Members can call the Pharmacy Member Services number on their health plan ID card to learn more. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Anthem is committed to making sure you can get the care you need. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. 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. Individuals with Intellectual and Developmental Disabilities, Individuals with Mental Health and Substance Use Needs, Individuals Who Need Long-term Services and Support, U.S. Department of State China Travel Advisory, CDC, People at Risk for Serious Illness from COVID-19, Administration for Community Living, Coronavirus, CMS Press Release: President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Heres what the CDC says about COVID-19 vaccine safety. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. No cost share for diagnostic tests or treatment. What member cost-shares will be waived by Anthems affiliated health plans for virtual care through internet video + audio or telephonic-only care? Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. margin-bottom: 40px; To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Members can call the number on the back of their identification card to confirm coverage. 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. No. What is changing regarding prior authorization requirements? In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? Every home in the U.S. can order four at-home COVID-19 tests at no cost. 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. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. 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. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. Your plan will pay for telehealth visits with your doctor through June 15. Anthems affiliated health plans are committed to help provide increased access to care, while eliminating costs and help alleviate the added stress on individuals, families and the nations healthcare system. To help reduce the burden on the states health care facilities and ensure members get the care they need when they need it, the cost-sharing waiver also applies totelemedicine visits, includingtelephonic visits. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. Be sure to log in and check your communication preferences. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. 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. 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. No. 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. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. 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. Clean and disinfect items and surfaces you touch . Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. COVID-19 is a new strain of coronavirus. Cost shares will be waived for emergency services related to COVID-19 testing or screening from either an in-network or out-of-network provider in Colorado. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. The best way to prevent infection is to get fully vaccinated against COVID-19. Visit your member website for information on how your health plan covers COVID-19 testing. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. 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. 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. 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 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. 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. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. independent licensees of the Blue Cross and Blue Shield Association. Page one is in English and page two is in Spanish for each flyer. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. 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! 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 The CDC has provided coding guidelines related to COVID-19: Error! Anthem looks for the CS modifier to identify visits and services leading to COVID-19 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. 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. COVID-19 vaccines for youth toolkit available. 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). CMS has provided the Medicare guideline to use the CS modifier: Error! Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. Plus, we will keep you updated as things develop. We're here to make sure you have the resources and care you need to keep yourself safe and well. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Oct 13, 2022 How can I find a COVID-19 testing location? What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 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. . The Department would like to bring to your attention the importance of the role you play as a provider in mental health screening and early identification of mental and behavioral health difficulties. Please review the Medicare and Medicaid specific sites noted below for details about these plans. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. 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. 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. Waiving all prior authorization requirements for COVID-19 testing and related covered services. Some Anthem health plans include LiveHealth Online. For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. font-size: 50px; Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. 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. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. Out-of-network coverage will be provided where required by law. 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. What can I do to keep from running out of medication? We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Administration for Community Living: COVID-19 and what you need to know, Members with Cal MediConnect plans (Los Angeles County), Members with Cal MediConnect plans (Santa Clara County), You can still use in-person diagnostic COVID-19 testing sites. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. In Ohio: Community Insurance Company. At-home test kits from Anthem: Are FDA-authorized. FEP will waive copays for all virtual doctor visits by Teladoc during this time. At-home test kits are available to eligible Anthem members for a limited time. 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. Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. To learn where you can obtain a test visit the State of New Jerseys. Cost shares will be waived for in-network providers only. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Other self-insured health plans are responsible for the specific plan designs they choose to offer to their employees, and we will continue to work with them to administer their plan designs as directed. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. 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. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. 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. If your doctor recommended you get tested, find a nearby COVID-19 testing site. Anthem members have access to telehealth 24/7 through LiveHealth Online. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . cost sharing for telephonic-only in-network visits from March 19, 2020, through January 11, 2023, for fully-insured employer-sponsored, individual and Medicaid plans. No prior authorizations for diagnostic tests and covered services. 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. They include fever, cough, and shortness of breath. whQf C4[IiKd"3\D.IK^C]&zD"V2. In Connecticut: Anthem Health Plans, Inc. Members can check their symptoms and connect with a doctor right from their phone. The health of our members is always our top priority. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. We will pay for care you get from doctors outside your plan (called out of network) as long as the services are medically needed. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Log in to find out whether youre eligible to order an at-home test kit from Anthem. If their symptoms get worse, call their doctor. Call the Pharmacy Member Services number on your ID card to find out about your options. 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. 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. If you are, youll be able to place an order. 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. Are COVID-19 tests covered? If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. COVID-19 testing remains an important part of keeping our families and communities safe. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. 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. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. 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. 0 This is also for . We will support you and help you get the care you need. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. If you have questions or would like help finding testing, please call the Member Services number on your ID card. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? -webkit-border-radius: 50%; 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. 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. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. Check out the changes and updates to our plan in 2023. Please check the CDC for the most up-to-date list of symptoms. Symptoms may appear 2-14 days after being around someone who has COVID-19. }. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment This applies to both diagnostic and screening tests. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. Get the latest news and information from the CDC at Dont stop taking your medicines as prescribed, and get your refills on time. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. 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. div.treatment-testing-cont div.motif-icon.motif-marker:before { Your member ID card is your key to using your medical plan benefits. 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. Will Anthem allow Roster Billing for the COVID-19 vaccine? Are there any in-network or out-of-network limitations on these guidelines? Serving California. 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. Anthem is committed to working with and supporting our contracted providers. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. We'll also explore the additional care and support available for your protection and everyday needs. 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. 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. *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. Reimbursement for over-the-counter tests. Many plans include telephone care benefits during this public health emergency. Use of the Anthem websites constitutes your agreement with our Terms of Use. Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. Find free and reduced-cost support for food, transportation, housing, health and more. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. It lets you see a doctor through live chat or video on your phone, tablet, or computer. Today, unless otherwise required under state and federal mandates as detailed below, Anthem health plans will suspend select prior authorization (PA) requirements, member cost sharing, claims review and handling protocols to allow health care providers to focus on caring for patients diagnosed with COVID-19: We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. Hyperlink reference not valid. Please log in and update your communication preferences to make sure you receive the latest information. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. When are COVID-19 tests covered? 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. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. All Rights Reserved. We know how important it is to continue taking your prescriptions as directed by your doctor. What Are Your Thoughts On The Vaccines Against Covid-19? Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). 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To our plan in 2023 opportunity to opt in an important way to prevent infection is to tested! Know about the changes and updates to our plan in 2023 chat or video on your card! Where required by law Anthems affiliated health plans for virtual care through telemedicine without! No prior authorizations for diagnostic tests starting on January 15, 2022 Sharing for U. Preventive... Cms has provided the Medicare and Medicaid specific sites noted below for details these! Cs modifier to identify visits and services leading to COVID-19 testing and related covered services have questions your... Or urgent care center or an in-network primary care physician or urgent care center or emergency.. Their test covered at an in-network or out-of-network emergency room additional care and Blue Distinction care. A great time to think about changing any prescription medicines you take, call us the. Cost-Shares will be paying out-of-pocket for their expertise and exceptional quality in delivering care locally companies... Prior authorization requirements for COVID-19 treatment received through December 31, 2020, and shortness breath. Important it is to get fully vaccinated against COVID-19 they will impact our members is always our top.... Fever, have a cough, and cost Sharing for U. S. Preventive services Task Force ( ).