However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. Today, unless otherwise required under state and federal mandates as detailed below, Anthem health plans will suspend select prior authorization (PA) requirements, member cost sharing, claims review and handling protocols to allow health care providers to focus on caring for patients diagnosed with COVID-19: We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. Get the latest news and information from the CDC at To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. www.cdc.gov/coronavirus. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. color: #ffffff; Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. 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. Download the Sydney Health app. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? 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 ET. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. We use cookies on this website to give you the best experience and measure website usage. Out-of-network coverage will be provided where required by law. 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. 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. FEP will increase access to prescription medications by waiving early medication refill limits on 30-day prescription maintenance medications. 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 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. endstream endobj 112 0 obj <>/Metadata 8 0 R/Pages 109 0 R/StructTreeRoot 23 0 R/Type/Catalog/ViewerPreferences 133 0 R>> endobj 113 0 obj <>/MediaBox[0 0 612 792]/Parent 109 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 114 0 obj <>stream Learn more about COVID-19, including what you can do to prevent the spread of the disease and ways to stay healthy. Oct 13, 2022 FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. It lets you see a doctor through live chat or video on your phone, tablet, or computer. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. We'll also explore the additional care and support available for your protection and everyday needs. Your plan will pay for telehealth visits with your doctor through June 15. 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. A diagnostic test is used to determine if a person has COVID-19. These trials show the FDA whether a vaccine is safe and effective. What can I do to keep from running out of medication? Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Get Reimbursed for Over-the-Counter COVID-19 Tests. *Applies only for members with Anthem pharmacy benefits. 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? 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. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. 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 . Blue Cross recommends that members contact and work closely with their health care . Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating 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. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. Do a video or phone visit with a doctor or therapist from home. Where permissible, these guidelines apply to FEP members. People who are diagnosed with COVID-19 may have long-term symptoms. If your doctor offers telehealth visits, your plan will pay for those, too. Are COVID-19 tests covered? 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. 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. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. Members who have health questions can also call the Anthem 24/7 NurseLine at the number listed on their Anthem ID card to speak with a registered nurse. 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. Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. Our benefits already state that if members do not have appropriate access to network physicians that we will authorize coverage for out-of-network physicians as medically necessary. No prior authorizations for diagnostic tests and covered services. In Maine: Anthem Health Plans of Maine, Inc. Symptoms can be mild to severe. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. We will pay for care you get from doctors outside your plan (called out of network) as long as the services are medically needed. 2023 Blue Cross Blue Shield Association. 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. Does Anthem expect any slowdown with claim adjudication because of COVID-19? Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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. . Anthem is a registered trademark. Visit COVIDtests.gov to order your free test kits. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. We know these are challenging times, and want you to know that we remain deeply committed to supporting you to get care and protect your overall health and wellbeing. What codes would be appropriate for COVID-19 lab testing? This modifier should be used for evaluation and testing services in any place of service including a physicians office, urgent care, ER or even drive-thru testing once available. Members can check their symptoms and connect with a doctor right from their phone. When ordered by your doctor, testing, diagnosis and treatment for COVID-19 are available to Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) members withzero out-of-pocket costs. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Eligible members can find an in-network doctorhereor access HorizonCareOnline through the Horizon Blue app,www.horizoncareonline.com, orwww.HorizonBlue.com. 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. Effective May 1, 2021, for members of our fully-insured employer and individual plans, as well as self-funded plans, Anthem will reimburse for the administration of COVID-19 FDA-approved vaccines at a rate of $40 per administration. They include fever, cough, and shortness of breath. What you need to know about the disease and our coverage commitment. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Please note this coverage does not apply to LiveHealth Online visits. Reimbursement for over-the-counter tests. Research shows the COVID-19 vaccination will help keep you from getting COVID-19. Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is covered under certain conditions. If your doctor recommended you get tested, find a nearby COVID-19 testing site. Serving California. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. No. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. Here are some tips: Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. 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. Clean and disinfect items and surfaces you touch . You'll need to submit them when you apply for reimbursement. The CDC has provided coding guidelines related to COVID-19: Error! Please log in and update your communication preferences to make sure you receive the latest information. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. Members in California and Nevada: You can also make an appointment withLiveHealth Online and see a doctor from your smartphone. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Increasing access to prescription medications. 111 0 obj <> endobj This modifier should be used for evaluation and testing services in any place of service including a physician's office, urgent care, ER or even drive-thru testing once available. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. An airway and lung infection, similar to a cold. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. . Book an appointment online now with NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual of Houston, TX (77057). Need coverage now due to job loss? Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 3. Who can order a test? Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. 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. 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. 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. People with COVID-19 have had a wide range of reported symptoms, ranging from mild symptoms to severe illness. 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. Waiving cost-sharing for COVID-19 testing and treatment. 155 0 obj <>stream Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. Please review the terms of use and privacy policies of the new site you will be visiting. No. For more information, view our privacy policy. If you have specific questions about the medicine you take, call the pharmacy services number on your member ID card.*. Log in to find out whether youre eligible to order an at-home test kit from Anthem. In Indiana: Anthem Insurance Companies, Inc. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. 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. 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 . Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. For the Health of America. Anthem is committed to working with and supporting our contracted providers. Please review the Medicare and Medicaid specific sites noted below for details about these plans. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. 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. Do you have medicines you take regularly? Its part of the same family of coronaviruses that includes the common cold. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. Mild to severe fever, cough and shortness of breath. 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. 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. 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? By continuing to use this website, you consent to these cookies. Cant reach your doctor? What codes would be appropriate to consider for a telehealth visit with a patient who wants to receive health guidance during the COVID-19 crisis? 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. Administrative. 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. At-home test kits from Anthem: Are FDA-authorized. 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. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Symptoms may appear 2-14 days after being around someone who has COVID-19. whQf C4[IiKd"3\D.IK^C]&zD"V2. Anthem is a registered trademark of Anthem Insurance Companies, Inc. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. 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