Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Leading the way in health insurance since 1929. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. To access your member services, please visit your BCBS company. 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. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. You can get 90-day supplies of most prescription medicines, depending on your plans pharmacy benefits. div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, Many thousands of people across the United States took part in research trials over many months. 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 . For the Health of America. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. 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. As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. Cant reach your doctor? 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. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. 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. 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. Prior authorization is not required for COVID-19 testing. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. The protection of your privacy will be governed by the privacy policy of that site. Diagnostic tests are for people who have symptoms of COVID-19. Many plans include telephone care benefits during this public health emergency. 2021copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. In Ohio: Community Insurance Company. Good health habits can also help prevent and fight COVID-19. Mild to severe fever, cough and shortness of breath. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. Does Anthem require a prior authorization on the focused test used to diagnose COVID-19? Check the CDC website at cdc.gov/coronavirusfor up-to-date information. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. When ordered by your doctor, testing, diagnosis and treatment for COVID-19 are available to Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) members withzero out-of-pocket costs. 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. 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. All Rights Reserved. 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. If your doctor recommended you get tested, find a nearby COVID-19 testing site. Otenti said if someone has been near a person with COVID-19 within a two-week time frame, there is also good reason to test for the virus . The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. If you are not, please use our Test Site Finder to learn about options near you. In addition to Availity.com, providers and state agencies who wish to submit Roster Billing claims can submit paper forms: Is there a specific diagnosis code Anthem would look for on the COVID-19 Vaccination Roster Billing Form? Heres everything you need to know about it. margin-bottom: 40px; 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. Call the National Information Center weekdays from 8 a.m. to 8 p.m. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. 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. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. 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. Do a video or phone visit with a doctor or therapist from home. Blue Cross recommends that members contact and work closely with their health care . 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. 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. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. 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. Use the. 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. Please review the terms of use and privacy policies of the new site you will be visiting. Out-of-network coverage will be provided where required by law. Payment for COVID-19 testing services on or after January 1, 2022. Click below for the latest information for providers: The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), has announced $20 billion in new funding for providers on the frontlines of the Novel Coronavirus (COVID-19) pandemic. color: #ffffff; An airway and lung infection, similar to a cold. 0 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. To learn where you can obtain a test visit the State of New Jerseys. Diagnostic tests, under the direction of a medical clinician, show whether or not someone has COVID-19. 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). Increasing access to prescription medications. If youre caring for someone, be sure visitors take care to avoid causing any extra risk to you or them keep hand sanitizer by the door, or ask visitors to wash their hands. 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. For non-COVID-19 tests (like flu, RSV, etc.) If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? 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. You should try to see your PCP or a doctor in your plan. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. To avoid paying any out-of-pocket costs, you must go to an in-network retail pharmacy, take the testing kit to the pharmacy counter and provide your Service Benefit Plan member ID card to the pharmacist and/or pharmacy technician. 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. Screening tests show whether or not someone has COVID-19. Anthem will cover the administration of COVID-19 vaccines with no cost share for in- and out-of-network providers, during the national public health emergency, and providers are not permitted under the federal mandate to balance-bill members. Member Discounts Take advantage of member-only discounts on health-related products and services. 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. 24/7 access is provided at no cost. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. 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. 2023 Blue Cross Blue Shield Association. We are not seeing any impacts to claims payment processing at this time. Anthem is committed to working with and supporting our contracted providers. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. }. Waiving all prior authorization requirements for COVID-19 testing and related covered . Independent licensees of the Blue Cross and Blue Shield Association. 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. Check the. You may also receive a bill for any charges not covered by your health plan. To help address providers questions, Anthem has developed the following FAQ list: Get the answers to these questions and more in our Talking Points PDF: The latest updates regarding prior authorization requirements will be posted: We look forward to working with you to provide quality services to our members. We know how important it is to continue taking your prescriptions as directed by your doctor. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. 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. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. Reimbursement is available only during the COVID-19 public health emergency. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. 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. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. Some Anthem health plans include LiveHealth Online. 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. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. COVID-19 is a new strain of coronavirus. Anthem will cover the COVID-19 vaccine. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. 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. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. 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. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. 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. Anthem members will receive the COVID-19 vaccination at no cost, Anthem will help you coordinate COVID-19 care, Anthems alternative virtual care offerings, Prescription Medications and Pharmacy Services, Take advantage of emotional and mental health support. 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. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. independent licensees of the Blue Cross and Blue Shield Association. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. Please note this coverage does not apply to LiveHealth Online visits. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. 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 . Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Are there any in-network or out-of-network limitations on these guidelines? The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. COVID-19 testing remains an important part of keeping our families and communities safe. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. 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. Pain or pressure in the chest that wont go away. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? Related covered of breath to working with and supporting our contracted providers COVID-19 benefits, please visit BCBS... That time, about half of the airways and lungs effective April 1, 2020, we will coverage. Covid-19 developments and what it means for our fully insured employer plans, where permissible will you ensure that following. 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