The most common early symptoms appear between 2 and 14 days after being infected. Administrative. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Many thousands of people across the United States took part in research trials over many months. We will pay for care you get from doctors outside your plan (called out of network) as long as the services are medically needed. div.treatment-testing-cont div.motif-icon.motif-syringe:before, If you're not sure whether your plan covers COVID-19 screening, please call the Member Services 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. 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. 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. 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. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. 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). 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. div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. People who are diagnosed with COVID-19 may have long-term symptoms. 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. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 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. Cover your coughs and sneezes with tissues; discard the tissues. 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. 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. 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. You can get 90-day supplies of most prescription medicines, depending on your plans pharmacy benefits. 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 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. Providers who currently submit electronic claims are encouraged to do so. This applies to both diagnostic and screening tests. The electronic process is the quickest way to get the claims to Anthem. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? To learn where you can obtain a test visit the State of New Jerseys. Anthem is a registered trademark. 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? Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is committed to working with and supporting our contracted providers. 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. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Cost shares will be waived for in-network providers only. If you dont show any symptoms and havent been exposed to an individual diagnosed with COVID-19, its unlikely your doctor will prescribe a test. Mention they have COVID-19 (or symptoms of it). Avoid close contact with people who are sick. This is also for . Our coverage commitment is to ensure our members can quickly access the right care at the right time. 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. The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. No, prior authorization is not required for diagnostic services related to COVID-19 testing. COVID-19 is a new strain of coronavirus. ET. 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. Treatment that's safe and convenient 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. 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. We partnered with findhelp, a social care network that connects you with local help. 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? 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. %PDF-1.7 % 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. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. Are COVID-19 tests covered? Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. } For non-COVID-19 tests (like flu, RSV, etc.) Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. Some Anthem health plans include LiveHealth Online. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. 111 0 obj <> endobj At-home test kits are available to eligible Anthem members for a limited time. 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. whQf C4[IiKd"3\D.IK^C]&zD"V2. Findings. Your member ID card is your key to using your medical plan benefits. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. margin-bottom: 40px; 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. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Please review the Medicare and Medicaid specific sites noted below for details about these plans. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? *Applies only for members with Anthem pharmacy benefits. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? Call your doctor if you develop a fever, have a cough, or have difficulty breathing. In compliance with California state law, some Anthem plans cover COVID-19 screening with no out-of-pocket costs. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. 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. The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. 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. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. How does my plan cover the over-the-counter test? 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. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. Need coverage now due to job loss? Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. When are COVID-19 tests covered? 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. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. 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. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. 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. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. 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). In case of mass pandemic, how can you ensure that your contracted providers can still provide services? 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. 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. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. 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. 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. You may also receive a bill for any charges not covered by your health plan. 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. 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. People at most risk of contracting COVID-19 or developing complications of illness are scheduled to receive vaccinations first. Dont stop taking your medicines as prescribed, and get your refills on time. Find free and reduced-cost support for food, transportation, housing, health and more. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. Please note this coverage does not apply to LiveHealth Online visits. 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 . Good health habits can also help prevent and fight COVID-19. 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