You'll need to submit them when you apply for reimbursement. How can I find a COVID-19 testing location? Waiving all prior authorization requirements for COVID-19 testing and related covered . Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. color: #ffffff; 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. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. An airway and lung infection, similar to a cold. 111 0 obj <> endobj 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. 2023 Blue Cross Blue Shield Association. The most common early symptoms appear between 2 and 14 days after being infected. No copays for telehealth services provided by Teladoc. Waiving cost-sharing for COVID-19 testing and treatment. -moz-border-radius: 50%; What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? For the Health of America. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. When are COVID-19 tests covered? Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. Heres everything you need to know about it. Use Psych Hub's resources to help you manage and cope in stressful times. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? 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. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Many plans include telephone care benefits during this public health emergency. 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. 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. 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. 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. 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. Hyperlink reference not valid. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Your member ID card is your key to using your medical plan benefits. Blue Cross recommends that members contact and work closely with their health care . 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. Does Anthem expect any slowdown with claim adjudication because of COVID-19? All Rights Reserved. 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 is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Healthcare Solutions. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. Cover your coughs and sneezes with tissues; discard the tissues. You may also receive a bill for any charges not covered by your health plan. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. } New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. 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. endstream endobj startxref Anthem is a registered trademark of Anthem Insurance Companies, Inc. 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. No. Check the. Eligible members can find an in-network doctorhereor access HorizonCareOnline through the Horizon Blue app,www.horizoncareonline.com, orwww.HorizonBlue.com. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. border-radius: 50%; COVID-19 vaccines are safe and effective. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. How can a provider submit Anthems Roster Billing claim form? Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If it doesnt, we can talk about your options. CMS has provided coding guidelines related to COVID-19 vaccines:https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies. Good health habits can also help prevent and fight COVID-19. They include fever, cough, and shortness of breath. 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. 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. What you need to know about the disease and our coverage commitment. Cost share waiver extends to the end of the public health emergency. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Today, unless otherwise required under state and federal mandates as detailed below, Anthem health plans will suspend select prior authorization (PA) requirements, member cost sharing, claims review and handling protocols to allow health care providers to focus on caring for patients diagnosed with COVID-19: We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. Cost shares will be waived for in-network providers only. Visit your member website for information on how your health plan covers COVID-19 testing. www.cdc.gov/coronavirus. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. The protection of your privacy will be governed by the privacy policy of that site. Call our 24/7 Nurse Line for COVID-related health questions and advice. Payment for COVID-19 testing services on or after January 1, 2022. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. 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 This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. padding: 0.6rem; If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. independent licensees of the Blue Cross and Blue Shield Association. 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. 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. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. We'll also explore the additional care and support available for your protection and everyday needs. What financial assistance is available for care providers during the COVID-19 crisis? 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. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. Leading the way in health insurance since 1929. 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 partnered with findhelp, a social care network that connects you with local help. We are not seeing any impacts to claims payment processing at this time. 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. Many thousands of people across the United States took part in research trials over many months. Reimbursement for over-the-counter tests. On December 11, 2020, the U.S. Food and Drug Administration (FDA) approved the Pfizer COVID-19 vaccine for individuals aged 16 years and older for emergency use authorization (EUA). According to the CDC, vaccination prevents severe illness, hospitalizations, and death. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Use of the Anthem websites constitutes your agreement with our Terms of Use. Screening tests show whether or not someone has COVID-19. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at This applies to both diagnostic and screening tests. Learn more about COVID-19, including what you can do to prevent the spread of the disease and ways to stay healthy. cost sharing for telephonic-only in-network visits from March 19, 2020, through January 11, 2023, for fully-insured employer-sponsored, individual and Medicaid plans. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. margin-bottom: 40px; *Applies only for members with Anthem pharmacy benefits. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. What Are Your Thoughts On The Vaccines Against Covid-19? Anthems enterprise wide business continuity program includes recovery strategies for critical processes and supporting resources, automated 24/7 situational awareness monitoring for our footprint and critical support points, and Anthems Virtual Command Center for Emergency Management command, control and communication. 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. Independent licensees of the Blue Cross and Blue Shield Association. 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. Wash your hands or use hand sanitizer when entering their house or room. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? This modifier should be used for COVID-19 evaluation and testing services in any place of service. 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 . 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. 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. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. 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. To ensure you have access to the right care at the right time, FEP is waiving cost shares and prior authorization to support members care for COVID-19. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Members can get their test covered at an in-network primary care physician or urgent care center or an in-network or out-of-network emergency room. Arrive in 2 to 5 business days. FEP will now reimburse up to 8 over-the-counter COVID-19 tests per member on a contract per calendar month. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Future updates regarding COVID-19 will appear in the monthly Provider News publication. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. 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