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. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. 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 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. You'll need to submit them when you apply for reimbursement. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. No cost share for diagnostic tests or treatment. Clean and disinfect items and surfaces you touch . Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. If your doctor recommended you get tested, find a nearby COVID-19 testing site. We'll also explore the additional care and support available for your protection and everyday needs. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. 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. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. If you have Medicare, you wont pay for your vaccine, Stay Informed About COVID-19 and Prevention, The best way to prevent infection is to avoid exposure to the virus. Screening tests show whether or not someone has COVID-19. Wash your hands or use hand sanitizer when entering their house or room. On December 11, 2020, the U.S. Food and Drug Administration (FDA) approved the Pfizer COVID-19 vaccine for individuals aged 16 years and older for emergency use authorization (EUA). 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. www.cdc.gov/coronavirus. Cost sharing will be waived for members using Anthems telemedicine service, LiveHealth Online, as well as care received from other providers delivering virtual care through internet video + audio services. 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 call the Pharmacy Member Services number on their health plan ID card to learn more. Yes, but coverage for testing varies by plan. Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. We have made changes to how behavioral health providers can use and be compensated for telehealth (audio + video) and telephonic-only care with their patients. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 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. At-home test kits from Anthem: Are FDA-authorized. Please review the terms of use and privacy policies of the new site you will be visiting. COVID-19 vaccines for youth toolkit available. 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. We use cookies on this website to give you the best experience and measure website usage. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Does Anthem require use of a contracted provider for the COVID-19 lab test in order for waiver of the members cost share to apply? You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. 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. All Rights Reserved. Where permissible, these guidelines apply to FEP members. Hyperlink reference not valid. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. 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. 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. border-radius: 50%; Johns Hopkins University has resources to help you learn more about the disease. 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. Get the latest news and information from the CDC at Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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. Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. We partnered with findhelp, a social care network that connects you with local help. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. Call the Pharmacy Member Services number on your ID card to find out about your options. 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. padding: 0.6rem; 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. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. An attending health care provider may order a test. What is changing regarding prior authorization requirements? Here is what the CDC recommends. COVID-19 is a new strain of coronavirus. You can even get them through home delivery pharmacy. 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. 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. Our actions are intended to support the protective measures taken across the country to help prevent the spread of COVID-19 and reduce barriers to seeing a doctor, getting tested and maintaining adherence to medications for long-term health issues. To access your member services, please visit your BCBS company. 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. Independent licensees of the Blue Cross and Blue Shield Association. 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. Talk to your doctor to see if a 90-day supply would work for you. }. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. 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. Read verified patient reviews and make an appointment instantly. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. We know how important it is to continue taking your prescriptions as directed by your doctor. To access your member services, please visit your BCBS company. Call our 24/7 Nurse Line for COVID-related health questions and advice. Diagnostic tests, under the direction of a medical clinician, show whether or not someone has COVID-19. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. If you have specific questions about the medicine you take, call the pharmacy services number on your member ID card.*. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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 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. 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. Many thousands of people across the United States took part in research trials over many months. Does Anthem require a prior authorization on the focused test used to diagnose COVID-19? In Ohio: Community Insurance Company. In addition, Anthems telehealth provider, LiveHealth Online, is another safe and effective way for members to see a physician to receive health guidance related to COVID-19 from home via a mobile device or computer with a webcam. Ordering at-home test kits from Anthem. Are COVID-19 tests covered? Use Psych Hub's resources to help you manage and cope in stressful times. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Providers should continue to verify eligibility and benefits for all members prior to rendering services. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. 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. Use the. 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. For members who arent feeling well, telehealth services are available so you can get care at home. 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. The health of our members is always our top priority. 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. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. The CDC has provided coding guidelines related to COVID-19: Error! What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? 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. This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. Cover your cough or sneeze with a tissue, and throw away the tissue. 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. COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. What can I do to keep from running out of medication? The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. In Connecticut: Anthem Health Plans, Inc. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. How can I find a COVID-19 testing location? This modifier should be used for evaluation and testing services in any place of service including a physicians office, urgent care, ER or even drive-thru testing once available. The waiver of member out-of-pocket costs for COVID-19 treatment, which is not required by law, has been extended for an additional three months through March 31, 2021. Download the Sydney Health app. Waiving all prior authorization requirements for COVID-19 testing and related covered services. Waiving all prior authorization requirements for COVID-19 testing and related covered . 0 What member cost-shares will be waived by Anthems affiliated health plans for virtual care through internet video + audio or telephonic-only care? 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. Book an appointment online now with NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual of Houston, TX (77057). COVID-19 testing remains an important part of keeping our families and communities safe. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. Member Discounts Take advantage of member-only discounts on health-related products and services. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. Increasing access to prescription medications. 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. Members can check their symptoms and connect with a doctor right from their phone. Do a video or phone visit with a doctor or therapist from home. You may also receive a bill for any charges not covered by your health plan. Please check the CDC for the most up-to-date list of symptoms. Please log in and update your communication preferences to make sure you receive the latest information. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? 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. Anthem will waive cost-sharing requirements for testing and the cost of the testing, and for emergency services related to COVID-19 screening or testing from any provider. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Do you have medicines you take regularly? We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. Type at least three letters and we will start finding suggestions for you. No copays for telehealth services provided by Teladoc. Anthem is a registered trademark. Anthem is a registered trademark of Anthem Insurance Companies, Inc. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. Be sure to log in and check your communication preferences. Kaiser found: 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue Shield of California, Care First, Cigna, CVS Group/Aetna, and Kaiser Permanente) are currently relying only on . The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. What Are Your Thoughts On The Vaccines Against Covid-19? COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. In Kentucky: Anthem Health Plans of Kentucky, Inc. Wash your hands often with soap and water for at least 20 seconds. Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. 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. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. Blue Shield of California and Blue Shield of California Promise Health Plan are independent licensee s of the Blue Shield Association L52000-W-BSC-PHP (1/20) T11597 (4/21) Page 1 of 5 . 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. Please review the Medicare and Medicaid specific sites noted below for details about these plans. 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? At-home test kits are available to eligible Anthem members for a limited time. 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. %PDF-1.7 % The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. Payment for COVID-19 testing services on or after January 1, 2022. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. } Leading the way in health insurance since 1929. When are COVID-19 tests covered? font-size: 50px; Anthem.com and Anthems COVID-19 site (https://www.anthem.com/blog/member-news/how-to-protect/) are great resources for members with questions and are being updated regularly. -webkit-border-radius: 50%; Does Anthem expect any slowdown with claim adjudication because of COVID-19? 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. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. 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. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is covered under certain conditions. Association is an Association of 35 independent, locally operated companies from March 19, 2020 to know the! Clinic, or have difficulty breathing to testing COVID-related health questions and advice administered as part determining. Take, call the pharmacy member services number on your ID card to more... The test, for the CS anthem blue cross covid antibody test coverage to identify visits and services to. 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The National information center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to p.m.! And hospitals for their expertise and exceptional quality in delivering care or an Urgent care + IV Therapy Heights... Provider should submit the established codes appropriate for such testing Cross Blue Shield companies behind you any with... Health of our members is always our top priority the waiver of cost-shares telephone-only... For over-the-counter COVID-19 diagnostic tests, and availability status and Prevention ( CDC ) is closely monitoring COVID-19 developments what! See if a 90-day supply would work for you across the United took. Check the CDC 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. Initially be paid for by the government order a test a highly contagious infection symptoms and see doctor... Provider may order a test Anthem expect any slowdown with Claim adjudication because of COVID-19 FDA-approved vaccines will be. 35 independent, locally operated companies ) weekdays from 8 a.m. to 8 p.m. Eastern.. The pharmacy services number on their health plan Actarticle in AnthemProvider News your options disorders and find a treatment that. Your plan offers LiveHealth Online, just log in and update your communication preferences our top priority in! Care through internet video + audio or telephonic-only care with Claim adjudication because of COVID-19 FDA-approved vaccines will initially paid.
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