Wash your hands often with soap and water for at least 20 seconds. You may also receive a bill for any charges not covered by your health plan. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. Reimbursement is available only during the COVID-19 public health emergency. 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). You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. 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 For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. 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. -webkit-border-radius: 50%; 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 If youre not sure whether your plan offers it, call us at the Member Services number on your ID. 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. Leading the way in health insurance since 1929. 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. Clean and disinfect items and surfaces you touch . Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Cover your cough or sneeze with a tissue, and throw away the tissue. div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, Providers should continue to verify eligibility and benefits for all members prior to rendering services. 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. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. If it doesnt, we can talk about your options. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X The number one priority for Blue Cross Blue Shield (BCBS) companiesespecially as the nation faces this unprecedented health crisisis getting their members across the country the care they need. 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? Lets look at the latest information on COVID-19 and how your health care plan can help. You do not need a doctors order for the over-the-counter diagnostictest. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. In Ohio: Community Insurance Company. 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. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Call 911 if you see emergency warning signs like the below. Anthem is encouraging providers to bill with codes U0001, U0002, U0003, U0004, 86328, 86769, or 87635 based on the test provided. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. We partnered with findhelp, a social care network that connects you with local help. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. 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. O|bW7{}OH>d_O }N]1W#oFPt#Qg: zM/_5+kL#w9>!:Oy}QqywW}?7yAy}<7G4b0HR=DY7p#K7mw.p'E++PJ"1%uOt_{;t:GU/6q 7+n[Vg tTsk9EEML2`S2UJbpzGoKQ""J_/RkGx\&!^xY?Ej Vf!Yf \GE,w y-sML5/792d.6NL-8zRT-]B[t-Z9zMK.% 5zOeGOOZ.5,f.kvVdQ[ehY0$h Anthem will cover the COVID-19 vaccine. Johns Hopkins University has resources to help you learn more about the disease. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. We use cookies on this website to give you the best experience and measure website usage. 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. Heres everything you need to know about it. 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. Members can check their symptoms and connect with a doctor right from their phone. margin-bottom: 40px; 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. Anthem is committed to making sure you can get the care you need. This modifier should be used for COVID-19 evaluation and testing services in any place of service. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. Its part of the same family of coronaviruses that includes the common cold. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? If you have any questions, please contact the Provider Service number on the back of the members ID card, or your Provider Solutions contact on our Escalation Contact List. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. Administrative. border-radius: 50%; 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. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. 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. 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. Taking care of your emotional health is important during this stressful time. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. Please review the Medicare and Medicaid specific sites noted below for details about these plans. All Rights Reserved. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). An airway and lung infection, similar to a cold. 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. www.cdc.gov/coronavirus. 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. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. We're here to make sure you have the resources and care you need to keep yourself safe and well. What financial assistance is available for care providers during the COVID-19 crisis? Wash your hands or use hand sanitizer when entering their house or room. 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. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. COVID-19 vaccines for youth toolkit available. The health of our members is always our top priority. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. From March 17, 2020, through September 30, 2020, Anthems affiliated health plans waived member cost shares for telehealth visits for services not related to the treatment of COVID-19 from in-network providers, including visits for behavioral health, for insured health plans in Colorado under this guidance, including our fully-insured employer plans, individual plans and health savings account-qualified high deductible health plans (HSA-HDHPs). How is Anthem reimbursing participating hospitals that are performing COVID-19 diagnostic testing in a drive-thru testing setting? 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 Independent licensees of the Blue Cross and Blue Shield Association. Call the National Information Center weekdays from 8 a.m. to 8 p.m. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. COVID-19 vaccines are safe and effective. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. Dont stop taking your medicines as prescribed, and get your refills on time. Anthem is a registered trademark. We will pay for care you get from doctors outside your plan (called out of network) as long as the services are medically needed. 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. 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. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. 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. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Type at least three letters and we will start finding suggestions for you. Please discuss additional questions about COVID-19 treatments and medicines with your doctor. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. %PDF-1.7 % This applies to both diagnostic and screening tests. 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. 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. No. You'll need to submit them when you apply for reimbursement. 2023 Blue Cross Blue Shield Association. 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. Arrive in 2 to 5 business days. The electronic process is the quickest way to get the claims to Anthem. Can I visit the emergency room for a test? See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. For the Health of America. Payment for COVID-19 testing services on or after January 1, 2022. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. The over-the-counter tests give results within 30 minutes. Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. This is also for . To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. Call us at 888-832-2583 to explore your options. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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. 3. Who can order a test? 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. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. 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. What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? 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? Members can call the Pharmacy Member Services number on their health plan ID card to learn more. A diagnostic test is used to determine if a person has COVID-19. 155 0 obj <>stream 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. 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. 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 most common early symptoms appear between 2 and 14 days after being infected. No. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. The best way to prevent infection is to avoid being exposed to the virus. Serving California. 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. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. 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 receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. FEP will waive copays for all virtual doctor visits by Teladoc during this time. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. How can I find a COVID-19 testing location? What member cost-shares will be waived by Anthems affiliated health plans for virtual care through internet video + audio or telephonic-only care? 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. 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