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. 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. 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. To avoid paying any out-of-pocket costs, you must go to an in-network retail pharmacy, take the testing kit to the pharmacy counter and provide your Service Benefit Plan member ID card to the pharmacist and/or pharmacy technician. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. COVID-19 is a new strain of coronavirus. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. If you are, youll be able to place an order. If your doctor isnt available for some reason, well help you find alternate care. This modifier should be used for COVID-19 evaluation and testing services in any place of service. Independent licensees of the Blue Cross and Blue Shield Association. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. 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. 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. Anthem will cover the COVID-19 vaccine. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. 2023 Blue Cross Blue Shield Association. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. Please discuss additional questions about COVID-19 treatments and medicines with your doctor. In Connecticut: Anthem Health Plans, Inc. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. 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. Visit the CDC website for the most up-to-date testing guidance. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. 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. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? Serving residents and businesses in the 28 eastern and southeastern counties of New York State. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. What can I do to keep from running out of medication? The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. Each state will decide how and when to distribute vaccines. Screening tests show whether or not someone has COVID-19. In general, it is recommended people get tested if they have symptoms including fever, cough, shortness of breath, chills, muscle pain, new loss of taste or smell, vomiting or diarrhea, and/or sore throat. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. If an in-network provider is not reasonably available, the cost share waivers will include testing or screening for COVID-19 when received from an out-of-network provider. 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. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. Reimbursement for over-the-counter tests. 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 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. Blue Cross recommends that members contact and work closely with their health care . Please review the Medicare and Medicaid specific sites noted below for details about these plans. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. Heres what the CDC says about COVID-19 vaccine safety. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): whQf C4[IiKd"3\D.IK^C]&zD"V2. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. Where permissible, these guidelines apply to FEP members. Cover your coughs and sneezes with tissues; discard the tissues. Download the Sydney Health app. Please note that the above information applies to Anthems Commercial health plans. In Kentucky: Anthem Health Plans of Kentucky, Inc. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. At-home test kits from Anthem: Are FDA-authorized. Making healthcare affordable. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Anthems affiliated health plans are committed to help our members gain timely access to care and services in a way that places the least burden on the healthcare system. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. FEP will waive copays for all virtual doctor visits by Teladoc during this time. Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. People with COVID-19 have had a wide range of reported symptoms, ranging from mild symptoms to severe illness. .treatment-testing-cont:nth-child(2) { There are no delivery charges for members who use Anthems Home Delivery Pharmacy. If you have specific questions about the medicine you take, call the pharmacy services number on your member ID card.*. Cost shares will be waived for in-network providers only. Telemedicine not only helps members get the care they need, but helps reduce the spread of the coronavirus protecting the health of our members and the doctors and nurses who care for them. 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. 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 . Diagnostic tests are for people who have symptoms of COVID-19. Here are some additional ways Horizon BCBSNJ members can receive advice and support: The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locallyoperated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Visit your member website for information on how your health plan covers COVID-19 testing. Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. 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 cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Administrative. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. 0 This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. O|bW7{}OH>d_O }N]1W#oFPt#Qg: zM/_5+kL#w9>!:Oy}QqywW}?7yAy}<7G4b0HR=DY7p#K7mw.p'E++PJ"1%uOt_{;t:GU/6q 7+n[Vg tTsk9EEML2`S2UJbpzGoKQ""J_/RkGx\&!^xY?Ej Vf!Yf \GE,w y-sML5/792d.6NL-8zRT-]B[t-Z9zMK.% 5zOeGOOZ.5,f.kvVdQ[ehY0$h 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. 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. 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. You should try to see your PCP or a doctor in your plan. Mention they have COVID-19 (or symptoms of it). If your doctor offers telehealth visits, your plan will pay for those, too. 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. Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. How is Anthem reimbursing participating hospitals that are performing COVID-19 diagnostic testing in a drive-thru testing setting? People who are diagnosed with COVID-19 may have long-term symptoms. 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! Does Anthem expect any slowdown with claim adjudication because of COVID-19? What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? 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. 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. 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. Lets look at the latest information on COVID-19 and how your health care plan can help. endstream endobj startxref Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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. Can I visit the emergency room for a test? What Are Your Thoughts On The Vaccines Against Covid-19? The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. The protection of your privacy will be governed by the privacy policy of that site. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. independent licensees of the Blue Cross and Blue Shield Association. This is also for . Our coverage commitment is to ensure our members can quickly access the right care at the right time. Anthems enterprise wide business continuity program includes recovery strategies for critical processes and supporting resources, automated 24/7 situational awareness monitoring for our footprint and critical support points, and Anthems Virtual Command Center for Emergency Management command, control and communication. To ensure you have access to the right care at the right time, FEP is waiving cost shares and prior authorization to support members care for COVID-19. Yes, we will cover COVID-19 home testing kits that are available over the counter. Anthem is a registered trademark. 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. The CDC has provided coding guidelines related to COVID-19: Error! What is changing regarding prior authorization requirements? How can I find a COVID-19 testing location? LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. The best way to prevent infection is to get fully vaccinated against COVID-19. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Will Anthem allow Roster Billing for the COVID-19 vaccine? The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. 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). 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. For the Health of America. 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. Your member ID card is your key to using your medical plan benefits. When are COVID-19 tests covered? BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 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. Good health habits can also help prevent and fight COVID-19. 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.. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Members can check their symptoms and connect with a doctor right from their phone. Yes, but coverage for testing varies by plan. 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