For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. 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. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Please log in and update your communication preferences to make sure you receive the latest information. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Visit COVIDtests.gov to order your free test kits. We use cookies on this website to give you the best experience and measure website usage. 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 . Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. How does my plan cover the over-the-counter test? We partnered with findhelp, a social care network that connects you with local help. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. font-size: 50px; 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. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. To access your member services, please visit your BCBS company. What codes would be appropriate for COVID-19 lab testing? We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. For members who arent feeling well, telehealth services are available so you can get care at home. The most common early symptoms appear between 2 and 14 days after being infected. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. margin-bottom: 40px; Check the. Members can check their symptoms and connect with a doctor right from their phone. An airway and lung infection, similar to a cold. Our coverage commitment is to ensure our members can quickly access the right care at the right time. COVID-19 vaccines are safe and effective. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. Call us at 888-832-2583 to explore your options. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. Prior authorization is not required for COVID-19 testing. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. No. Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. Please note that the above information applies to Anthems Commercial health plans. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. Cost shares will be waived for in-network providers only. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. 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? Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. 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. . padding: 0.6rem; Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? 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. If your doctor offers telehealth visits, your plan will pay for those, too. 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. Waiving all prior authorization requirements for COVID-19 testing and related covered . Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): 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. Clean and disinfect items and surfaces you touch . From March 19, 2020, through January 11, 2023, Anthem will cover and waive cost shares for telephonic-only visits with in-network providers for our Medicare Advantage plans. 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. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. What financial assistance is available for care providers during the COVID-19 crisis? The over-the-counter tests give results within 30 minutes. 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. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. For the Health of America. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Johns Hopkins University has resources to help you learn more about the disease. 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. No. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. 24/7 access is provided at no cost. 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 . Findings. http://dhcfp.nv.gov/covid19 and the Nevada Health Response website at border-radius: 50%; div.treatment-testing-cont div.motif-icon.motif-user-male-circle:before, Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. How is Anthem reimbursing U.S. Food and Drug Administration (FDA)-approved COVID-19 vaccines? 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. 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. The protection of your privacy will be governed by the privacy policy of that site. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. If it doesnt, we can talk about your options. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). 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. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. 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. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Will Anthem allow Roster Billing for the COVID-19 vaccine? Check out the changes and updates to our plan in 2023. We have resources and partners to help you handle not just everyday needs, but extra ones you may be facing in this outbreak. Anthem will cover the COVID-19 vaccine. Visit the CDC website for the most up-to-date testing guidance. COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. Ordering at-home test kits from Anthem. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. endstream endobj startxref 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. This modifier should be used for evaluation and testing services in any place of service including a physician's office, urgent care, ER or even drive-thru testing once available. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment 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. Some Anthem health plans include LiveHealth Online. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Good health habits can also help prevent and fight COVID-19. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. 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. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. www.cdc.gov/coronavirus. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Out-of-network coverage will be provided where required by law. Here is what the CDC recommends. 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. Anthem members have access to telehealth 24/7 through LiveHealth Online. 2023 Blue Cross Blue Shield Association. Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) Call our 24/7 Nurse Line for COVID-related health questions and advice. If you are not, please use our Test Site Finder to learn about options near you. Anthem is a registered trademark. Heres everything you need to know about it. To learn where you can obtain a test visit the State of New Jerseys. 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. Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. No prior authorizations for diagnostic tests and covered services. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. 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. Heres what the CDC says about COVID-19 vaccine safety. A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, COVID-19 vaccines for youth toolkit available, Monoclonal Antibodies Approved for Treatment of COVID-19 Infection (June 7, 2021), New COVID-19 Vaccine Codes and Vaccine Administration Codes, Medicaid Services Manual Chapter 400 Updated (April 29, 2021), Attention All Providers Performing COVID-19 Diagnostic Testing with Procedure Code 87426 (April 28, 2021), Maximizing efficient, high quality COVID-19 screenings (April 4, 2021), Encounter-Based Providers and COVID-19 Vaccine Billing (March 8, 2021), DHCFP COVID-19 covered services, vaccines, and vaccination prioritization lanes information for members (February 18, 2021), Rate Change for COVID-19 Testing Codes U0003 and U0004 (February 18, 2021), Attention Providers Who Wish to Enroll with Nevada Medicaid to Administer the COVID-19 Vaccine (January 5, 2020), COVID-19 Vaccine Administration Coverage and Billing (January 5, 2020). Please review the terms of use and privacy policies of the new site you will be visiting. 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. Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? Anthem is committed to making sure you can get the care you need. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. cost sharing for visits where the purpose of the visit is to be screened and/or tested for COVID-19, regardless of whether test is administered, beginning March 18, 2020, for members of our employer-sponsored, individual, Medicare and Medicaid plans. 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. Your member ID card is your key to using your medical plan benefits. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. COVID-19 vaccines for youth toolkit available. 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. 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. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Call 911 if you see emergency warning signs like the below. whQf C4[IiKd"3\D.IK^C]&zD"V2. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. Increasing access to prescription medications. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. We know how important it is to continue taking your prescriptions as directed by your doctor. Talk to your doctor to see if a 90-day supply would work for you. Mild to severe fever, cough and shortness of breath. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. You should try to see your PCP or a doctor in your plan. div.treatment-testing-cont div.motif-icon.motif-syringe:before, To help address care providers questions, Anthem has developed the following updates and frequently asked questions. Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. Where permissible, these guidelines apply to FEP members. 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. 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. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. 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. Wash your hands often with soap and water for at least 20 seconds. Taking care of your emotional health is important during this stressful time. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. 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. Many thousands of people across the United States took part in research trials over many months. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. performed during a provider visit that results in an order for, or administration of, diagnostic testing for COVID-19. Download the Sydney Health app. Call the Pharmacy Member Services number on your ID card to find out about your options. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. Wash your hands or use hand sanitizer when entering their house or room. Blue Cross recommends that members contact and work closely with their health care . COVID-19 is a new strain of coronavirus. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. Please review the Medicare and Medicaid specific sites noted below for details about these plans. 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