Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. }. Here is what the CDC recommends. This modifier should be used for COVID-19 evaluation and testing services in any place of service. How does my plan cover the over-the-counter test? This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. The best way to prevent infection is to avoid being exposed to the virus. 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. 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. 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. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. There are no delivery charges for members who use Anthems Home Delivery Pharmacy. 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? Navigate COVID-19 challenges like social isolation and job loss with a free mental health resource hub, powered by Psych Hub and supported by Anthem. 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. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? How is Anthem reimbursing participating hospitals that are performing COVID-19 diagnostic testing in a drive-thru testing setting? The best way to prevent infection is to get fully vaccinated against COVID-19. Read verified patient reviews and make an appointment instantly. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. Call us at 888-832-2583 to explore your options. 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. COVID-19 diagnostic tests, including serology or antibody tests, and visits to get the test, for the duration of the public emergency. What Are Your Thoughts On The Vaccines Against Covid-19? At this time, about half of the insurers reviewed are implementing their testing coverage policy using only reimbursement. padding: 0.6rem; COVID-19 testing remains an important part of keeping our families and communities safe. The over-the-counter tests give results within 30 minutes. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Does Anthem require use of a contracted provider for the COVID-19 lab test in order for waiver of the members cost share to apply? If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. endstream endobj startxref div.treatment-testing-cont div.motif-icon.motif-syringe:before, What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. This applies to both diagnostic and screening tests. 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. Independent licensees of the Blue Cross and Blue Shield Association. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. 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. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. Similar to a cold or the flu. Leading the way in health insurance since 1929. 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. Member Discounts Take advantage of member-only discounts on health-related products and services. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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. Members in California and Nevada: You can also make an appointment withLiveHealth Online and see a doctor from your smartphone. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X If your doctor offers telehealth visits, your plan will pay for those, too. cost sharing for COVID-19 diagnostic tests as deemed medically necessary by a healthcare clinician who has made an assessment of a patient, including serology or antibody tests, for members of our employer-sponsored, individual, Medicare and Medicaid plans. Our coverage commitment is to ensure our members can quickly access the right care at the right time. 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. Many thousands of people across the United States took part in research trials over many months. And let them know if youve been in close contact with a person known to have COVID-19, or if you live in or have recently traveled to an area where the virus has spread. Please note this coverage does not apply to LiveHealth Online visits. 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. Medicaid members in California and Nevada: You can also see a doctor from your smartphone or tablet through LiveHealth Online. independent licensees of the Blue Cross and Blue Shield Association. The electronic process is the quickest way to get the claims to Anthem. A diagnostic test is used to determine if a person has COVID-19. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 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. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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). Anthem is a registered trademark of Anthem Insurance Companies, Inc. Taking care of your emotional health is important during this stressful time. 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. 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. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Please be advised that, while awaiting further guidance from the Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS) regarding SB510, Anthem Blue Cross will pay Medi-Cal claims for COVID-19 testing incurred on or after January 1, 2022, according . If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. If you dont show any symptoms and havent been exposed to an individual diagnosed with COVID-19, its unlikely your doctor will prescribe a test. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. COVID-19 screening related tests (e.g., influenza tests, blood tests, etc.) Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. The app will remind you when to get your second dose. You can even get them through home delivery pharmacy. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Symptoms may appear 2-14 days after being around someone who has COVID-19. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. 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. 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). Were sharing information about how you can protect yourself and the people you care about. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. Anthems enterprise wide business continuity program includes recovery strategies for critical processes and supporting resources, automated 24/7 situational awareness monitoring for our footprint and critical support points, and Anthems Virtual Command Center for Emergency Management command, control and communication. Screening tests show whether or not someone has COVID-19. Call our 24/7 Nurse Line for COVID-related health questions and advice. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 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? Good health habits can also help prevent and fight COVID-19. 155 0 obj <>stream .treatment-testing-cont:nth-child(2) { Anthems affiliated health plans are committed to help provide increased access to care, while eliminating costs and help alleviate the added stress on individuals, families and the nations healthcare system. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. Anthem is committed to helping our members gain timely access to care and services in a way that places the least burden on the health care system. Visit your member website for information on how your health plan covers COVID-19 testing. For COVID-19 treatments via telehealth visits, Anthems affiliated health plans will cover telehealth and telephonic-only visits from in-network providers and will waive cost shares through January 31, 2021. For the most up-to-date information about the changes FEP is making, go to https://www.fepblue.org/coronavirus. 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