The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. Diagnostic tests are for people who have symptoms of COVID-19. 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. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. If you have questions or would like help finding testing, please call the Member Services number on your ID card. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Findings. Get the latest news and information from the CDC at Each state will decide how and when to distribute vaccines. The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. Based on standard AMA and HCPCS coding guidelines, for participating hospitals with a lab fee schedule, Anthem will recognize the codes 87635 and U0002, and will reimburse drive thru COVID-19 tests according to the lab fee schedule inclusive of member cost-share amounts waived by Anthem. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. 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. Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? People at most risk of contracting COVID-19 or developing complications of illness are scheduled to receive vaccinations first. Our clinical team is actively monitoring external queries and reports from the Centers for Disease Control and Prevention (CDC) to help us determine what action is necessary on our part. 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. ET. Wash your hands or use hand sanitizer when entering their house or room. Good health habits can also help prevent and fight COVID-19. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. 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. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. However, to assist providers our COVID-19 Vaccination Roster Billing Form provides a default Z23 diagnosis code. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. The CDC has provided coding guidelines related to COVID-19: Error! Anthem members have access to telehealth 24/7 through LiveHealth Online. The electronic process is the quickest way to get the claims to Anthem. CDC information for household members and caregivers can be found here. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. 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. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. Clean and disinfect items and surfaces you touch . Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. font-size: 50px; Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. 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. The best way to prevent infection is to avoid being exposed to the virus. We are waiving your costs for telehealth visits with your doctor through January 31, 2021. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. If it doesnt, we can talk about your options. Symptoms can be mild to severe. No. 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. We're here to make sure you have the resources and care you need to keep yourself safe and well. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. div.treatment-testing-cont div.motif-icon.motif-syringe:before, Avoid close contact with people who are sick. Research shows the COVID-19 vaccination will help keep you from getting COVID-19. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. We know how important it is to continue taking your prescriptions as directed by your doctor. Pain or pressure in the chest that wont go away. Anthem is committed to making sure you can get the care you need. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). Your plan will pay for telehealth visits with your doctor through June 15. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. We are not seeing any impacts to claims payment processing at this time. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) This information can be found in the, March 2023 Anthem Provider News - Colorado, February 2023 Anthem Provider News - Colorado, Working with Anthem webinars - January 2023 overview, Telephonic-only care allowance extended through April 11, 2023 - Colorado, January 2023 Anthem Provider News - Colorado, https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies, Allowed Virtual Services (Telehealth/Telemedicine), https://www.anthem.com/blog/member-news/how-to-protect/, https://www.anthem.com/docs/public/inline/COV19_BillRoster_ABCBS.pdf, Federal Resources Available for Care Providers and Employers in the Federal CARES Act, COVID-19 Information Colorado Publication RETIRED as of November 8, 2022. cost sharing for the treatment of COVID-19 from April 1, 2020, through January 31, 2021, for members of our fully-insured employer, Individual, Medicare Advantage and Medicaid plans. 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. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. For non-COVID-19 tests (like flu, RSV, etc.) 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. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. Check the. Do a video or phone visit with a doctor or therapist from home. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. Your health is important. 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. Our actions are intended to support the protective measures taken across the country to help prevent the spread of COVID-19 and reduce barriers to seeing a doctor, getting tested and maintaining adherence to medications for long-term health issues. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. No. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? People who are diagnosed with COVID-19 may have long-term symptoms. 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. Similar to a cold or the flu. 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. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. At-home test kits from Anthem: Are FDA-authorized. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. COVID-19 testing remains an important part of keeping our families and communities safe. Log in to find out whether youre eligible to order an at-home test kit from Anthem. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. The most common early symptoms appear between 2 and 14 days after being infected. Will Anthem allow Roster Billing for the COVID-19 vaccine? 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. Serving California. 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. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Other self-insured health plans are responsible for the specific plan designs they choose to offer to their employees, and we will continue to work with them to administer their plan designs as directed. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. No cost share for diagnostic tests or treatment. 3. Who can order a test? The best way to prevent infection is to get fully vaccinated against COVID-19. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. 24/7 access is provided at no cost. whQf C4[IiKd"3\D.IK^C]&zD"V2. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. To ensure you have access to the right care at the right time, FEP is waiving cost shares and prior authorization to support members care for COVID-19. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. 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. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. The health of our members is always our top priority. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. To learn where you can obtain a test visit the State of New Jerseys. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. . Members can check their symptoms and connect with a doctor right from their phone. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. How is Anthem reimbursing U.S. Food and Drug Administration (FDA)-approved COVID-19 vaccines? Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. Please note that the above information applies to Anthems Commercial health plans. 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. Find free and reduced-cost support for food, transportation, housing, health and more. No. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. Type at least three letters and we will start finding suggestions for you. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Call the Pharmacy Member Services number on your ID card to find out about your options. 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. Taking care of your emotional health is important during this stressful time. 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. 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. You can get 90-day supplies of most prescription medicines, depending on your plans pharmacy benefits. Anthem is committed to working with and supporting our contracted providers. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. 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. . What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? 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. Are there any in-network or out-of-network limitations on these guidelines? That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? 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. People with COVID-19 have had a wide range of reported symptoms, ranging from mild symptoms to severe illness. 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. Are there any prescription drugs that can be used to treat COVID-19? Screening tests show whether or not someone has COVID-19. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. 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. 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 The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. 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. 31, 2020 testing is an important part of keeping our families and communities safe COVID-19 Error! 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anthem blue cross covid antibody test coverage