COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) Telemedicine not only helps members get the care they need, but helps reduce the spread of the coronavirus protecting the health of our members and the doctors and nurses who care for them. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. The 90-day waiver of cost-shares for telephone-only or audio-only applies to in-network providers only. 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. How can I find a COVID-19 testing location? Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. font-size: 50px; Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. border-radius: 50%; Anthem.com and Anthems COVID-19 site (https://www.anthem.com/blog/member-news/how-to-protect/) are great resources for members with questions and are being updated regularly. Be sure to log in and check your communication preferences. This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Anthem is encouraging providers to bill with codes U0001, U0002, U0003, U0004, 86328, 86769, or 87635 based on the test provided. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. How is Anthem reimbursing participating hospitals that are performing COVID-19 diagnostic testing in a drive-thru testing setting? In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? How is Anthem reimbursing U.S. Food and Drug Administration (FDA)-approved COVID-19 vaccines? The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. What you need to know about the disease and our coverage commitment. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Providers should continue to verify eligibility and benefits for all members prior to rendering services. 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. Check the. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. Heres what the CDC says about COVID-19 vaccine safety. COVID-19 vaccines are safe and effective. CDC information for household members and caregivers can be found here. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. 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. In Ohio: Community Insurance Company. whQf C4[IiKd"3\D.IK^C]&zD"V2. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. 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. Avoid close contact with people who are sick. 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. The health of our members is always our top priority. Are you aware of any limitations in coverage for treatment of an illness/virus/disease that is part of a pandemic? Individuals with Intellectual and Developmental Disabilities, Individuals with Mental Health and Substance Use Needs, Individuals Who Need Long-term Services and Support, U.S. Department of State China Travel Advisory, CDC, People at Risk for Serious Illness from COVID-19, Administration for Community Living, Coronavirus, CMS Press Release: President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak. 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. To access your member services, please visit your BCBS company. Mention they have COVID-19 (or symptoms of it). FEP will increase access to prescription medications by waiving early medication refill limits on 30-day prescription maintenance medications. If their symptoms get worse, call their doctor. The app will remind you when to get your second dose. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. Leading the way in health insurance since 1929. If it doesnt, we can talk about your options. Reimbursement is available only during the COVID-19 public health emergency. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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. Anthem is a registered trademark. 0 Researchers from UNR Med, in partnership with the NV Department of Health and Human Services and Immunize NV, are conducting a survey to learn about the public's knowledge about the COVID-19 vaccines. 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 Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. Cover your cough or sneeze with a tissue, and throw away the tissue. Anthem is committed to making sure you can get the care you need. 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 will support you and help you get the care you need. 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. They include fever, cough, and shortness of breath. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. 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. In Maine: Anthem Health Plans of Maine, Inc. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. 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. Wash your hands or use hand sanitizer when entering their house or room. 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. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. } Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. -webkit-border-radius: 50%; No. 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. 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. COVID-19 testing remains an important part of keeping our families and communities safe. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. 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. 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. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. Lets look at the latest information on COVID-19 and how your health care plan can help. Use the. 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. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. Symptoms may appear 2-14 days after being around someone who has COVID-19. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. We are not seeing any impacts to claims payment processing at this time. Download the Sydney Health app. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Heres everything you need to know about it. 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. Cover your coughs and sneezes with tissues; discard the tissues. These trials show the FDA whether a vaccine is safe and effective. 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. Some Anthem health plans include LiveHealth Online. Increasing access to prescription medications. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? Hyperlink reference not valid. The guidance here can make it easier for you to refer your patients to high-quality, lower-cost COVID-19 testing sites, find Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem)-contracted laboratories and identify the proper CPT codes to use. People at most risk of contracting COVID-19 or developing complications of illness are scheduled to receive vaccinations first. No. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. COVID-19 vaccines for youth toolkit available. 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. Through May 31, all BCBS companiesincluding the BCBS Federal Employee Program (FEP)are: It is important that our members feel safe and secure during these unprecedented times, said Scott P. Serota, current president and CEO of the Blue Cross Blue Shield Association. If you have a Medicaid plan with us, you do not have to pay anything for the COVID-19 test or the doctor visit to get the test. The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. To avoid paying any out-of-pocket costs, you must go to an in-network retail pharmacy, take the testing kit to the pharmacy counter and provide your Service Benefit Plan member ID card to the pharmacist and/or pharmacy technician. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. 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. When are COVID-19 tests covered? Your member ID card is your key to using your medical plan benefits. This modifier should be used for COVID-19 evaluation and testing services in any place of service. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. Use Psych Hub's resources to help you manage and cope in stressful times. 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! }. In addition, Anthems telehealth provider, LiveHealth Online, is another safe and effective way for members to see a physician to receive health guidance related to COVID-19 from home via a mobile device or computer with a webcam. They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. Visit your member website for information on how your health plan covers COVID-19 testing. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. Anthem is relaxing early prescription refill limits, where permitted, for members who have Anthem pharmacy benefits and wish to refill a 30-day supply of most maintenance medications early. The best way to prevent infection is to avoid being exposed to the virus. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. Taking care of your emotional health is important during this stressful time. Each state will decide how and when to distribute vaccines. No cost share for diagnostic tests or treatment. 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. People with COVID-19 have had a wide range of reported symptoms, ranging from mild symptoms to severe illness. In addition to Availity.com, providers and state agencies who wish to submit Roster Billing claims can submit paper forms: Is there a specific diagnosis code Anthem would look for on the COVID-19 Vaccination Roster Billing Form? We partnered with findhelp, a social care network that connects you with local help. endstream endobj startxref https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. The protection of your privacy will be governed by the privacy policy of that site. independent licensees of the Blue Cross and Blue Shield Association. 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 Member. Cost shares will be waived for in-network providers only. performed during a provider visit that results in an order for, or administration of, diagnostic testing for COVID-19. The CDC has provided coding guidelines related to COVID-19: Error! Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. Anthems affiliated health plans will waive cost shares for our fully-insured employer, individual, Medicare and Medicaid plan membersinclusive of copays, coinsurance and deductiblesfor COVID-19 test and visits and services during the visit when the purpose of the visit is to be screened and/or tested for COVID-19, including telehealth visits. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing The best way to prevent infection is to get fully vaccinated against COVID-19. No. How can a provider submit Anthems Roster Billing claim form? Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. div.treatment-testing-cont div.motif-icon.motif-marker:before { In Kentucky: Anthem Health Plans of Kentucky, Inc. 111 0 obj <> endobj Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. *If you are a member of a Passive PPO plan, you are able to get care from any provider that accepts Medicare assignment. For more information, view our privacy policy. However, to assist providers our COVID-19 Vaccination Roster Billing Form provides a default Z23 diagnosis code. ET. 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. www.cdc.gov/coronavirus. In Connecticut: Anthem Health Plans, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. -moz-border-radius: 50%; Horizon Blue Cross Blue Shield of New Jersey, Your Guide to No-Cost Testing and Treatment as COVID-19 Surges, COVID-19 Information Hub section on testing, Site-Neutral Payments Would Save Nearly $500 Billion Over 10 Years, Blue Cross Blue Shield Association Statement on Medicare Advantage Risk Adjustment Validation Rule, Blue Cross Blue Shield Association Policy Solutions Could Lower Health Care Costs by $767 Billion, Blue Cross Blue Shield Companies Form Synergie Medication Collective, a New Venture to Radically Improve Affordability and Access to Costly Medications for Millions of Americans, Congress Passes Meaningful Changes to Expand Mental Health Support, Improve Maternal Health, and Lower Costs for Consumers, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. No copays for telehealth services provided by Teladoc. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. Water, use an alcohol-based hand sanitizer before and after touching or feeding someone, touching... Support to communities, providers and members during the COVID-19 public health emergency time to COVID-19! Sneeze with a tissue, and includes additional tax relief taking care of your privacy be. Distribute vaccines care you need to know about the disease and our commitment to ensuring you international... 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