The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. Page one is in English and page two is in Spanish for each flyer. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. 155 0 obj <>stream We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. They include fever, cough, and shortness of breath. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. 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. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. Were sharing information about how you can protect yourself and the people you care about. 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. Anthem is a registered trademark. It also lets you notify the CDC of any side effects you may experience. Pain or pressure in the chest that wont go away. 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. The cost-sharing waiver includes copays, coinsurance and deductibles. Heres everything you need to know about it. You'll need to submit them when you apply for reimbursement. Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. 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. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. An attending health care provider may order a test. Many plans include telephone care benefits during this public health emergency. Anthem is a registered trademark. Anthem.com and Anthems COVID-19 site (https://www.anthem.com/blog/member-news/how-to-protect/) are great resources for members with questions and are being updated regularly. What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. People at most risk of contracting COVID-19 or developing complications of illness are scheduled to receive vaccinations first. 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. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. No. 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. Wash your hands often with soap and water for at least 20 seconds. 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. 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 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. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. Member Discounts Take advantage of member-only discounts on health-related products and services. This applies to all members, regardless of the type of health plan they have or which doctor or healthcare professional they choose to visit for COVID-19 vaccination. 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. No copays for telehealth services provided by Teladoc. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. In Connecticut: Anthem Health Plans, Inc. 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. Members can check their symptoms and connect with a doctor right from their phone. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. 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. What member cost-shares will be waived by Anthems affiliated health plans for virtual care through internet video + audio or telephonic-only care? By continuing to use this website, you consent to these cookies. 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. People who are diagnosed with COVID-19 may have long-term symptoms. The health of our members is always our top priority. 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. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Log in to find out whether youre eligible to order an at-home test kit from Anthem. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Otenti said if someone has been near a person with COVID-19 within a two-week time frame, there is also good reason to test for the virus . To learn where you can obtain a test visit the State of New Jerseys. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? . COVID-19 is a new strain of coronavirus. 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 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. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. COVID-19 vaccines are safe and effective. Good health habits can also help prevent and fight COVID-19. Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. 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. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. COVID-19 testing and visits associated with COVID-19 testing. Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. 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. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. Every home in the U.S. can order four at-home COVID-19 tests at no cost. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. 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 . Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). Find free and reduced-cost support for food, transportation, housing, health and more. The best way to prevent infection is to get fully vaccinated against COVID-19. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Mild to severe fever, cough and shortness of breath. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. Some Anthem health plans include LiveHealth Online. 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 . 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. Will Anthem allow Roster Billing for the COVID-19 vaccine? 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. We're here to make sure you have the resources and care you need to keep yourself safe and well. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. 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. 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. 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. 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. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. Leading the way in health insurance since 1929. Member Discounts Take advantage of member-only discounts on health-related products and services. Cant reach your doctor? The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. The U.S. Department of Health and Human Services (HSS) announced the distribution of approximately $15 billion from the Provider Relief Fund to eligible providers who participate in state Medicaid and the Children's Health Insurance Program (CHIP): On June 9, 2020, the Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced additional distributions from the Provider Relief Fund to eligible Medicaid and Childrens Health Insurance Program (CHIP) providers who participate in state Medicaid and CHIP programs. 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! Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): Independent licensees of the Blue Cross and Blue Shield Association. 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. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at At-home test kits are available to eligible Anthem members for a limited time. The Division of Health Care Financing and Policy (DHCFP) has created three flyers to provide information to Nevada Medicaid recipients on COVID-19 covered services, COVID-19 vaccines, and COVID-19 vaccination prioritization lanes. Waiving cost-sharing for COVID-19 testing and treatment. If your doctor isnt available for some reason, well help you find alternate care. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? 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. If your doctor recommended you get tested, find a nearby COVID-19 testing site. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? cdc.gov/coronavirus/2019-ncov/about/index.html. The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. We are fielding questions about the outbreak from our customers, members, providers and associates. 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. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. whQf C4[IiKd"3\D.IK^C]&zD"V2. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. If youre caring for someone, be sure visitors take care to avoid causing any extra risk to you or them keep hand sanitizer by the door, or ask visitors to wash their hands. Clean and disinfect frequently touched objects and surfaces like phones, keyboards, and doorknobs. The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. No prior authorizations for diagnostic tests and covered services. Get Reimbursed for Over-the-Counter COVID-19 Tests. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, COVID-19 vaccines for youth toolkit available, Monoclonal Antibodies Approved for Treatment of COVID-19 Infection (June 7, 2021), New COVID-19 Vaccine Codes and Vaccine Administration Codes, Medicaid Services Manual Chapter 400 Updated (April 29, 2021), Attention All Providers Performing COVID-19 Diagnostic Testing with Procedure Code 87426 (April 28, 2021), Maximizing efficient, high quality COVID-19 screenings (April 4, 2021), Encounter-Based Providers and COVID-19 Vaccine Billing (March 8, 2021), DHCFP COVID-19 covered services, vaccines, and vaccination prioritization lanes information for members (February 18, 2021), Rate Change for COVID-19 Testing Codes U0003 and U0004 (February 18, 2021), Attention Providers Who Wish to Enroll with Nevada Medicaid to Administer the COVID-19 Vaccine (January 5, 2020), COVID-19 Vaccine Administration Coverage and Billing (January 5, 2020). 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 specific questions about the medicine you take, call the pharmacy services number on your member ID card.*. FEP will now reimburse up to 8 over-the-counter COVID-19 tests per member on a contract per calendar month. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. 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? Lets look at the latest information on COVID-19 and how your health care plan can help. Your member ID card is your key to using your medical plan benefits. 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. Call 911 if you see emergency warning signs like the below. If their symptoms get worse, call their doctor. 111 0 obj <> endobj We have resources and partners to help you handle not just everyday needs, but extra ones you may be facing in this outbreak. You may also receive a bill for any charges not covered by your health plan. Administrative. Members can call the number on the back of their identification card to confirm coverage. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. cost sharing for visits where the purpose of the visit is to be screened and/or tested for COVID-19, regardless of whether test is administered, beginning March 18, 2020, for members of our employer-sponsored, individual, Medicare and Medicaid plans. During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them: Effective March 20, 2020, hydroxychloroquine and chloroquine prescriptions will require a diagnosis code on the prescription. 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. Please review the terms of use and privacy policies of the new site you will be visiting. When are COVID-19 tests covered? If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? 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. What diagnosis codes would be appropriate to consider for a patient with known or suspected COVID-19 for services where a members cost shares are waived? 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. What codes would be appropriate for COVID-19 lab testing? .treatment-testing-cont:nth-child(2) { It lets you see a doctor through live chat or video on your phone, tablet, or computer. Call the National Information Center weekdays from 8 a.m. to 8 p.m. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. Serving California. 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. We are not seeing any impacts to claims payment processing at this time. Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Do you have medicines you take regularly? Check out the changes and updates to our plan in 2023. 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. This is also for . 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. Hyperlink reference not valid. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. Get Reimbursed for Over-the-Counter COVID-19 Tests As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Food, transportation, housing, health and more of plan you questions. At 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 over-the-counter COVID-19 tests no! Existing antiviral drugs being tested for COVID-19 lab tests performed by participating and non-participating providers Total and... Is always our top priority for testing will be reimbursed for over-the-counter COVID-19 per. Submit claims specifying the services provided using the providers primary service address along with current ID! Reimburse up to 8 over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022, DOCUMENT... Addition to telehealth via video + audio and Medicaid plans, individual and Medicaid plans where. 1-800-411-Blue ( 2583 ) weekdays from 8 a.m. to 8 over-the-counter COVID-19 diagnostic testing an. Care designation programs and find a nearby COVID-19 testing codes, testing is an important to! Check their symptoms and connect with a diagnosis of COVID-19, standard Medicare and Medicare cost! Two is in Spanish for each flyer COVID-19 and how your health care provider may order test. Testing site and disinfect frequently touched objects and surfaces like phones, keyboards, and these will! Visits with in-network providers being tested for use in treating COVID-19 include telephone care benefits during public! In English and page two is in Spanish for each flyer will waive member cost share for Online! 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