Call the National Information Center weekdays from 8 a.m. to 8 p.m. Use Psych Hub's resources to help you manage and cope in stressful times. who seek reimbursement for the administration of a COVID-19 vaccine must do so by using their encounter code and the COVID-19 vaccine administration Current Procedural Terminology (CPT) codes. 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. Waiving all prior authorization requirements for COVID-19 testing and related covered services. 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. Leading the way in health insurance since 1929. Eligible members can find an in-network doctorhereor access HorizonCareOnline through the Horizon Blue app,www.horizoncareonline.com, orwww.HorizonBlue.com. Mild to severe fever, cough and shortness of breath. How does my plan cover the over-the-counter test? You may also receive a bill for any charges not covered by your health plan. We are not seeing any impacts to claims payment processing at this time. FEP will now reimburse up to 8 over-the-counter COVID-19 tests per member on a contract per calendar month. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. Here are some tips: Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. 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. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. margin-bottom: 40px; Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. Serving California. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. These trials show the FDA whether a vaccine is safe and effective. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Your health is important. Johns Hopkins University has resources to help you learn more about the disease. cost sharing for COVID-19 diagnostic tests as deemed medically necessary by a healthcare clinician who has made an assessment of a patient, including serology or antibody tests, for members of our employer-sponsored, individual, Medicare and Medicaid plans. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. Are there any in-network or out-of-network limitations on these guidelines? Can I visit the emergency room for a test? The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. Read verified patient reviews and make an appointment instantly. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. For members who arent feeling well, telehealth services are available so you can get care at home. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. You'll need to submit them when you apply for reimbursement. 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). 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Many thousands of people across the United States took part in research trials over many months. 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. Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. 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. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. No copays for telehealth services provided by Teladoc. Use of the Anthem websites constitutes your agreement with our Terms of Use. Pain or pressure in the chest that wont go away. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. What can I do to keep from running out of medication? Anthems affiliated health plans are also providing coverage for members to have an extra 30-day supply of medication on hand, and we are encouraging that when member plans allow that they switch from 30-day home delivery to 90-day home delivery. Use the. Ordering at-home test kits from Anthem. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. Good health habits can also help prevent and fight COVID-19. 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. Anthem will cover the COVID-19 vaccine. At-home test kits are available to eligible Anthem members for a limited time. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Healthcare Solutions. For fully-insured commercial health plans issued in Colorado, Anthem will cover diagnostic lab tests for flu, respiratory syncytial virus (RSV), and others as required by law when determining the need for COVID-19 testing. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. COVID-19 testing and visits associated with COVID-19 testing. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Wash your hands often with soap and water for at least 20 seconds. Call our 24/7 Nurse Line for COVID-related health questions and advice. The most common early symptoms appear between 2 and 14 days after being infected. 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. 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. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. Anthem is committed to making sure you can get the care you need. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. 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. Clean and disinfect items and surfaces you touch . Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Anthem is committed to working with and supporting our contracted providers. For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. 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. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. 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. 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. 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. 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. 24/7 access is provided at no cost. 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. Anthem is a registered trademark. Member Discounts Take advantage of member-only discounts on health-related products and services. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. Does Anthem require a prior authorization on the focused test used to diagnose COVID-19? 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. This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. What you need to know about the disease and our coverage commitment. Yes, but coverage for testing varies by plan. Out-of-network coverage will be provided where required by law. All Rights Reserved. To access your member services, please visit your BCBS company. 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. To help address care providers questions, Anthem has developed the following updates and frequently asked questions. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. 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. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. Get Reimbursed for Over-the-Counter COVID-19 Tests As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. 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. -webkit-border-radius: 50%; 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. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? When member cost sharing has been waived (where permissible) by Anthem as outlined in this FAQ for COVID-19 testing and visits associated screening and/or tested for COVID-19, telehealth (video + audio) services, and in-network telephonic-only services, how does that impact provider reimbursement? Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? background-color: #7fcdbb; 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 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. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. It also lets you notify the CDC of any side effects you may experience. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. Learn more about COVID-19, including what you can do to prevent the spread of the disease and ways to stay healthy. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. In Kentucky: Anthem Health Plans of Kentucky, Inc. Reimbursement for over-the-counter tests. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. hb```e`` B@9 e'0w0i4bH) 3g2Ofaf~.j1* 30@vs10+|2 0 gV For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. Its part of the same family of coronaviruses that includes the common cold. How can I find a COVID-19 testing location? Waiving cost-sharing for COVID-19 testing and treatment. Clean and disinfect frequently touched objects and surfaces like phones, keyboards, and doorknobs. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. We partnered with findhelp, a social care network that connects you with local help. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Diagnostic tests, under the direction of a medical clinician, show whether or not someone has COVID-19. 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. 155 0 obj <>stream Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. 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. You do not need a doctors order for the over-the-counter diagnostictest. div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, 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. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Many plans include telephone care benefits during this public health emergency. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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 . Cant reach your doctor? Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. Call the Pharmacy Member Services number on your ID card to find out about your options. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. The electronic process is the quickest way to get the claims to Anthem. Payment for COVID-19 testing services on or after January 1, 2022. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. 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