independent licensees of the Blue Cross and Blue Shield Association. 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. whQf C4[IiKd"3\D.IK^C]&zD"V2. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. Anthem members have access to telehealth 24/7 through LiveHealth Online. Need coverage now due to job loss? Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. How can a provider submit Anthems Roster Billing claim form? Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. At-home test kits from Anthem: Are FDA-authorized. 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.. At-home test kits are available to eligible Anthem members for a limited time. 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. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. They include fever, cough, and shortness of breath. The protection of your privacy will be governed by the privacy policy of that site. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Type at least three letters and we will start finding suggestions for you. 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. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) Reimbursement for over-the-counter tests. margin-bottom: 40px; Check the. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. 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. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is covered under certain conditions. No. In Indiana: Anthem Insurance Companies, Inc. 111 0 obj <> endobj In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 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. 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. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. The best way to prevent infection is to get fully vaccinated against COVID-19. 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. Anthem is encouraging providers to bill with codes U0001, U0002, U0003, U0004, 86328, 86769, or 87635 based on the test provided. Get the latest information on the COVID-19 vaccines. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Talk to your doctor to see if a 90-day supply would work for you. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. What codes would be appropriate to consider for a telehealth visit with a patient who wants to receive health guidance during the COVID-19 crisis? Please review the terms of use and privacy policies of the new site you will be visiting. 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 best way to prevent infection is to avoid being exposed to the virus. Visit the CDC website for the most up-to-date testing guidance. We'll also explore the additional care and support available for your protection and everyday needs. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. Our benefits already state that if members do not have appropriate access to network physicians that we will authorize coverage for out-of-network physicians as medically necessary. Eligible members can find an in-network doctorhereor access HorizonCareOnline through the Horizon Blue app,www.horizoncareonline.com, orwww.HorizonBlue.com. Each state will decide how and when to distribute vaccines. COVID-19 testing remains an important part of keeping our families and communities safe. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. 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. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) Where permissible, these guidelines apply to FEP members. COVID-19 vaccines are safe and effective. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. This applies to all members, regardless of the type of health plan they have or which doctor or healthcare professional they choose to visit for COVID-19 vaccination. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): Dont stop taking your medicines as prescribed, and get your refills on time. Check your COVID-19 benefits by using the Sydney Health or Engage Wellbeing mobile app, logging into anthem.com/ca, or calling the Member Services number on your ID card. 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. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . 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. If you have a Medicaid plan with us, you do not have to pay anything for the COVID-19 test or the doctor visit to get the test. We know these are challenging times, and want you to know that we remain deeply committed to supporting you to get care and protect your overall health and wellbeing. 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. Good health habits can also help prevent and fight COVID-19. 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 $767 Billion, Blue Cross Blue Shield Companies Form Synergie Medication Collective, a New Venture to Radically Improve Affordability and Access to Costly Medications for Millions of Americans, Congress Passes Meaningful Changes to Expand Mental Health Support, Improve Maternal Health, and Lower Costs for Consumers, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. Commercially insured members: 1-888-624-3096, Members covered through Medicaid plans: 1-800-711-5952, SHBP/SEHBP members: 1-800-414-SHBP (7427), Horizon Chat for Care may be available to some members at no cost through the companys free Horizon Blue app and. These trials show the FDA whether a vaccine is safe and effective. As an Anthem member, you have access to a wide range of online resources to help you and your family members address emotional health and life challenges. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. Anthem is committed to helping our members gain timely access to care and services in a way that places the least burden on the health care system. The guidance here can make it easier for you to refer your patients to high-quality, lower-cost COVID-19 testing sites, find Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem)-contracted laboratories and identify the proper CPT codes to use. Leading the way in health insurance since 1929. hk%@Z^ pp>ZV]X~ fE#E2y$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 Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. No cost share for diagnostic tests or treatment. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. We use cookies on this website to give you the best experience and measure website usage. 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. Cant reach your doctor? We are waiving your costs for telehealth visits with your doctor through January 31, 2021. 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. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. background-color: #7fcdbb; Diagnostic tests are for people who have symptoms of COVID-19. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. No. 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. Reimbursement is available only during the COVID-19 public health emergency. Heres everything you need to know about it. All Rights Reserved. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Taking care of your emotional health is important during this stressful time. The cost-sharing waiver includes copays, coinsurance and deductibles. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at hb```e`` B@9 e'0w0i4bH) 3g2Ofaf~.j1* 30@vs10+|2 0 gV Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. Anthem is committed to making sure you can get the care you need. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. Providers should continue to verify eligibility and benefits for all members prior to rendering services. 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. Visit your member website for information on how your health plan covers COVID-19 testing. Every home in the U.S. can order four at-home COVID-19 tests at no cost. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Were sharing information about how you can protect yourself and the people you care about. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. O|bW7{}OH>d_O }N]1W#oFPt#Qg: zM/_5+kL#w9>!:Oy}QqywW}?7yAy}<7G4b0HR=DY7p#K7mw.p'E++PJ"1%uOt_{;t:GU/6q 7+n[Vg tTsk9EEML2`S2UJbpzGoKQ""J_/RkGx\&!^xY?Ej Vf!Yf \GE,w y-sML5/792d.6NL-8zRT-]B[t-Z9zMK.% 5zOeGOOZ.5,f.kvVdQ[ehY0$h 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. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. Making healthcare affordable. 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. 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. 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. Increasing access to prescription medications. The app will remind you when to get your second dose. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. Call the National Information Center weekdays from 8 a.m. to 8 p.m. 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. Please note this coverage does not apply to LiveHealth Online visits. Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. 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. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. Good health habits can also help prevent and fight COVID-19. 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. 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. 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). COVID-19 vaccines for youth toolkit available. Heres what the CDC says about COVID-19 vaccine safety. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. cdc.gov/coronavirus/2019-ncov/about/index.html. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. We partnered with findhelp, a social care network that connects you with local help. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? Anthem members will receive the COVID-19 vaccination at no cost Coverage for COVID-19 testing COVID-19 treatment Visit a doctor from home Refill your prescription medication early Emotional and mental health support resources are available Sources An airway and lung infection, similar to a cold. People at most risk of contracting COVID-19 or developing complications of illness are scheduled to receive vaccinations first. Many plans include telephone care benefits during this public health emergency. 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. Please be advised that, while awaiting further guidance from the Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS) regarding SB510, Anthem Blue Cross will pay Medi-Cal claims for COVID-19 testing incurred on or after January 1, 2022, according . Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. 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. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. 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. Blue Cross recommends that members contact and work closely with their health care . 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. While a test sample cannot be obtained through a telehealth visit, the telehealth provider can help you get to a provider who can do so. Please review the Medicare and Medicaid specific sites noted below for details about these plans. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. border-radius: 50%; 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. On April 30, 2020, we hosted a webinar to share information and resources with network providers regarding opportunities to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers. Tell them if youve been in close contact with a person who has COVID-19, or if you live in or have been to an area where the virus has spread. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. 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