Call your doctor if you develop a fever, have a cough, or have difficulty breathing. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. If you have specific questions about the medicine you take, call the pharmacy services number on your member ID card.*. Members can call the number on the back of their identification card to confirm coverage. Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. CMS has provided the Medicare guideline to use the CS modifier: Error! 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. Clean and disinfect frequently touched objects and surfaces like phones, keyboards, and doorknobs. Anthem is encouraging providers to bill with codes U0001, U0002, U0003, U0004, 86328, 86769, or 87635 based on the test provided. A diagnostic test is used to determine if a person has COVID-19. Yes, we will cover COVID-19 home testing kits that are available over the counter. 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 . FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. 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. 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. 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. Serving California. Findings. 132 0 obj <>/Filter/FlateDecode/ID[<7A556C2107D3FE4287A53DF79E9C5AC9><793C7E08A7A7684290861DE5BB023FB8>]/Index[111 45]/Info 110 0 R/Length 106/Prev 205504/Root 112 0 R/Size 156/Type/XRef/W[1 3 1]>>stream Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Schedule a COVID-19 test with your doctor. Here is what the CDC recommends. 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. All Rights Reserved. Good health habits can also help prevent and fight COVID-19. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Anthem is committed to working with and supporting our contracted providers. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Use the. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. 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. ET. The Nevada Department of Health and Human Services (DHHS) and its Divisions, including the Division of Health Care Financing and Policy (DHCFP), are concerned about the effect of the pandemic on rates of anxiety, depression and suicide among youth. Ordering at-home test kits from Anthem. 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. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. We will pay for care you get from doctors outside your plan (called out of network) as long as the services are medically needed. No cost share for diagnostic tests or treatment. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. 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. 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. The cost-sharing waiver includes copays, coinsurance and deductibles. We have resources and partners to help you handle not just everyday needs, but extra ones you may be facing in this outbreak. The CDC has provided coding guidelines related to COVID-19: Error! COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. 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. This modifier should be used for COVID-19 evaluation and testing services in any place of service. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. What financial assistance is available for care providers during the COVID-19 crisis? Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. The protection of your privacy will be governed by the privacy policy of that site. 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. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. Learn more about COVID-19, including what you can do to prevent the spread of the disease and ways to stay healthy. What can I do to keep from running out of medication? div.treatment-testing-cont div.motif-icon.motif-marker:before { What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 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. Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. 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 Ohio: Community Insurance Company. color: #ffffff; Out-of-network coverage will be provided where required by law. Please be advised that, while awaiting further guidance from the Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS) regarding SB510, Anthem Blue Cross will pay Medi-Cal claims for COVID-19 testing incurred on or after January 1, 2022, according . We know how important it is to continue taking your prescriptions as directed by your doctor. 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. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. Diagnostic tests are for people who have symptoms of COVID-19. 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. padding: 0.6rem; 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. Independent licensees of the Blue Cross and Blue Shield Association. No. They include fever, cough, and shortness of breath. Read verified patient reviews and make an appointment instantly. If you are not, please use our Test Site Finder to learn about options near you. To help address care providers questions, Anthem has developed the following updates and frequently asked questions. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. 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. What codes would be appropriate for COVID-19 lab testing? 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. Member Discounts Take advantage of member-only discounts on health-related products and services. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. 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. For the Health of America. Anthem is a registered trademark. Screening tests show whether or not someone has COVID-19. 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. Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? 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. Visit the CDC website for the most up-to-date testing guidance. 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. Member Discounts Take advantage of member-only discounts on health-related products and services. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. 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. Yes, Anthem will accept Roster Billing from providers and state agencies that are offering mass vaccinations for their local communities. Leading the way in health insurance since 1929. Can I visit the emergency room for a test? In Indiana: Anthem Insurance Companies, Inc. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. At-home test kits are available to eligible Anthem members for a limited time. 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. background-color: #7fcdbb; An attending health care provider may order a test. No. No prior authorizations for diagnostic tests and covered services. Symptoms can be mild to severe. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. CDC information for household members and caregivers can be found here. Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. 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. 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. 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. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Plus, we will keep you updated as things develop. 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. Visit your member website for information on how your health plan covers COVID-19 testing. In Maine: Anthem Health Plans of Maine, Inc. 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. Taking care of your emotional health is important during this stressful time. People at most risk of contracting COVID-19 or developing complications of illness are scheduled to receive vaccinations first. 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. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. How can a provider submit Anthems Roster Billing claim form? *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. 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. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at We partnered with findhelp, a social care network that connects you with local help. The over-the-counter tests give results within 30 minutes. Prior authorization is not required for COVID-19 testing. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. 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 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. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. font-size: 50px; 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. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 111 0 obj <> endobj Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. COVID-19 vaccines for youth toolkit available. 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. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. Mention they have COVID-19 (or symptoms of it). Please review the Medicare and Medicaid specific sites noted below for details about these plans. If it doesnt, we can talk about your options. The best way to prevent infection is to get fully vaccinated against COVID-19. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. If your doctor offers telehealth visits, your plan will pay for those, too. In Kentucky: Anthem Health Plans of Kentucky, Inc. What Are Your Thoughts On The Vaccines Against Covid-19? Johns Hopkins University has resources to help you learn more about the disease. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Be sure to log in and check your communication preferences. An airway and lung infection, similar to a cold. Get Reimbursed for Over-the-Counter COVID-19 Tests. 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. These trials show the FDA whether a vaccine is safe and effective. Do a video or phone visit with a doctor or therapist from home. 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. 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. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Heres what the CDC says about COVID-19 vaccine safety. Pain or pressure in the chest that wont go away. www.cdc.gov/coronavirus. Where permissible, these guidelines apply to FEP members. We'll also explore the additional care and support available for your protection and everyday needs. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. Dont stop taking your medicines as prescribed, and get your refills on time. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. .treatment-testing-cont:nth-child(2) { All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. 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. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. How can I find a COVID-19 testing location? Call us at 888-832-2583 to explore your options. div.treatment-testing-cont div.motif-icon.motif-syringe:before, 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. 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. Log in to find out whether youre eligible to order an at-home test kit from Anthem. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. 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. Kaiser found: 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue Shield of California, Care First, Cigna, CVS Group/Aetna, and Kaiser Permanente) are currently relying only on . Click below for the latest information for providers: The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), has announced $20 billion in new funding for providers on the frontlines of the Novel Coronavirus (COVID-19) pandemic. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . 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? Clean and disinfect items and surfaces you touch . You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. Please review the terms of use and privacy policies of the new site you will be visiting. 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. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. Anthem members will receive the COVID-19 vaccination at no cost Coverage for COVID-19 testing COVID-19 treatment Visit a doctor from home Refill your prescription medication early Emotional and mental health support resources are available Sources Were sharing information about how you can protect yourself and the people you care about. 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. 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. 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