background-color: #7fcdbb; Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. In addition to Availity.com, providers and state agencies who wish to submit Roster Billing claims can submit paper forms: Is there a specific diagnosis code Anthem would look for on the COVID-19 Vaccination Roster Billing Form? Administrative. 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. Its part of the same family of coronaviruses that includes the common cold. Check out the changes and updates to our plan in 2023. Members can call the number on the back of their identification card to confirm coverage. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. 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. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. 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. %PDF-1.7 % Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? 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). 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. If you have employer coverage, or an individual or family plan, you can get over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSIL/Prime Therapeutics pharmacy benefits. Good health habits can also help prevent and fight COVID-19. CDC information for household members and caregivers can be found here. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. 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. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. 132 0 obj <>/Filter/FlateDecode/ID[<7A556C2107D3FE4287A53DF79E9C5AC9><793C7E08A7A7684290861DE5BB023FB8>]/Index[111 45]/Info 110 0 R/Length 106/Prev 205504/Root 112 0 R/Size 156/Type/XRef/W[1 3 1]>>stream 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. 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. Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. What Are Your Thoughts On The Vaccines Against Covid-19? Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. You should try to see your PCP or a doctor in your plan. The health of our members is always our top priority. Avoid close contact with people who are sick. color: #ffffff; 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. No prior authorizations for diagnostic tests and covered services. 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 can even get them through home delivery pharmacy. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. Increasing access to prescription medications. Out-of-network coverage will be provided where required by law. ET. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. 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. 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. What codes would be appropriate for COVID-19 lab testing? 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. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. The U.S. Department of Health and Human Services (HSS) announced the distribution of approximately $15 billion from the Provider Relief Fund to eligible providers who participate in state Medicaid and the Children's Health Insurance Program (CHIP): On June 9, 2020, the Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced additional distributions from the Provider Relief Fund to eligible Medicaid and Childrens Health Insurance Program (CHIP) providers who participate in state Medicaid and CHIP programs. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. 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. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. Our standard health plan contracts do not have exclusions or limitations on coverage for services for the treatment of illnesses that result from a pandemic. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. 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. Our coverage commitment is to ensure our members can quickly access the right care at the right time. 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. Anthem is committed to working with and supporting our contracted providers. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. How can I find a COVID-19 testing location? Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. 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. Anthems affiliated health plans will waive cost shares for our fully-insured employer, individual, Medicare and Medicaid plan membersinclusive of copays, coinsurance and deductiblesfor COVID-19 test and visits and services during the visit when the purpose of the visit is to be screened and/or tested for COVID-19, including telehealth visits. Call the National Information Center weekdays from 8 a.m. to 8 p.m. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? Member Discounts Take advantage of member-only discounts on health-related products and services. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). What you need to know about the disease and our coverage commitment. 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. Please be advised that, while awaiting further guidance from the Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS) regarding SB510, Anthem Blue Cross will pay Medi-Cal claims for COVID-19 testing incurred on or after January 1, 2022, according . . Heres everything you need to know about it. 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. Page one is in English and page two is in Spanish for each flyer. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. 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. This is also for . If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. CMS has provided the Medicare guideline to use the CS modifier: Error! If your doctor offers telehealth visits, your plan will pay for those, too. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Clean and disinfect items and surfaces you touch . A diagnostic test is used to determine if a person has COVID-19. At-home test kits from Anthem: Are FDA-authorized. Will Anthem allow Roster Billing for the COVID-19 vaccine? An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. For full details onbenefits, services and network coveragewhich may vary by health planfind each BCBS companys statement below: The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. If your doctor recommended you get tested, find a nearby COVID-19 testing site. We know how important it is to continue taking your prescriptions as directed by your doctor. 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. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Anthem will cover the COVID-19 vaccine. Get Reimbursed for Over-the-Counter COVID-19 Tests. 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. We are fielding questions about the outbreak from our customers, members, providers and associates. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. The most common early symptoms appear between 2 and 14 days after being infected. 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. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? If it doesnt, we can talk about your options. 2023 Blue Cross Blue Shield Association. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. 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