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 If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. The best way to prevent infection is to get fully vaccinated against COVID-19. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. What Are Your Thoughts On The Vaccines Against Covid-19? This modifier should be used for COVID-19 evaluation and testing services in any place of service. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. 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. Participating hospitals without lab fee schedules will follow the same lab testing reimbursement as defined in their facility agreement with Anthem inclusive of member cost share amounts waived by Anthem. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. Mild to severe fever, cough and shortness of breath. Download the Sydney Health app. Call our 24/7 Nurse Line for COVID-related health questions and advice. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. You can get 90-day supplies of most prescription medicines, depending on your plans pharmacy benefits. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Members will pay no deductible, copay or coinsurance for services ranging from doctors visits to hospital stays when their testing or treatment is related to COVID-19. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. div.treatment-testing-cont div.motif-icon.motif-syringe:before, COVID-19 testing remains an important part of keeping our families and communities safe. 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. We are not seeing any impacts to claims payment processing at this time. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. 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 . Hyperlink reference not valid. Oct 13, 2022 You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. 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. Plus, we will keep you updated as things develop. For non-COVID-19 tests (like flu, RSV, etc.) If you have specific questions about the medicine you take, call the pharmacy services number on your member ID card.*. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Reimbursement is available only during the COVID-19 public health emergency. 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). Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. 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. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. Anthem is a registered trademark. Anthem is a registered trademark. Good health habits can also help prevent and fight COVID-19. Research shows the COVID-19 vaccination will help keep you from getting COVID-19. Clean and disinfect items and surfaces you touch . Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Please note that the above information applies to Anthems Commercial health plans. Similar to a cold or the flu. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. Are COVID-19 tests covered? 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 or would like help finding testing, please call the Member Services number on your ID card. Yes, Anthem will accept Roster Billing from providers and state agencies that are offering mass vaccinations for their local communities. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. At-home test kits are available to eligible Anthem members for a limited time. Many plans include telephone care benefits during this public health emergency. background-color: #7fcdbb; For members who arent feeling well, telehealth services are available so you can get care at home. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. 0 To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. It lets you see a doctor through live chat or video on your phone, tablet, or computer. *Applies only for members with Anthem pharmacy benefits. 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. Screening tests show whether or not someone has COVID-19. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. Effective May 1, 2021, for members of our fully-insured employer and individual plans, as well as self-funded plans, Anthem will reimburse for the administration of COVID-19 FDA-approved vaccines at a rate of $40 per administration. What codes would be appropriate for COVID-19 lab testing? We are fielding questions about the outbreak from our customers, members, providers and associates. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . 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. Yes, we will cover COVID-19 home testing kits that are available over the counter. 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. Are you aware of any limitations in coverage for treatment of an illness/virus/disease that is part of a pandemic? 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 Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing The health of our members is always our top priority. 2023 Blue Cross Blue Shield Association. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. 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. www.cdc.gov/coronavirus. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. If your doctor offers telehealth visits, your plan will pay for those, too. Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. Visit COVIDtests.gov to order your free test kits. Get Reimbursed for Over-the-Counter COVID-19 Tests. How can I find a COVID-19 testing location? COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. hb```e`` B@9 e'0w0i4bH) 3g2Ofaf~.j1* 30@vs10+|2 0 gV What diagnosis codes would be appropriate to consider for a patient with known or suspected COVID-19 for services where a members cost shares are waived? Only visit the ER or call 911 if you're experiencing life-threatening symptoms. At-home test kits from Anthem: Are FDA-authorized. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. Call the National Information Center weekdays from 8 a.m. to 8 p.m. Member Discounts Take advantage of member-only discounts on health-related products and services. 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. Dont stop taking your medicines as prescribed, and get your refills on time. 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. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. 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. This is also for . California Department of Public Health COVID-19 Updates, State of California Coronavirus (COVID-19) Response, (CDC) - People at Risk for Serious Illness from COVID-19, U.S. Department of State, Travel Advisories, World Health Organization (WHO), Coronavirus, Members with Cal MediConnect plans (Los Angeles County), Members with Cal MediConnect plans (Santa Clara County), vaccination prevents severe illness, hospitalizations, and death, cdc.gov/coronavirus/2019-ncov/about/index.html. In Indiana: Anthem Insurance Companies, Inc. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. Waiving cost-sharing for COVID-19 testing and treatment. Does Anthem require a prior authorization on the focused test used to diagnose COVID-19? The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? margin-bottom: 40px; 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. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. 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. The electronic process is the quickest way to get the claims to Anthem. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at Serving residents and businesses in the 28 eastern and southeastern counties of New York State. endstream endobj startxref Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at None of these drugs is approved for use with COVID-19, and many are still being investigated. Please review the Medicare and Medicaid specific sites noted below for details about these plans. 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. No prior authorizations for diagnostic tests and covered services. } Diagnostic tests are for people who have symptoms of COVID-19. From March 17, 2020, through September 30, 2020, Anthems affiliated health plans waived member cost shares for telehealth visits for services not related to the treatment of COVID-19 from in-network providers, including visits for behavioral health, for insured health plans in Colorado under this guidance, including our fully-insured employer plans, individual plans and health savings account-qualified high deductible health plans (HSA-HDHPs). 155 0 obj <>stream Call your doctor if you develop a fever, have a cough, or have difficulty breathing. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. 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. , faucets and more area closely and will evaluate how benefits will cover COVID-19 home testing kits that available. 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