If your doctor offers telehealth visits, your plan will pay for those, too. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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. 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. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. endstream endobj startxref 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. When are COVID-19 tests covered? Plus, we will keep you updated as things develop. 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. As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. Talk to your doctor to see if a 90-day supply would work for you. 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. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. 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. Are COVID-19 tests covered? -moz-border-radius: 50%; If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. Member Discounts Take advantage of member-only discounts on health-related products and services. 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. 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 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. If it doesnt, we can talk about your options. 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. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. No. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. A diagnostic test is used to determine if a person has COVID-19. FEP will also encourage members to use the 90-day mail order benefit, if available through your health plan.If you are having difficulty paying for your treatment, contact the retail pharmacy phone number on the back of your ID card for assistance. Serving California. 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. Anthem is committed to making sure you can get the care you need. CMS has provided the Medicare guideline to use the CS modifier: Error! 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. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. Effective March 17, 2020, through September 30, 2020, unless a longer period is required by law, Anthems affiliated health plans will waive member cost share for telehealth (video + audio) in-network visits, including visits for behavioral health, for our fully-insured employer plans and individual plans. div.treatment-testing-cont div.motif-icon.motif-marker:before { 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. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. 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. . Use the. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Were sharing information about how you can protect yourself and the people you care about. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. 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. 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. To help address care providers questions, Anthem has developed the following updates and frequently asked questions. When member cost sharing has been waived (where permissible) by Anthem as outlined in this FAQ for COVID-19 testing and visits associated screening and/or tested for COVID-19, telehealth (video + audio) services, and in-network telephonic-only services, how does that impact provider reimbursement? The protection of your privacy will be governed by the privacy policy of that site. Visit COVIDtests.gov to order your free test kits. } An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. Leading the way in health insurance since 1929. This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. Member Discounts Take advantage of member-only discounts on health-related products and services. Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. Providers who currently submit electronic claims are encouraged to do so. Symptoms may appear 2-14 days after being around someone who has COVID-19. 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. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. Can I visit the emergency room for a test? 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. You do not need a doctors order for the over-the-counter diagnostictest. Heres what the CDC says about COVID-19 vaccine safety. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. COVID-19 vaccines are safe and effective. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. Many thousands of people across the United States took part in research trials over many months. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. Does Anthem expect any slowdown with claim adjudication because of COVID-19? Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. Serving California. Waiving cost-sharing for COVID-19 testing and treatment. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. Go to the main page on anthem.com/ca to log in and search for a doctor, or call the Member Services number on your ID card. No. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. In Indiana: Anthem Insurance Companies, Inc. For more information, view our privacy policy. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. 24/7 access is provided at no cost. We'll also explore the additional care and support available for your protection and everyday needs. Download the Sydney Health app. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. The Nevada Department of Health and Human Services (DHHS) and its Divisions, including the Division of Health Care Financing and Policy (DHCFP), are concerned about the effect of the pandemic on rates of anxiety, depression and suicide among youth. If your doctor recommended you get tested, find a nearby COVID-19 testing site. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. Here are some additional ways Horizon BCBSNJ members can receive advice and support: The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locallyoperated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Check out the changes and updates to our plan in 2023. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? Do you have medicines you take regularly? Find free and reduced-cost support for food, transportation, housing, health and more. Anthem is relaxing early prescription refill limits, where permitted, for members who have Anthem pharmacy benefits and wish to refill a 30-day supply of most maintenance medications early. It also lets you notify the CDC of any side effects you may experience. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is covered under certain conditions. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. hb```e`` B@9 e'0w0i4bH) 3g2Ofaf~.j1* 30@vs10+|2 0 gV 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). Wash your hands or use hand sanitizer when entering their house or room. Reimbursement for over-the-counter tests. Yes, we will cover COVID-19 home testing kits that are available over the counter. Claims for COVID-19 diagnostic testing procedure code 87426 (Infectious agent antigen detection by immunoassay technique) are not required to be billed with procedure code 87301. 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. Learn more about COVID-19, including what you can do to prevent the spread of the disease and ways to stay healthy. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. 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. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. Your health is important. 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. If youre experiencing symptoms or if your doctor recommends a test, use our COVID-19 Test Site Finder to search your ZIP Code and find testing options near you. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. COVID-19 is a new strain of coronavirus. 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. 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. You may also receive a bill for any charges not covered by your health plan. 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. 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. What is changing regarding prior authorization requirements? In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. How can a provider submit Anthems Roster Billing claim form? Anthem is a registered trademark. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. What Are Your Thoughts On The Vaccines Against Covid-19? COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) Use of the Anthem websites constitutes your agreement with our Terms of Use. All Rights Reserved. %PDF-1.7 % Providers should continue to verify eligibility and benefits for all members prior to rendering services. 2023 Blue Cross Blue Shield Association. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. We will waive cost sharing requirements for urgent care, telehealth and office visits to screen or determine whether COVID-19 testing is needed, when received from an in-network provider, or if no in-network provider is reasonably available, then from an out-of-network provider. 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. Confusion; bluish lips or face; or unconsciousness. How is Anthem reimbursing U.S. Food and Drug Administration (FDA)-approved COVID-19 vaccines? The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. 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. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Get the latest news and information from the CDC at What can I do to keep from running out of medication? Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. The health of our members is always our top priority. For telehealth services rendered by a facility provider, report the CPT/HCPCS code with the applicable revenue code as would normally be done for an in-person visit, and also append either modifier 95 or GT. Your plan will pay for telehealth visits with your doctor through June 15. Prior authorization is not required for COVID-19 testing. Administrative. How does my plan cover the over-the-counter test? Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. 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. Call us at 888-832-2583 to explore your options. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, 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. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . Your member ID card is your key to using your medical plan benefits. This is also for . You can even get them through home delivery pharmacy. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Eligible members can find an in-network doctorhereor access HorizonCareOnline through the Horizon Blue app,www.horizoncareonline.com, orwww.HorizonBlue.com. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. 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. .treatment-testing-cont:nth-child(2) { Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. It lets you see a doctor through live chat or video on your phone, tablet, or computer. 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. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Members who have health questions can also call the Anthem 24/7 NurseLine at the number listed on their Anthem ID card to speak with a registered nurse. 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. Check the. 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. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. 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. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Are there any prescription drugs that can be used to treat COVID-19? Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Anthem is encouraging providers to bill with codes U0001, U0002, U0003, U0004, 86328, 86769, or 87635 based on the test provided. Mention they have COVID-19 (or symptoms of it). Waiving all prior authorization requirements for COVID-19 testing and related covered services. Pain or pressure in the chest that wont go away. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. We are not seeing any impacts to claims payment processing at this time. 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 . whQf C4[IiKd"3\D.IK^C]&zD"V2. COVID-19 testing and visits associated with COVID-19 testing. Please check the CDC for the most up-to-date list of symptoms. Members can see an in-network doctor or use Horizon BCBSNJs telemedicine platform (HorizonCareOnline) for any covered purpose including diagnosis or treatment of COVID-19 and even for routine care or mental health care. COVID-19 vaccines for youth toolkit available. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. The most common early symptoms appear between 2 and 14 days after being infected. To learn where you can obtain a test visit the State of New Jerseys. You should try to see your PCP or a doctor in your plan. 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. ) or CDC approved vaccines as they become available are your Thoughts on the Against... Tests, blood tests, blood tests, etc. a day, 7 days a week, at number... How can a provider submit Anthems Roster Billing claim form x27 ; t use and! And therefore may have some level of immunity and services the vaccines Against COVID-19 symbol are marks. Recognizes doctors and other health care professionals in our plans to prepare for information... 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