Anthem is committed to making sure you can get the care you need. Please review the Medicare and Medicaid specific sites noted below for details about these plans. Are you aware of any limitations in coverage for treatment of an illness/virus/disease that is part of a pandemic? Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. 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. 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. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. However, since COVID-19 is a new disease, scientists around the globe are racing to learn more about it. 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. In Maine: Anthem Health Plans of Maine, Inc. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Anthem looks for the CS modifier to identify visits and services leading to 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. If you are, youll be able to place an order. Visit COVIDtests.gov to order your free test kits. Mild to severe fever, cough and shortness of breath. CMS has provided the Medicare guideline to use the CS modifier: Error! Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. HHS is also announcing an additional distribution of Provider Relief Funds to safety net hospitals: Anthem is closely monitoring COVID-19 developments and what it means for our customers and our health care provider partners. 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. 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? The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? Anthem will cover the administration of COVID-19 vaccines with no cost share for in- and out-of-network providers, during the national public health emergency, and providers are not permitted under the federal mandate to balance-bill members. Several recent media reports have focused on new and existing antiviral drugs being tested for use in treating COVID-19. Check out the changes and updates to our plan in 2023. Can I visit the emergency room for a test? Members can call the number on the back of their identification card to confirm coverage. Please note that the above information applies to Anthems Commercial health plans. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. Do a video or phone visit with a doctor or therapist from home. No. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. Anthem will cover the COVID-19 vaccine. For the Health of America. 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. If you are not, please use our Test Site Finder to learn about options near you. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. *Applies only for members with Anthem pharmacy benefits. Cost shares will be waived for in-network providers only. For telehealth services rendered by a facility provider, report the CPT/HCPCS code with the applicable revenue code as would normally be done for an in-person visit, and also append either modifier 95 or GT. 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. 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. 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). Anthem Blue Cross and Blue Shield Healthcare Solutions Member. 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. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. Ordering at-home test kits from Anthem. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. Update your email address and choose the email option under Helpful Information to stay informed on COVID-19. We have resources and partners to help you handle not just everyday needs, but extra ones you may be facing in this outbreak. 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. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. 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. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. 155 0 obj <>stream You can even get them through home delivery pharmacy. endstream endobj 112 0 obj <>/Metadata 8 0 R/Pages 109 0 R/StructTreeRoot 23 0 R/Type/Catalog/ViewerPreferences 133 0 R>> endobj 113 0 obj <>/MediaBox[0 0 612 792]/Parent 109 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 114 0 obj <>stream Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. font-size: 50px; Anthem is monitoring COVID-19 developments and what they mean for our associates and those we serve. 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). Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. Confusion; bluish lips or face; or unconsciousness. We'll also explore the additional care and support available for your protection and everyday needs. Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is covered under certain conditions. Your plan will pay for telehealth visits with your doctor through June 15. What Are Your Thoughts On The Vaccines Against Covid-19? Get Reimbursed for Over-the-Counter COVID-19 Tests. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. 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. 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 . The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. cost sharing for telehealth in-network visits for COVID-19 treatment from March 17, 2020, through January 31, 2021, including visits for behavioral health, for our fully-insured employer, individual plans, and where permissible, Medicaid. Making healthcare affordable. COVID-19 testing and visits associated with COVID-19 testing. 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