Where permissible, these guidelines apply to FEP members. Reimbursement for COVID-19 testing performed in a participating hospital emergency room or inpatient setting is based on existing contractual rates inclusive of member cost share amounts waived by Anthem. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. 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. color: #ffffff; 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. In Kentucky: Anthem Health Plans of Kentucky, Inc. To help address care providers questions, Anthem has developed the following updates and frequently asked questions. You may also receive a bill for any charges not covered by your health plan. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. Book an appointment online now with NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual of Houston, TX (77057). How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? %PDF-1.7 % 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. Call the National Information Center weekdays from 8 a.m. to 8 p.m. 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! Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. The health of our members is always our top priority. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. padding: 0.6rem; 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. 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. We will support you and help you get the care you need. Are COVID-19 tests covered? The best way to prevent infection is to get fully vaccinated 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. 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. 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. Mention they have COVID-19 (or symptoms of it). Reimbursement is available only during the COVID-19 public health emergency. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? 2021copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. No copays for telehealth services provided by Teladoc. 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 is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. Lets look at the latest information on COVID-19 and how your health care plan can help. Heres everything you need to know about it. How can a provider submit Anthems Roster Billing claim form? Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. Our coverage commitment is to ensure our members can quickly access the right care at the right time. If youre experiencing symptoms or if your doctor recommends a test, use our COVID-19 Test Site Finder to search your ZIP Code and find testing options near you. Download the Sydney Health app. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? What Are Your Thoughts On The Vaccines Against Covid-19? If you are, youll be able to place an order. 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 . The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Eligible members can find an in-network doctorhereor access HorizonCareOnline through the Horizon Blue app,www.horizoncareonline.com, orwww.HorizonBlue.com. 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. 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. Wash your hands often with soap and water for at least 20 seconds. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. 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. Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. It lets you see a doctor through live chat or video on your phone, tablet, or computer. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). 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. } The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. Anthems affiliated health plans are committed to help provide increased access to care, while eliminating costs and help alleviate the added stress on individuals, families and the nations healthcare system. If it doesnt, we can talk about your options. 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. cost sharing for COVID-19 diagnostic tests as deemed medically necessary by a healthcare clinician who has made an assessment of a patient, including serology or antibody tests, for members of our employer-sponsored, individual, Medicare and Medicaid plans. Independent licensees of the Blue Cross and Blue Shield Association. 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. COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. 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. For non-COVID-19 tests (like flu, RSV, etc.) If their symptoms get worse, call their doctor. No. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Good health habits can also help prevent and fight COVID-19. 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. Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. People who are diagnosed with COVID-19 may have long-term symptoms. 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. 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. Anthem is encouraging providers to bill with codes U0001, U0002, U0003, U0004, 86328, 86769, or 87635 based on the test provided. Many thousands of people across the United States took part in research trials over many months. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. 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. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? In addition, Anthems telehealth provider, LiveHealth Online, is another safe and effective way for members to see a physician to receive health guidance related to COVID-19 from home via a mobile device or computer with a webcam. Were sharing information about how you can protect yourself and the people you care about. Its part of the same family of coronaviruses that includes the common cold. Anthem is a registered trademark of Anthem Insurance Companies, Inc. 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. 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. The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. Call our 24/7 Nurse Line for COVID-related health questions and advice. How is Anthem reimbursing participating hospitals that are performing COVID-19 diagnostic testing in a drive-thru testing setting? We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. %%EOF Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Anthems affiliated health plans are committed to help our members gain timely access to care and services in a way that places the least burden on the healthcare system. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. 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. , getting tested and maintaining adherence to medications for long-term health issues how Blue Cross Blue Shield Association is Association! 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