The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Future updates regarding COVID-19 will appear in the monthly Provider News publication. This modifier should be used for COVID-19 evaluation and testing services in any place of service. 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. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. Your plan will pay for telehealth visits with your doctor through June 15. 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. Providers may submit the COVID-19 Vaccination Roster Billing Form to Availity at https://www.availity.com/ by signing in and submitting the form electronically to the Anthem health plan. Are you aware of any limitations in coverage for treatment of an illness/virus/disease that is part of a pandemic? Page one is in English and page two is in Spanish for each flyer. Good health habits can also help prevent and fight COVID-19. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. An attending health care provider may order a test. For more information, view our privacy policy. Lets look at the latest information on COVID-19 and how your health care plan can help. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. We are not seeing any impacts to claims payment processing at this time. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. We will waive cost sharing requirements for urgent care, telehealth and office visits to screen or determine whether COVID-19 testing is needed, when received from an in-network provider, or if no in-network provider is reasonably available, then from an out-of-network provider. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. People who are diagnosed with COVID-19 may have long-term symptoms. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Pain or pressure in the chest that wont go away. 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. Check the. } Call the National Information Center weekdays from 8 a.m. to 8 p.m. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. For non-COVID-19 tests (like flu, RSV, etc.) For full details onbenefits, services and network coveragewhich may vary by health planfind each BCBS companys statement below: The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Cost shares will be waived for in-network providers only. The guidance here can make it easier for you to refer your patients to high-quality, lower-cost COVID-19 testing sites, find Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem)-contracted laboratories and identify the proper CPT codes to use. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. 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. Here is what the CDC recommends. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. 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. 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. What you need to know about the disease and our coverage commitment. Your member ID card is your key to using your medical plan benefits. For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. You may also receive a bill for any charges not covered by your health plan. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. . 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. 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 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. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. 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. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. Leading the way in health insurance since 1929. Clean and disinfect items and surfaces you touch . Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. 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. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. 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. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. 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. 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. div.treatment-testing-cont div.motif-icon.motif-marker:before { Reimbursement for over-the-counter tests. Commercially insured members: 1-888-624-3096, Members covered through Medicaid plans: 1-800-711-5952, SHBP/SEHBP members: 1-800-414-SHBP (7427), Horizon Chat for Care may be available to some members at no cost through the companys free Horizon Blue app and. We are fielding questions about the outbreak from our customers, members, providers and associates. 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. Anthem is a registered trademark. You can even get them through home delivery pharmacy. CMS has provided coding guidelines related to COVID-19 vaccines:https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies. In Kentucky: Anthem Health Plans of Kentucky, Inc. Please review the Medicare and Medicaid specific sites noted below for details about these plans. 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. If their symptoms get worse, call their doctor. Do you have medicines you take regularly? If your doctor offers telehealth visits, your plan will pay for those, too. 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! Go to the main page on anthem.com/ca to log in and search for a doctor, or call the Member Services number on your ID card. Cover your coughs and sneezes with tissues; discard the tissues. 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. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. 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. CMS has provided the Medicare guideline to use the CS modifier: Error! Confusion; bluish lips or face; or unconsciousness. 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. Payment for COVID-19 testing services on or after January 1, 2022. Making healthcare affordable. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. 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). The health of our members is always our top priority. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. 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. %%EOF The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. No. Here are some tips: Older adults, people with disabilities, and people with diabetes orwho have severe chronic medical conditions like heart, lung or kidney disease seem to be at higher risk for more serious COVID-19 illness. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? This applies to both diagnostic and screening tests. font-size: 50px; We know how important it is to continue taking your prescriptions as directed by your doctor. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. 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. Find free and reduced-cost support for food, transportation, housing, health and more. Taking care of your emotional health is important during this stressful time. COVID-19 testing remains an important part of keeping our families and communities safe. Johns Hopkins University has resources to help you learn more about the disease. 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. 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. Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. 3. Who can order a test? 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. 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 most common early symptoms appear between 2 and 14 days after being infected. None of these drugs is approved for use with COVID-19, and many are still being investigated. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. FEP will now reimburse up to 8 over-the-counter COVID-19 tests per member on a contract per calendar month. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. 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. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. 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 can I do to keep from running out of medication? 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). Findings. Many plans include telephone care benefits during this public health emergency. 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. 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. Wash your hands or use hand sanitizer when entering their house or room. Serving California. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. color: #ffffff; Can I visit the emergency room for a test? Need coverage now due to job loss? 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. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. COVID-19 testing and visits associated with COVID-19 testing. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. endstream endobj startxref You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. It lets you see a doctor through live chat or video on your phone, tablet, or computer. Arrive in 2 to 5 business days. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. Cant reach your doctor? 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 A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Schedule a COVID-19 test with your doctor. In Maine: Anthem Health Plans of Maine, Inc. It also lets you notify the CDC of any side effects you may experience. 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? This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. COVID-19 vaccines for youth toolkit available. Tell them if youve been in close contact with a person who has COVID-19, or if you live in or have been to an area where the virus has spread. padding: 0.6rem; 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Avoid close contact with people who are sick. Mild to severe fever, cough and shortness of breath. 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. From March 17, 2020, through September 30, 2020, Anthems affiliated health plans waived member cost shares for telehealth visits for services not related to the treatment of COVID-19 from in-network providers, including visits for behavioral health, for insured health plans in Colorado under this guidance, including our fully-insured employer plans, individual plans and health savings account-qualified high deductible health plans (HSA-HDHPs). These actions are intended to support the protective measures taken across the country to help prevent the spread of COVID-19 and are central to the commitment of Anthems affiliated health plans to remove barriers for our members and support communities through this unprecedented time. 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. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. 155 0 obj <>stream Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at 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? cost sharing for audio-only, in-network provider visits through January 11, 2023, for Medicare plans. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. 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. Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. 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. *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. Similar to a cold or the flu. Anthem members also can call the Anthem 24/7 NurseLine at the number listed on their Anthem ID card to speak with a registered nurse about health questions. The over-the-counter tests give results within 30 minutes. Use the. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. 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. Member Discounts Take advantage of member-only discounts on health-related products and services. And if you use a pharmacy in Prime's network and check out at the pharmacy counter, you shouldn't have to pay upfront or submit a claim for reimbursement. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues.

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