Anthem will cover the COVID-19 vaccine. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. COVID-19 testing remains an important part of keeping our families and communities safe. The most common early symptoms appear between 2 and 14 days after being infected. Cover your coughs and sneezes with tissues; discard the tissues. To help address care providers questions, Anthem has developed the following updates and frequently asked questions. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. Call us at 888-832-2583 to explore your options. Our benefits already state that if members do not have appropriate access to network physicians that we will authorize coverage for out-of-network physicians as medically necessary. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. The Nevada Department of Health and Human Services (DHHS) and its Divisions, including the Division of Health Care Financing and Policy (DHCFP), are concerned about the effect of the pandemic on rates of anxiety, depression and suicide among youth. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Log in to find out whether youre eligible to order an at-home test kit from Anthem. Ordering at-home test kits from Anthem. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. Call 911 if you see emergency warning signs like the below. Your member ID card is your key to using your medical plan benefits. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. Anthem is a registered trademark. Page one is in English and page two is in Spanish for each flyer. Diagnostic tests, under the direction of a medical clinician, show whether or not someone has COVID-19. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. CDC information for household members and caregivers can be found here. 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. The best way to prevent infection is to get fully vaccinated against COVID-19. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. If you have questions or would like help finding testing, please call the Member Services number on your ID card. .treatment-testing-cont:nth-child(2) { 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. 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). Call our 24/7 Nurse Line for COVID-related health questions and advice. 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). Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. See the Allowed Virtual Services document located on anthem.com/For Providers/Provider Resources/Forms & Guides/Select a State/Allowed Virtual Services (Telehealth/Telemedicine) for allowable codes for telehealth visitsfor physical, occupational and speech therapies for visits coded with place of service (POS) 02 and modifier 95 or GT for our fully-insured employer, individual, Individual, Medicare Advantage plans and Medicaid plans, where permissible. 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. 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. In Maine: Anthem Health Plans of Maine, Inc. To access your member services, please visit your BCBS company. Independent licensees of the Blue Cross and Blue Shield Association. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. What you need to know about the disease and our coverage commitment. 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. 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. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? Anthem is committed to working with and supporting our contracted providers. 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 have questions about your COVID-19 benefits, please call the Member Services number on your ID card. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. 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. A diagnostic test is used to determine if a person has COVID-19. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. We are not seeing any impacts to claims payment processing at this time. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? 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. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. 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. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? You'll need to submit them when you apply for reimbursement. Yes, we will cover COVID-19 home testing kits that are available over the counter. 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. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. 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. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. You may also receive a bill for any charges not covered by your health plan. Lets look at the latest information on COVID-19 and how your health care plan can help. Yes, Anthem will accept Roster Billing from providers and state agencies that are offering mass vaccinations for their local communities. Check the. You may also receive a bill for any charges not covered by your health plan. Talk to your doctor to see if a 90-day supply would work for you. Blue Cross recommends that members contact and work closely with their health care . 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? We partnered with findhelp, a social care network that connects you with local help. Its part of the same family of coronaviruses that includes the common cold. Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. If it doesnt, we can talk about your options. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Our coverage commitment is to ensure our members can quickly access the right care at the right time. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. 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. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. Get the latest news and information from the CDC at We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. Yes, but coverage for testing varies by plan. What member cost-shares will be waived by Anthems affiliated health plans for virtual care through internet video + audio or telephonic-only care? What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? While a test sample cannot be obtained through a telehealth visit, the telehealth provider can help you get to a provider who can do so. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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. By continuing to use this website, you consent to these cookies. 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. No. COVID-19 is a new strain of coronavirus. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, cdc.gov/coronavirus/2019-ncov/about/index.html. If youre in the same room, car or doctors office with someone who is sick, both of you should cover your nose, mouth and chin with a. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. 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. 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. 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. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. 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 Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. color: #ffffff; In compliance with California state law, some Anthem plans cover COVID-19 screening with no out-of-pocket costs. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing Please check the CDC for the most up-to-date list of symptoms. People with COVID-19 have had a wide range of reported symptoms, ranging from mild symptoms to severe illness. We use cookies on this website to give you the best experience and measure website usage. The waivers apply to members who have individual, employer-sponsored, 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. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. Arrive in 2 to 5 business days. 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). Similar to a cold or the flu. 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. COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. FEP will waive copays for all virtual doctor visits by Teladoc during this time. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. Find free and reduced-cost support for food, transportation, housing, health and more. 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. ET. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Oct 13, 2022 Were sharing information about how you can protect yourself and the people you care about. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. Johns Hopkins University has resources to help you learn more about the disease. Making healthcare affordable. Clean and disinfect frequently touched objects and surfaces like phones, keyboards, and doorknobs. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. Participating hospitals without lab fee schedules will follow the same lab testing reimbursement as defined in their facility agreement with Anthem inclusive of member cost share amounts waived by Anthem. However, to assist providers our COVID-19 Vaccination Roster Billing Form provides a default Z23 diagnosis code. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. If your doctor offers telehealth visits, your plan will pay for those, too. 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. 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? Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. We're here to make sure you have the resources and care you need to keep yourself safe and well. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Where permissible, these guidelines apply to FEP members. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Every home in the U.S. can order four at-home COVID-19 tests at no cost. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. Members can call the number on the back of their identification card to confirm coverage. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Please review the terms of use and privacy policies of the new site you will be visiting. 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. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. 2023 Blue Cross Blue Shield Association. You can even get them through home delivery pharmacy. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. 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. 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. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. Anthem is committed to making sure you can get the care you need. In Kentucky: Anthem Health Plans of Kentucky, Inc. The electronic process is the quickest way to get the claims to Anthem. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. Can find family of coronaviruses that includes the common cold have had a wide range of symptoms. Care of their COVID-19-related health needs via video + audio or telephonic-only care vaccinated against COVID-19 get in. Ranging from mild symptoms to severe illness you see emergency warning signs like the below health... 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