Increasing access to prescription medications. Clean and disinfect items and surfaces you touch . Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. Many thousands of people across the United States took part in research trials over many months. Get the latest information on the COVID-19 vaccines. Symptoms can be mild to severe. 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. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) You can even get them through home delivery pharmacy. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? The health of our members is always our top priority. 132 0 obj
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Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. 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? In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? Additionally, members who have a pharmacy plan that includes a 90-day mail-order benefit should talk to their doctor about whether changing from a 30-day supply to a 90-day supply of their prescriptions is appropriate. The U.S. Department of Health and Human Services (HSS) announced the distribution of approximately $15 billion from the Provider Relief Fund to eligible providers who participate in state Medicaid and the Children's Health Insurance Program (CHIP): On June 9, 2020, the Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced additional distributions from the Provider Relief Fund to eligible Medicaid and Childrens Health Insurance Program (CHIP) providers who participate in state Medicaid and CHIP programs. Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 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. 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 you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Visit the CDC website for the most up-to-date testing guidance. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. All Rights Reserved. border-radius: 50%;
We're here to make sure you have the resources and care you need to keep yourself safe and well. Do you have medicines you take regularly? In Maine: Anthem Health Plans of Maine, Inc. Check out the changes and updates to our plan in 2023. Webinar recording available from Anthem BlueCross and BlueShield for network providers on SBA loans and other federal relief programs in response to COVID-19, Federal resources available for health care providers and employers in the federal CARES Act, Hydroxychloroquine and Chloroquine Diagnosis Requirements on Prescriptions (March 20, 2020). Commercially insured members: 1-888-624-3096, Members covered through Medicaid plans: 1-800-711-5952, SHBP/SEHBP members: 1-800-414-SHBP (7427), Horizon Chat for Care may be available to some members at no cost through the companys free Horizon Blue app and. This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. ET. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. Member Discounts Take advantage of member-only discounts on health-related products and services. Taking care of your emotional health is important during this stressful time. FEP will increase access to prescription medications by waiving early medication refill limits on 30-day prescription maintenance medications. This modifier should be used for COVID-19 evaluation and testing services in any place of service. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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. 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. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. 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. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. Symptoms may appear 2-14 days after being around someone who has 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. cdc.gov/coronavirus/2019-ncov/about/index.html. The best way to prevent infection is to get fully vaccinated against COVID-19. Good health habits can also help prevent and fight COVID-19. Use the. 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. A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. No copays for telehealth services provided by Teladoc. 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. 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). 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 None of these drugs is approved for use with COVID-19, and many are still being investigated. Yes, Anthem will accept Roster Billing from providers and state agencies that are offering mass vaccinations for their local communities. This applies to all members, regardless of the type of health plan they have or which doctor or healthcare professional they choose to visit for COVID-19 vaccination. background-color: #7fcdbb;
Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Where permissible, these guidelines apply to FEP members. Check the CDC website at cdc.gov/coronavirusfor up-to-date information. How can a provider submit Anthems Roster Billing claim form? Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. 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. We are fielding questions about the outbreak from our customers, members, providers and associates. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. Administrative. You do not need a doctors order for the over-the-counter diagnostictest. Can I visit the emergency room for a test? 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. 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). Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. Will Anthem cover telephonic-only services in addition to telehealth via video + audio? What Are Your Thoughts On The Vaccines Against Covid-19? 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. Heres everything you need to know about it. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Otenti said if someone has been near a person with COVID-19 within a two-week time frame, there is also good reason to test for the virus . 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. COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. Were sharing information about how you can protect yourself and the people you care about. Download the Sydney Health app. Prior authorization is not required for COVID-19 testing. . No. The DHCFP is asking for Nevada Medicaid providers to assist with providing these flyers to Nevada Medicaid recipients. COVID-19 vaccines are safe and effective. 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