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. 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. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. You do not need a doctors order for the over-the-counter diagnostictest. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Anthem will cover the administration of COVID-19 vaccines with no cost share for in- and out-of-network providers, during the national public health emergency, and providers are not permitted under the federal mandate to balance-bill members. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. 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. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment If you are, youll be able to place an order. Additionally, our clinical team is actively monitoring external queries and reports from the Centers for Disease Control and Prevention to help us determine what, if any, action is necessary on our part to further support our stakeholders. While a test sample cannot be obtained through a telehealth visit, the telehealth provider can help you get to a provider who can do so. We partnered with findhelp, a social care network that connects you with local help. In Maine: Anthem Health Plans of Maine, Inc. Good health habits can also help prevent and fight COVID-19. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 2023 Blue Cross Blue Shield Association. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. The most common early symptoms appear between 2 and 14 days after being infected. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Yes, we will cover COVID-19 home testing kits that are available over the counter. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. 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. What financial assistance is available for care providers during the COVID-19 crisis? hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X Do a video or phone visit with a doctor or therapist from home. Please review the terms of use and privacy policies of the new site you will be visiting. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. 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. When member cost sharing has been waived (where permissible) by Anthem as outlined in this FAQ for COVID-19 testing and visits associated screening and/or tested for COVID-19, telehealth (video + audio) services, and in-network telephonic-only services, how does that impact provider reimbursement? You may also receive a bill for any charges not covered by your health plan. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. 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 . Prior authorization is not required for 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. Screening tests show whether or not someone has COVID-19. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. To access your member services, please visit your BCBS company. 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Providers should continue to verify eligibility and benefits for all members prior to rendering services. Webinar recording available from Anthem BlueCross and BlueShield for network providers on SBA loans and other federal relief programs in response to COVID-19, Federal resources available for health care providers and employers in the federal CARES Act, Hydroxychloroquine and Chloroquine Diagnosis Requirements on Prescriptions (March 20, 2020). Please discuss additional questions about COVID-19 treatments and medicines with your doctor. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. 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. 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. Anthems enterprise wide business continuity program includes recovery strategies for critical processes and supporting resources, automated 24/7 situational awareness monitoring for our footprint and critical support points, and Anthems Virtual Command Center for Emergency Management command, control and communication. -webkit-border-radius: 50%; 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. For non-COVID-19 tests (like flu, RSV, etc.) Arrive in 2 to 5 business days. You can get 90-day supplies of most prescription medicines, depending on your plans pharmacy benefits. To ensure you have access to the right care at the right time, FEP is waiving cost shares and prior authorization to support members care for COVID-19. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) whQf C4[IiKd"3\D.IK^C]&zD"V2. Hyperlink reference not valid. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. FEP will waive copays for all virtual doctor visits by Teladoc during this time. What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? 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. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. 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. 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. Every home in the U.S. can order four at-home COVID-19 tests at no cost. 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. background-color: #7fcdbb; Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Are there any prescription drugs that can be used to treat COVID-19? Our coverage commitment is to ensure our members can quickly access the right care at the right time. 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 A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. endstream endobj startxref BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 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. Need coverage now due to job loss? 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. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. When are COVID-19 tests covered? 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. 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. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Administrative. COVID-19 vaccines are safe and effective. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. 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. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. Please note that the above information applies to Anthems Commercial health plans. No. What codes would be appropriate for COVID-19 lab testing? 3. Who can order a test? For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. 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. 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. Avoid close contact with people who are sick. Lets look at the latest information on COVID-19 and how your health care plan can help. O|bW7{}OH>d_O }N]1W#oFPt#Qg: zM/_5+kL#w9>!:Oy}QqywW}?7yAy}<7G4b0HR=DY7p#K7mw.p'E++PJ"1%uOt_{;t:GU/6q 7+n[Vg tTsk9EEML2`S2UJbpzGoKQ""J_/RkGx\&!^xY?Ej Vf!Yf \GE,w y-sML5/792d.6NL-8zRT-]B[t-Z9zMK.% 5zOeGOOZ.5,f.kvVdQ[ehY0$h 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. 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. In compliance with California state law, some Anthem plans cover COVID-19 screening with no out-of-pocket costs. People who are diagnosed with COVID-19 may have long-term symptoms. 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. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. 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. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. 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. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? The health of our members is always our top priority. In Connecticut: Anthem Health Plans, Inc. You may also receive a bill for any charges not covered by your health plan. Waiving all prior authorization requirements for COVID-19 testing and related covered services. Use of the Anthem websites constitutes your agreement with our Terms of Use. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. Plus, we will keep you updated as things develop. 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 Cost shares will be waived for in-network providers only. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. For COVID-19 treatments via telehealth visits, Anthems affiliated health plans will cover telehealth and telephonic-only visits from in-network providers and will waive cost shares through January 31, 2021. In addition, Anthem has established a team of experts to monitor, assess and help facilitate timely mitigation and response where we have influence as appropriate for the evolving novel coronavirus threat. border-radius: 50%; 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. Are there any in-network or out-of-network limitations on these guidelines? Anthem members have access to telehealth 24/7 through LiveHealth Online. 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. Talk to your doctor to see if a 90-day supply would work for you. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Findings. Your health is important. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. 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. Does Anthem require a prior authorization on the focused test used to diagnose COVID-19? 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. Members can call the number on the back of their identification card to confirm coverage. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Please review the Medicare and Medicaid specific sites noted below for details about these plans. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. Learn more about COVID-19, including what you can do to prevent the spread of the disease and ways to stay healthy. 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. This is also for . 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. 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. 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. 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. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) What is changing regarding prior authorization requirements? Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. 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. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Our actions are intended to support the protective measures taken across the country to help prevent the spread of COVID-19 and reduce barriers to seeing a doctor, getting tested and maintaining adherence to medications for long-term health issues. For members of Medicare Advantage plans, CMS issued guidance that the COVID-19 vaccine administration should be billed by providers to the CMS Medicare Administrative Contractor (MAC) using product-specific codes for each vaccine approved. Member Discounts Take advantage of member-only discounts on health-related products and services. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. The cost-sharing waiver includes copays, coinsurance and deductibles. 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. You can even get them through home delivery pharmacy. Can I visit the emergency room for a test? Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Payment for COVID-19 testing services on or after January 1, 2022. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. Schedule a COVID-19 test with your doctor. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. COVID-19 testing and visits associated with COVID-19 testing. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. Some Anthem health plans include LiveHealth Online. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. The over-the-counter tests give results within 30 minutes. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. Anthem is a registered trademark. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. 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. cdc.gov/coronavirus/2019-ncov/about/index.html. What Are Your Thoughts On The Vaccines Against Covid-19? The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. In Ohio: Community Insurance Company. No copays for telehealth services provided by Teladoc. 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. cost sharing for telephonic-only in-network visits from March 19, 2020, through January 11, 2023, for fully-insured employer-sponsored, individual and Medicaid plans. 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. Please check the CDC for the most up-to-date list of symptoms.

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