Were sharing information about how you can protect yourself and the people you care about. What codes would be appropriate for COVID-19 lab testing? The app will remind you when to get your second dose. Here is what the CDC recommends. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Anthem is a registered trademark. Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. 0 Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. Check your COVID-19 benefits by using the Sydney Health or Engage Wellbeing mobile app, logging into anthem.com/ca, or calling the Member Services number on your ID card. Your health is important. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? .treatment-testing-cont:nth-child(2) { The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. %%EOF 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! Book an appointment online now with NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual of Houston, TX (77057). The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. We'll also explore the additional care and support available for your protection and everyday needs. 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. Wash your hands or use hand sanitizer when entering their house or room. 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. 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. Members can call the number on the back of their identification card to confirm coverage. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. 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. 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. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. COVID-19 is a new strain of coronavirus. Will Anthem allow Roster Billing for the COVID-19 vaccine? 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. 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. A diagnostic test is used to determine if a person has COVID-19. An attending health care provider may order a test. 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.. Confusion; bluish lips or face; or unconsciousness. 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. Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. performed during a provider visit that results in an order for, or administration of, diagnostic testing for COVID-19. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. For the Health of America. It also lets you notify the CDC of any side effects you may experience. While a test sample cannot be obtained through a telehealth visit, the telehealth provider can help you get to a provider who can do so. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. 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. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. No cost share for diagnostic tests or treatment. 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. Call the National Information Center weekdays from 8 a.m. to 8 p.m. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. 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. }. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. What codes would be appropriate to consider for a telehealth visit with a patient who wants to receive health guidance during the COVID-19 crisis? Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. 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. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. Oct 13, 2022 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. Anthem members have access to telehealth 24/7 through LiveHealth Online. If their symptoms get worse, call their doctor. 2023 Blue Cross Blue Shield Association. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. Lets look at the latest information on COVID-19 and how your health care plan can help. Find free and reduced-cost support for food, transportation, housing, health and more. For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. If you have questions or would like help finding testing, please call the Member Services number on your ID card. 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. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? Screening tests show whether or not someone has COVID-19. 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. Visit your member website for information on how your health plan covers COVID-19 testing. Research shows the COVID-19 vaccination will help keep you from getting COVID-19. Taking care of your emotional health is important during this stressful time. You can even get them through home delivery pharmacy. You'll need to submit them when you apply for reimbursement. If your doctor isnt available for some reason, well help you find alternate care. Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is covered under certain conditions. We know how important it is to continue taking your prescriptions as directed by your doctor. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. Members in California and Nevada: You can also make an appointment withLiveHealth Online and see a doctor from your smartphone. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. 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. Check the. In Maine: Anthem Health Plans of Maine, Inc. Mild to severe fever, cough and shortness of breath. No. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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. Cost shares will be waived for in-network providers only. If you have specific questions about the medicine you take, call the pharmacy services number on your member ID card.*. Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Download the Sydney Health app. They also are for people who have no symptoms but know or suspect that they have recently been exposed to someone who has COVID-19. 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. For members of Medicare Advantage plans, CMS issued guidance that the COVID-19 vaccine administration should be billed by providers to the CMS Medicare Administrative Contractor (MAC) using product-specific codes for each vaccine approved. These actions are intended to support the protective measures taken across the country to help prevent the spread of COVID-19 and are central to the commitment of Anthems affiliated health plans to remove barriers for our members and support communities through this unprecedented time. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. This modifier should be used for COVID-19 evaluation and testing services in any place of service. 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 . As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. If your doctor offers telehealth visits, your plan will pay for those, too. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Yes, but coverage for testing varies by plan. 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. How does my plan cover the over-the-counter test? To access your member services, please visit your BCBS company. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. 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? If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. Blue Cross recommends that members contact and work closely with their health care . We partnered with findhelp, a social care network that connects you with local help. 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). In general, it is recommended people get tested if they have symptoms including fever, cough, shortness of breath, chills, muscle pain, new loss of taste or smell, vomiting or diarrhea, and/or sore throat. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. Heres everything you need to know about it. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. %PDF-1.7 % We have resources and partners to help you handle not just everyday needs, but extra ones you may be facing in this outbreak. 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. Anthem is a registered trademark. 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. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. Member Discounts Take advantage of member-only discounts on health-related products and services. cdc.gov/coronavirus/2019-ncov/about/index.html. You can get 90-day supplies of most prescription medicines, depending on your plans pharmacy benefits. 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. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. You do not need a doctors order for the over-the-counter diagnostictest. 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. Do you have medicines you take regularly? Anthem Blue Cross and Blue Shield Healthcare Solutions Member. Members can check their symptoms and connect with a doctor right from their phone. 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 offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Every home in the U.S. can order four at-home COVID-19 tests at no cost. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. CDC information for household members and caregivers can be found here. Be sure to log in and check your communication preferences. Ordering at-home test kits from Anthem. Prior authorization is not required for COVID-19 testing. Our coverage commitment is to ensure our members can quickly access the right care at the right time. independent licensees of the Blue Cross and Blue Shield Association. 111 0 obj <> endobj Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. Anthem members also can call the Anthem 24/7 NurseLine at the number listed on their Anthem ID card to speak with a registered nurse about health questions. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. Serving California. Anthem is encouraging providers to bill with codes U0001, U0002, U0003, U0004, 86328, 86769, or 87635 based on the test provided. Each state will decide how and when to distribute vaccines. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. 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. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. 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 Please review the Medicare and Medicaid specific sites noted below for details about these plans. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. 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. No. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. Cover your coughs and sneezes with tissues; discard the tissues. An airway and lung infection, similar to a cold. If it doesnt, we can talk about your options. Making healthcare affordable. At-home test kits from Anthem: Are FDA-authorized. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Clean and disinfect frequently touched objects and surfaces like phones, keyboards, and doorknobs. 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. Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. 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 . Clean and disinfect items and surfaces you touch . 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. It lets you see a doctor through live chat or video on your phone, tablet, or computer. 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. The protection of your privacy will be governed by the privacy policy of that site. 155 0 obj <>stream Good health habits can also help prevent and fight COVID-19. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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. Some Anthem health plans include LiveHealth Online. 3. Who can order a test? Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Leading the way in health insurance since 1929. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. No. Are there any prescription drugs that can be used to treat COVID-19? If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. background-color: #7fcdbb; What Are Your Thoughts On The Vaccines Against Covid-19? 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. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. All Rights Reserved. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. We are fielding questions about the outbreak from our customers, members, providers and associates. Does Anthem expect any slowdown with claim adjudication because of COVID-19? As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. ET. Yes, Anthem will accept Roster Billing from providers and state agencies that are offering mass vaccinations for their local communities. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. 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. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. FEP will now reimburse up to 8 over-the-counter COVID-19 tests per member on a contract per calendar month. None of these drugs is approved for use with COVID-19, and many are still being investigated. 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. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. All Rights Reserved. padding: 0.6rem; 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. Need to notify anthem of temporary addresses for providing Healthcare services during the COVID-19 crisis of fear, because have! And providers Discounts on health-related products and services leading to COVID-19 testing requires unless... 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