Wash your hands often with soap and water for at least 20 seconds. Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. Payment for COVID-19 testing services on or after January 1, 2022. Our actions should reduce barriers to seeing a physician, getting tested and maintaining adherence to medications for long-term health issues. Download the Sydney Health app. This extension applies to Horizon BCBSNJs fully insured members, including those covered through Medicaid, Medicare Advantage, Individual and Small Group policies. For members who arent feeling well, telehealth services are available so you can get care at home. 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. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. Arrive in 2 to 5 business days. This applies to both diagnostic and screening tests. Anthem is a registered trademark. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. 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. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. We are fielding questions about the outbreak from our customers, members, providers and associates. If their symptoms get worse, call their doctor. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. Out-of-network coverage will be provided where required by law. 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. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Research shows the COVID-19 vaccination will help keep you from getting COVID-19. Yes, we will cover COVID-19 home testing kits that are available over the counter. 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. Please note this coverage does not apply to LiveHealth Online visits. You do not need a doctors order for the over-the-counter diagnostictest. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. See how the Centers for Disease Control and Prevention (CDC) is closely monitoring the COVID-19 outbreak. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? 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. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. Where permissible, these guidelines apply to FEP members. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. 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. Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. whQf C4[IiKd"3\D.IK^C]&zD"V2. No. 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. The health of our members is always our top priority. You should try to see your PCP or a doctor in your plan. Are COVID-19 tests covered? What is changing regarding prior authorization requirements? 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 . Get the latest news and information from the CDC at Similar to a cold or the flu. By continuing to use this website, you consent to these cookies. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. What financial assistance is available for care providers during the COVID-19 crisis? 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. Many plans include telephone care benefits during this public health emergency. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. cdc.gov/coronavirus/2019-ncov/about/index.html. Your member ID card is your key to using your medical plan benefits. 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. What diagnosis codes would be appropriate to consider for a patient with known or suspected COVID-19 for services where a members cost shares are waived? cost sharing for telephonic-only in-network visits from March 19, 2020, through January 11, 2023, for fully-insured employer-sponsored, individual and Medicaid plans. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. 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. The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. If you are not, please use our Test Site Finder to learn about options near you. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. Heres what the CDC says about COVID-19 vaccine safety. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. An attending health care provider may order a test. Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. 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. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. Prior authorization is not required for COVID-19 testing. At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. COVID-19 is a new strain of coronavirus. Page one is in English and page two is in Spanish for each flyer. -webkit-border-radius: 50%; In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Anthem members will receive the COVID-19 vaccination at no cost, Anthem will help you coordinate COVID-19 care, Anthems alternative virtual care offerings, Prescription Medications and Pharmacy Services, Take advantage of emotional and mental health support. -moz-border-radius: 50%; BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 3. Who can order a test? You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. 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. 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 Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. 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. Cost share waiver extends to the end of the public health emergency. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. You can even get them through home delivery pharmacy. Clean and disinfect items and surfaces you touch . Please log in and update your communication preferences to make sure you receive the latest information. 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). Serving California. No. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment Will Anthem cover telephonic-only services in addition to telehealth via video + audio? CDC information for household members and caregivers can be found here. What Are Your Thoughts On The Vaccines Against Covid-19? On April 30, 2020, we hosted a webinar to share information and resources with network providers regarding opportunities to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers. Anthem will waive cost-sharing requirements for testing and the cost of the testing, and for emergency services related to COVID-19 screening or testing from any provider. Call our 24/7 Nurse Line for COVID-related health questions and advice. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Members in California and Nevada: You can also make an appointment withLiveHealth Online and see a doctor from your smartphone. The Centers for Disease Control and Prevention (CDC) provides guidelines for who should get a diagnostic test and when based on your current health, your vaccination status, and your history of infection. If you have a Medicare Advantage, Medicare Supplement or MMP plan, or Medicaid from us, your plan covers sick visits and tests. 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 Waiving cost-sharing for COVID-19 testing and treatment. 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. This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? Call the National Information Center weekdays from 8 a.m. to 8 p.m. 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. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Does Anthem require a prior authorization on the focused test used to diagnose COVID-19? The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. 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. Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. 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. 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. div.treatment-testing-cont div.motif-icon.motif-marker:before { An airway and lung infection, similar to a cold. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. . } Heres what the Centers for Disease Control and Prevention says about wearing a facemask. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing Does Anthem expect any slowdown with claim adjudication because of COVID-19? Check the CDC website at cdc.gov/coronavirusfor up-to-date information. Yes, Anthem will accept Roster Billing from providers and state agencies that are offering mass vaccinations for their local communities. Lets look at the latest information on COVID-19 and how your health care plan can help. Each state will decide how and when to distribute vaccines. This includes covered visits for mental health or substance use disorders and medical services, for our fully-insured employer plans, individual plans and Medicaid plans, where permissible. Symptoms may appear 2-14 days after being around someone who has COVID-19. 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. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Eligible members can find an in-network doctorhereor access HorizonCareOnline through the Horizon Blue app,www.horizoncareonline.com, orwww.HorizonBlue.com. The best way to prevent infection is to avoid being exposed to the virus. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. COVID-19 vaccines for youth toolkit available. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. 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 . 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. 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. 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