The waiver of member out-of-pocket costs for COVID-19 treatment, which is not required by law, has been extended for an additional three months through March 31, 2021. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. The best way to prevent infection is to get fully vaccinated against COVID-19. We'll also explore the additional care and support available for your protection and everyday needs. Read verified patient reviews and make an appointment instantly. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. 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. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Visit the CDC website for the most up-to-date testing guidance. Hyperlink reference not valid. Diagnostic tests, under the direction of a medical clinician, show whether or not someone has COVID-19. The Centers for Disease Control and Prevention (CDC) provides guidelines for who should get a diagnostic test and when based on your current health, your vaccination status, and your history of infection. endstream endobj startxref 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. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. At-home test kits are available to eligible Anthem members for a limited time. Good health habits can also help prevent and fight COVID-19. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield 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 . Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. 24/7 access is provided at no cost. Cost share waiver extends to the end of the public health emergency. color: #ffffff; If your doctor recommended you get tested, find a nearby COVID-19 testing site. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. border-radius: 50%; If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. 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. In compliance with California state law, some Anthem plans cover COVID-19 screening with no out-of-pocket costs. Cost shares will be waived for in-network providers only. When are COVID-19 tests covered? This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. No cost share for diagnostic tests or treatment. What you need to know about the disease and our coverage commitment. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. 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. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Where permissible, these guidelines apply to FEP members. 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. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. Do you have medicines you take regularly? Do a video or phone visit with a doctor or therapist from home. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Get the latest information on the COVID-19 vaccines. You'll need to submit them when you apply for reimbursement. 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. 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. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. We will pay for care you get from doctors outside your plan (called out of network) as long as the services are medically needed. How is Anthem reimbursing participating hospitals that are performing COVID-19 diagnostic testing in a drive-thru testing setting? Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). How does my plan cover the over-the-counter test? We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. You may also receive a bill for any charges not covered by your health plan. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? Please discuss additional questions about COVID-19 treatments and medicines with your doctor. 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. 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. Your health is important. Members in California and Nevada: You can also make an appointment withLiveHealth Online and see a doctor from your smartphone. Reimbursement for COVID-19 testing performed in a participating hospital emergency room or inpatient setting is based on existing contractual rates inclusive of member cost share amounts waived by Anthem. They also are for people who have no symptoms but know or suspect that they have recently been exposed to someone who has COVID-19. 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. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. 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. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. 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. *Applies only for members with Anthem pharmacy benefits. padding: 0.6rem; None of these drugs is approved for use with COVID-19, and many are still being investigated. 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. Providers should continue to verify eligibility and benefits for all members prior to rendering services. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. In general, it is recommended people get tested if they have symptoms including fever, cough, shortness of breath, chills, muscle pain, new loss of taste or smell, vomiting or diarrhea, and/or sore throat. As the number of COVID-19 cases in New Jersey moves in the wrong direction, Horizon Blue Cross Blue Shield of New Jersey will continue to do whats right for our members and communities. If you are not, please use our Test Site Finder to learn about options near you. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. 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. whQf C4[IiKd"3\D.IK^C]&zD"V2. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. Please review the terms of use and privacy policies of the new site you will be visiting. 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. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. We use cookies on this website to give you the best experience and measure website usage. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. endstream endobj 112 0 obj <>/Metadata 8 0 R/Pages 109 0 R/StructTreeRoot 23 0 R/Type/Catalog/ViewerPreferences 133 0 R>> endobj 113 0 obj <>/MediaBox[0 0 612 792]/Parent 109 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 114 0 obj <>stream If you are, youll be able to place an order. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Waiving all prior authorization requirements for COVID-19 testing and related covered services. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Diagnostic tests are for people who have symptoms of COVID-19. 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. CDC information for household members and caregivers can be found here. This applies to both diagnostic and screening tests. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Yes, but coverage for testing varies by plan. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. We partnered with findhelp, a social care network that connects you with local help. 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. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. 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. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. Prior authorization is not required for COVID-19 testing. Similar to a cold or the flu. FEP will increase access to prescription medications by waiving early medication refill limits on 30-day prescription maintenance medications. Dont stop taking your medicines as prescribed, and get your refills on time. Leading the way in health insurance since 1929. Reimbursement is available only during the COVID-19 public health emergency. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. Your member ID card is your key to using your medical plan benefits. Confusion; bluish lips or face; or unconsciousness. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. 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. 3. Who can order a test? Ordering at-home test kits from Anthem. Were sharing information about how you can protect yourself and the people you care about. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. 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. 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. Anthem is committed to making sure you can get the care you need. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? Lets look at the latest information on COVID-19 and how your health care plan can help. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. margin-bottom: 40px; 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. No prior authorizations for diagnostic tests and covered services. 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. COVID-19 testing remains an important part of keeping our families and communities safe. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. 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. At-home test kits from Anthem: Are FDA-authorized. If it doesnt, we can talk about your options. 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. div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, Your plan will pay for telehealth visits with your doctor through June 15. If an in-network provider is not reasonably available, the cost share waivers will include testing or screening for COVID-19 when received from an out-of-network provider. 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 . We're here to make sure you have the resources and care you need to keep yourself safe and well. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? For non-COVID-19 tests (like flu, RSV, etc.) Every home in the U.S. can order four at-home COVID-19 tests at no cost. 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. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. 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). Reimbursement for over-the-counter tests. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. Are there any in-network or out-of-network limitations on these guidelines? Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. 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 for at least 20 seconds. Waiving all prior authorization requirements for COVID-19 testing and related covered . hb```e`` B@9 e'0w0i4bH) 3g2Ofaf~.j1* 30@vs10+|2 0 gV The over-the-counter tests give results within 30 minutes. 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. 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. No. 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. You should try to see your PCP or a doctor in your plan. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? 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. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. 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. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment Use the. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. ET. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. 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