Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. 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 . 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. 111 0 obj <> endobj 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. *Applies only for members with Anthem pharmacy benefits. background-color: #7fcdbb; COVID-19 vaccines are safe and effective. Find free and reduced-cost support for food, transportation, housing, health and more. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. Medicare Advantage and Medicare GRS plans are waived through February 28, 2021. cost sharing for telehealth services not related to the treatment of COVID-19 from Anthem's telehealth provider, LiveHealth Online, from March 17, 2020, through May 31, 2021, for our fully-insured employer, individual, and where permissible, Medicaid plans. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. You may also receive a bill for any charges not covered by your health plan. In addition, Anthem will waive member cost shares for a limited set of remote monitoring codes (99453, 99454, 99457, or 99091) with in-network providers for visits coded with POS 02 and modifier 95 or GT. 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.. What can I do to keep from running out of medication? You can even get them through home delivery pharmacy. Avoid close contact with people who are sick. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. 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 Many plans include telephone care benefits during this public health emergency. If your doctor isnt available for some reason, well help you find alternate care. Clean and disinfect frequently touched objects and surfaces like phones, keyboards, and doorknobs. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. 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? In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. However, to assist providers our COVID-19 Vaccination Roster Billing Form provides a default Z23 diagnosis code. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. 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. We know how important it is to continue taking your prescriptions as directed by your doctor. 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 As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. This applies to both diagnostic and screening tests. The protection of your privacy will be governed by the privacy policy of that site. And let them know if youve been in close contact with a person known to have COVID-19, or if you live in or have recently traveled to an area where the virus has spread. 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 . Visit COVIDtests.gov to order your free test kits. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? 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. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. whQf C4[IiKd"3\D.IK^C]&zD"V2. Arrive in 2 to 5 business days. 3. Who can order a test? 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. People who are diagnosed with COVID-19 may have long-term symptoms. Cost shares will be waived for in-network providers only. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. On December 11, 2020, the U.S. Food and Drug Administration (FDA) approved the Pfizer COVID-19 vaccine for individuals aged 16 years and older for emergency use authorization (EUA). Administrative. Are COVID-19 tests covered? Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. 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. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Check the. 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. 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. 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. Were sharing information about how you can protect yourself and the people you care about. Research shows the COVID-19 vaccination will help keep you from getting COVID-19. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. 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! You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. You do not need a doctors order for the over-the-counter diagnostictest. Log in to find out whether youre eligible to order an at-home test kit from Anthem. Book an appointment online now with NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual of Houston, TX (77057). 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. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. No. 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. If you have any questions, please contact the Provider Service number on the back of the members ID card, or your Provider Solutions contact on our Escalation Contact List. If you are not, please use our Test Site Finder to learn about options near you. Use Psych Hub's resources to help you manage and cope in stressful times. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. If their symptoms get worse, call their doctor. 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. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Please log in and update your communication preferences to make sure you receive the latest information. Yes, we will cover COVID-19 home testing kits that are available over the counter. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. Members can see an in-network doctor or use Horizon BCBSNJs telemedicine platform (HorizonCareOnline) for any covered purpose including diagnosis or treatment of COVID-19 and even for routine care or mental health care. 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. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. In Maine: Anthem Health Plans of Maine, Inc. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. Treatment that's safe and convenient Members can rest assured that if they do fall ill with COVID-19, they will not need to pay any out-of-pocket costs or get a prior authorization for their treatment. 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. 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. Type at least three letters and we will start finding suggestions for you. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. Plus, we will keep you updated as things develop. Some Anthem health plans include LiveHealth Online. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? Will Anthem allow Roster Billing for the COVID-19 vaccine? Members can call the number on the back of their identification card to confirm coverage. These trials show the FDA whether a vaccine is safe and effective. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. The health of our members is always our top priority. Every home in the U.S. can order four at-home COVID-19 tests at no cost. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. Lets look at the latest information on COVID-19 and how your health care plan can help. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. 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. 0 CDC information for household members and caregivers can be found here. Effective April 3, 2020, and for the duration of and consistent with Colorados emergency orders, Anthem will cover the additional services outlined in those orders. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. COVID-19 vaccines for youth toolkit available. Cost sharing will be waived for members using Anthems authorized telemedicine service, LiveHealth Online, as well as care received from other providers delivering virtual care through internet video + audio services. 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 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. Call us at 888-832-2583 to explore your options. This modifier should be used for COVID-19 evaluation and testing services in any place of service. 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. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. When are COVID-19 tests covered? Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Anthem will cover the COVID-19 vaccine. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. -webkit-border-radius: 50%; The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. 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. In Kentucky: Anthem Health Plans of Kentucky, Inc. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. If your doctor offers telehealth visits, your plan will pay for those, too. Cant reach your doctor? Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. The app will remind you when to get your second dose. Oct 13, 2022 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. Wash your hands or use hand sanitizer when entering their house or room. Call our 24/7 Nurse Line for COVID-related health questions and advice. Mention they have COVID-19 (or symptoms of it). Use the. Get the latest news and information from the CDC at An airway and lung infection, similar to a cold. font-size: 50px; COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. Page one is in English and page two is in Spanish for each flyer. www.cdc.gov/coronavirus. Horizon Blue Cross Blue Shield of New Jersey, Your Guide to No-Cost Testing and Treatment as COVID-19 Surges, COVID-19 Information Hub section on testing, Site-Neutral Payments Would Save Nearly $500 Billion Over 10 Years, Blue Cross Blue Shield Association Statement on Medicare Advantage Risk Adjustment Validation Rule, Blue Cross Blue Shield Association Policy Solutions Could Lower Health Care Costs by $767 Billion, Blue Cross Blue Shield Companies Form Synergie Medication Collective, a New Venture to Radically Improve Affordability and Access to Costly Medications for Millions of Americans, Congress Passes Meaningful Changes to Expand Mental Health Support, Improve Maternal Health, and Lower Costs for Consumers, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. who seek reimbursement for the administration of a COVID-19 vaccine must do so by using their encounter code and the COVID-19 vaccine administration Current Procedural Terminology (CPT) codes. Anthem members have access to telehealth 24/7 through LiveHealth Online. Anthem is a registered trademark. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. To access your member services, please visit your BCBS company. The CDC has provided coding guidelines related to COVID-19: Error! Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Many thousands of people across the United States took part in research trials over many months. border-radius: 50%; You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? All Rights Reserved. Do these guidelines apply to members enrolled in the Blue Cross and Blue Shield Service Benefit Plan commonly referred to as the Federal Employee Program (FEP) through the Federal Employees Health Benefits Program? 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. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. Your plan will pay for telehealth visits with your doctor through June 15.

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