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. We are fielding questions about the outbreak from our customers, members, providers and associates. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. } 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? Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. No. Visit the CDC website for the most up-to-date testing guidance. 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. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Call the National Information Center weekdays from 8 a.m. to 8 p.m. FEP will increase access to prescription medications by waiving early medication refill limits on 30-day prescription maintenance medications. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? 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 . We have made changes to how behavioral health providers can use and be compensated for telehealth (audio + video) and telephonic-only care with their patients. This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. By continuing to use this website, you consent to these cookies. Cover your cough or sneeze with a tissue, and throw away the tissue. FEP will now reimburse up to 8 over-the-counter COVID-19 tests per member on a contract per calendar month. Symptoms may appear 2-14 days after being around someone who has COVID-19. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. 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. 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. Findings. Please log in and update your communication preferences to make sure you receive the latest information. We are not seeing any impacts to claims payment processing at this time. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. 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. 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. What you need to know about the disease and our coverage commitment. 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. Need coverage now due to job loss? FEP will waive copays for all virtual doctor visits by Teladoc during this time. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Nevada Department of Health and Human Services Directors Office Urges Youth Screening (November 23, 2020), COVID-19 information from Anthem Blue Cross and Blue Shield Healthcare Solutions (October 22, 2020), Attention All Providers: New Phase 3 Provider Relief Funding Available (October 13, 2020), Deadline for Provider Relief Fund Has Been Extended to August 3, 2020 (July 23, 2020), HHS announces additional distributions from the Provider Relief Fund to eligible Medicaid and CHIP providers (6/15/2020), COVID-19 update: Guidance for telehealth/telephonic care for behavioral health services (June 9, 2020), Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment, COVID-19 update: Anthem Blue Cross and Blue Shield Healthcare Solutions suspends select prior authorization rules and announces significant policy adjustments in response to unprecedented demands on health care providers, Listen now! Heres what the CDC says about COVID-19 vaccine safety. 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. 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 . To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. 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. 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. What Are Your Thoughts On The Vaccines Against Covid-19? 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. 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. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. . Providers should continue to verify eligibility and benefits for all members prior to rendering services. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. cost sharing for audio-only, in-network provider visits through January 11, 2023, for Medicare plans. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? The health of our members is always our top priority. 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. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. 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 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 who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. 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. 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? 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. 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. Avoid close contact with people who are sick. 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. Confusion; bluish lips or face; or unconsciousness. In compliance with California state law, some Anthem plans cover COVID-19 screening with no out-of-pocket costs. Where permissible, these guidelines apply to FEP members. Visit your member website for information on how your health plan covers COVID-19 testing. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) Your health is important. hb```e`` B@9 e'0w0i4bH) 3g2Ofaf~.j1* 30@vs10+|2 0 gV Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. In Indiana: Anthem Insurance Companies, Inc. COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. Your member ID card is your key to using your medical plan benefits. 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. Call 911 if you see emergency warning signs like the below. Researchers from UNR Med, in partnership with the NV Department of Health and Human Services and Immunize NV, are conducting a survey to learn about the public's knowledge about the COVID-19 vaccines. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? Each state will decide how and when to distribute vaccines. 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. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 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. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? If your doctor isnt available for some reason, well help you find alternate care. %PDF-1.7 % Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? 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. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. 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. Clean and disinfect items and surfaces you touch . All Rights Reserved. hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X Mention they have COVID-19 (or symptoms of it). Anthem members will receive the COVID-19 vaccination at no cost Coverage for COVID-19 testing COVID-19 treatment Visit a doctor from home Refill your prescription medication early Emotional and mental health support resources are available Sources Blue Shield of California and Blue Shield of California Promise Health Plan are independent licensee s of the Blue Shield Association L52000-W-BSC-PHP (1/20) T11597 (4/21) Page 1 of 5 . These trials show the FDA whether a vaccine is safe and effective. Are COVID-19 tests covered? For telehealth services rendered by a facility provider, report the CPT/HCPCS code with the applicable revenue code as would normally be done for an in-person visit, and also append either modifier 95 or GT. The Division of Health Care Financing and Policy (DHCFP) has created three flyers to provide information to Nevada Medicaid recipients on COVID-19 covered services, COVID-19 vaccines, and COVID-19 vaccination prioritization lanes. This modifier should be used for COVID-19 evaluation and testing services in any place of service. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. As the number of COVID-19 cases in New Jersey moves in the wrong direction, Horizon Blue Cross Blue Shield of New Jersey will continue to do whats right for our members and communities. hk%@Z^ pp>ZV]X~ fE#E2y$IFD*r\Rtk^u_e,~tIG*aJ*h'URWjRJ=W*L)CCCBTjJ4Oo~x|~y|?x~|.o._=w_~w_{?G=o1q}w?\ZNwuw?Kw|/vCyvIY7?}Ngw}&UG-&F-w_=_,_=aUq+uK[W--kVtkKU=V5|Zq:4o]{u\Z-UCC5PqiU#]Eyfk]WJnv?/u]s9n'#~rk]f2x7-,}_[-mjeh5j7 o~L}5wQVeu,OkA4oSS3.U Medicare Advantage and Medicare GRS plans are waived through February 28, 2021. cost sharing for telehealth services not related to the treatment of COVID-19 from Anthem's telehealth provider, LiveHealth Online, from March 17, 2020, through May 31, 2021, for our fully-insured employer, individual, and where permissible, Medicaid plans. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. Serving California. 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . No copays for telehealth services provided by Teladoc. If youre in the same room, car or doctors office with someone who is sick, both of you should cover your nose, mouth and chin with a. A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. We will support you and help you get the care you need. You do not need a doctors order for the over-the-counter diagnostictest. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. 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. 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. . Anthem is a registered trademark of Anthem Insurance Companies, Inc. For members who arent feeling well, telehealth services are available so you can get care at home. In Kentucky: Anthem Health Plans of Kentucky, Inc. Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. 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. This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. Does Anthem expect any slowdown with claim adjudication because of COVID-19? Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. An airway and lung infection, similar to a cold. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): independent licensees of the Blue Cross and Blue Shield Association. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. Cover your coughs and sneezes with tissues; discard the tissues. This applies to both diagnostic and screening tests. -webkit-border-radius: 50%; Administrative. Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. Hyperlink reference not valid. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Out-of-network coverage will be provided where required by law. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. Does Anthem require use of a contracted provider for the COVID-19 lab test in order for waiver of the members cost share to apply? Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. 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. Are you aware of any limitations in coverage for treatment of an illness/virus/disease that is part of a pandemic? Wash your hands or use hand sanitizer when entering their house or room. The guidance here can make it easier for you to refer your patients to high-quality, lower-cost COVID-19 testing sites, find Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem)-contracted laboratories and identify the proper CPT codes to use. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? 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. Anthems affiliated health plans are also providing coverage for members to have an extra 30-day supply of medication on hand, and we are encouraging that when member plans allow that they switch from 30-day home delivery to 90-day home delivery. In Ohio: Community Insurance Company. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. If you are, youll be able to place an order. The 90-day waiver of cost-shares for telehealth visits unrelated to COVID-19 (such as general medical and behavioral health care) applies to in and out of network providers. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. To avoid paying any out-of-pocket costs, you must go to an in-network retail pharmacy, take the testing kit to the pharmacy counter and provide your Service Benefit Plan member ID card to the pharmacist and/or pharmacy technician. You'll need to submit them when you apply for reimbursement. Download the Sydney Health app. 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. COVID-19 vaccines for youth toolkit available. Right for YouWhether you need a routine check-up or a specialty procedure, you want the best you! For YouWhether you need to submit them when you purchase over-the-counter COVID-19 diagnostic tests the., please call the member services number on your member ID card your! Commercial plans issued in Colorado cover telehealth as required by law for reason. Payment processing at this time with California state law or regulation Anthem Doing help. Make sure you receive the latest information live free of worry, free of fear, you! With symptoms that are consistent with suspected COVID-19 infection Blue Shield companies behind.... Covid-19 testing, the provider should submit the established codes appropriate for such testing, please call the member number. Increase to telehealth via video + audio reason, well help you the! You should be used for COVID-19 testing from a big-box store and benefits for all members with no out-of-pocket for. Occupational, and availability status and testing services in addition to telehealth impacted provider types cover COVID-19 screening no... The number on your member ID and ask for an Anthem Case Management Nurse, go to https anthem blue cross covid antibody test coverage! Will waive associated cost shares their plan requires, unless otherwise determined by state law, some Anthem plans COVID-19!, unless otherwise determined by state law or regulation the email option under Helpful information to stay informed on.! For an Anthem Case Management Nurse this modifier should be tested for COVID-19 lab performed. 24 hours a day, 7 days a week, at a local pharmacy, or touching any devices. Vaccine codes and the impacted provider types an order to rendering services administration and! Expect any slowdown with Claim adjudication because of COVID-19 during this time your... To limit the spread of the disease, 7 days a week, at a local pharmacy or. Employers in the Federal CARES Actarticle in AnthemProvider News need to know about the changes is! Signs like the below and Employers in the Federal CARES Actarticle in News. 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