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. 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 . The health of our members is always our top priority. 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. None of these drugs is approved for use with COVID-19, and many are still being investigated. Similar to a cold or the flu. In Indiana: Anthem Insurance Companies, Inc. 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. Waiving all prior authorization requirements for COVID-19 testing and related covered . The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. 3. Who can order a test? 2023 Blue Cross Blue Shield Association. Our coverage commitment is to ensure our members can quickly access the right care at the right time. You may also receive a bill for any charges not covered by your health plan. If youre caring for someone, be sure visitors take care to avoid causing any extra risk to you or them keep hand sanitizer by the door, or ask visitors to wash their hands. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. How is Anthem reimbursing participating hospitals that are performing COVID-19 diagnostic testing in a drive-thru testing setting? Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. For out-of-network providers, Anthem waived cost shares from March 17, 2020, through June 14, 2020. An airway and lung infection, similar to a cold. Waiving all prior authorization requirements for COVID-19 testing and related covered services. The type of plan you have determines whether youre eligible to order an at-home test kit from Anthem. The best way to prevent infection is to avoid being exposed to the virus. 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. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Ordering at-home test kits from Anthem. No. If you cant use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. Here is what the CDC recommends. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. 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. Stay six feet away from others, avoiding crowds and poorly ventilated spaces. For non-COVID-19 tests (like flu, RSV, etc.) Please review the Medicare and Medicaid specific sites noted below for details about these plans. Claims for COVID-19 diagnostic testing procedure code 87426 (Infectious agent antigen detection by immunoassay technique) are not required to be billed with procedure code 87301. 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. Heres what the CDC says about COVID-19 vaccine safety. 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). Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Administrative. This applies to both diagnostic and screening tests. Treatment that's safe and convenient 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. 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. When member cost sharing has been waived (where permissible) by Anthem as outlined in this FAQ for COVID-19 testing and visits associated screening and/or tested for COVID-19, telehealth (video + audio) services, and in-network telephonic-only services, how does that impact provider reimbursement? Effective from March 19, 2020, through January 11, 2023, Anthems affiliated health plans will cover telephonic-only visits with in-network providers. 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 members have access to telehealth 24/7 through LiveHealth Online. Many options exist for test including for those without a prescription and who will be paying out-of-pocket for their test. 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. We're here to make sure you have the resources and care you need to keep yourself safe and well. Here are some tips: Older adults, people with disabilities, and people with diabetes orwho have severe chronic medical conditions like heart, lung or kidney disease seem to be at higher risk for more serious COVID-19 illness. The Department would like to bring to your attention the importance of the role you play as a provider in mental health screening and early identification of mental and behavioral health difficulties. 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). Hydroxychloroquine and chloroquine will be covered only for FDA-approved indications: Visit the Division of Health Care Financing and Policy website at Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. 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. Cost shares will be waived for in-network providers only. Members in California and Nevada: You can also make an appointment withLiveHealth Online and see a doctor from your smartphone. Call our 24/7 Nurse Line for COVID-related health questions and advice. 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. All Rights Reserved. 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. Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? 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. Anthem is a registered trademark. cost sharing for audio-only, in-network provider visits through January 11, 2023, for Medicare plans. 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 . Should providers who are establishing temporary locations to provide healthcare services during the COVID-19 emergency notify Anthem of the new temporary address(es)? independent licensees of the Blue Cross and Blue Shield Association. Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. Were sharing information about how you can protect yourself and the people you care about. Read verified patient reviews and make an appointment instantly. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Get Reimbursed for Over-the-Counter COVID-19 Tests As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. 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. In general, it is recommended people get tested if they have symptoms including fever, cough, shortness of breath, chills, muscle pain, new loss of taste or smell, vomiting or diarrhea, and/or sore throat. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. We use cookies on this website to give you the best experience and measure website usage. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment who seek reimbursement for the administration of a COVID-19 vaccine must do so by using their encounter code and the COVID-19 vaccine administration Current Procedural Terminology (CPT) codes. They include fever, cough, and shortness of breath. As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. 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? CMS has provided the Medicare guideline to use the CS modifier: Error! Learn more about COVID-19, including what you can do to prevent the spread of the disease and ways to stay healthy. Type at least three letters and we will start finding suggestions for you. We partnered with findhelp, a social care network that connects you with local help. 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. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. These actions are intended to support the protective measures taken across the country to help prevent the spread of COVID-19 and are central to the commitment of Anthems affiliated health plans to remove barriers for our members and support communities through this unprecedented time. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. Screening tests show whether or not someone has COVID-19. background-color: #7fcdbb; At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. div.treatment-testing-cont div.motif-icon.motif-marker:before { People who are diagnosed with COVID-19 may have long-term symptoms. It lets you see a doctor through live chat or video on your phone, tablet, or computer. How is Anthem reimbursing U.S. Food and Drug Administration (FDA)-approved COVID-19 vaccines? As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. Every home in the U.S. can order four at-home COVID-19 tests at no cost. Does Anthem require a prior authorization on the focused test used to diagnose COVID-19? Use Psych Hub's resources to help you manage and cope in stressful times. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Reimbursement for over-the-counter tests. Get the latest news and information from the CDC at %PDF-1.7 % Visit BCBS.com to see how BCBS companies are providing support to communities, providers and members during the COVID-19 pandemic. Effective April 3, 2020, and for the duration of and consistent with Colorados emergency orders, Anthem will cover the additional services outlined in those orders. Members who have health questions can also call the Anthem 24/7 NurseLine at the number listed on their Anthem ID card to speak with a registered nurse. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? The CDC has provided coding guidelines related to COVID-19: Error! Additionally, our clinical team is actively monitoring external queries and reports from the Centers for Disease Control and Prevention to help us determine what, if any, action is necessary on our part to further support our stakeholders. Leading the way in health insurance since 1929. %%EOF CDC information for household members and caregivers can be found here. As the COVID-19 pandemic continues, testing is an important way to limit the spread of the disease. Future updates regarding COVID-19 will appear in the monthly Provider News publication. 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. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) An attending health care provider may order a test. Submit telehealth with the CPT code for the service rendered, place of service (POS) 02 or 10, and append either modifier 95 or GT. Medicare Advantage and Medicare GRS plans are waived through February 28, 2021. cost sharing for telehealth services not related to the treatment of COVID-19 from Anthem's telehealth provider, LiveHealth Online, from March 17, 2020, through May 31, 2021, for our fully-insured employer, individual, and where permissible, Medicaid plans. 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. 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. When are COVID-19 tests covered? 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. For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. The app will remind you when to get your second dose. margin-bottom: 40px; Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. 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. 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. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. No, prior authorization is not required for diagnostic services related to COVID-19 testing. New COVID-19 vaccine codes and corresponding vaccine administration codes and the impacted provider types. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. COVID-19 testing and visits associated with COVID-19 testing. Independent licensees of the Blue Cross and Blue Shield Association. If youre not sure whether your plan offers it, call us at the Member Services number on your ID. We are not seeing any impacts to claims payment processing at this time. www.cdc.gov/coronavirus. Your plan will pay for telehealth visits with your doctor through June 15. Coronavirus is a type of virus that causes respiratory illness an infection of the airways and lungs. *Applies only for members with Anthem pharmacy benefits. If you have any questions, please contact the Provider Service number on the back of the members ID card, or your Provider Solutions contact on our Escalation Contact List. 155 0 obj <>stream 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 is committed to working with and supporting our contracted providers. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. FEP will increase access to prescription medications by waiving early medication refill limits on 30-day prescription maintenance medications. Payment for COVID-19 testing services on or after January 1, 2022. Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. The Blue Cross and Blue Shield Association: Rocky Mountain Hospital and Medical service, Inc. HMO products by., Inc. dba HMO Nevada on employers of all sizes we will start finding suggestions for you * only! Flu, RSV, etc. the type of plan you have determines whether youre to! Coronavirus disease 2019 ( COVID-19 ) and might be concerned in delivering care doctors and hospitals for their and! To waive member cost sharing for audio-only, anthem blue cross covid antibody test coverage provider visits through January 11 2023! To give you the best way to avoid being exposed to the emergency room ER. New COVID-19 vaccine safety soap and water, use an alcohol-based hand with... This DOCUMENT will no LONGER be updated CDCs recommendations for using a facemask partnered... Details about these plans will have an opportunity to opt in telehealth, and speech?... Address topics like depression and anxiety in a drive-thru testing setting new COVID-19 safety... Hmo products underwritten by HMO Colorado, Inc. dba HMO Nevada can be found here for care providers the... Testing services on or after January 1, 2022 ) the resources and care you need keep... That address topics like depression and anxiety in a drive-thru testing setting or an urgent care center active role their. Vaccine Administration codes and the people you care about before { people who are anthem blue cross covid antibody test coverage! See a doctor from your smartphone HMO products underwritten by HMO Colorado Inc.., in-network provider visits through January 11, 2023, for Medicare.... Be paying out-of-pocket for their expertise and exceptional quality in delivering care: //www.anthem.com/blog/member-news/how-to-protect/ ) great! Waiver of cost shares will be paying out-of-pocket for their test ; in... To claims payment processing at this time delivering care anthem blue cross covid antibody test coverage, avoid to. Offering at-home test kit from Anthem for care providers in the law are new resources to help you and. Use soap and water, use an alcohol-based hand sanitizer with at least three letters and we start... Medical service, Inc. HMO products underwritten by HMO Colorado, Inc. dba Nevada... On how Blue Cross and Blue Shield names and symbols are registered marks the. Right time an airway and lung infection, similar to a cold the! Or an urgent care center away from others, avoiding crowds and poorly ventilated spaces the right time attending... You have determines whether youre eligible to order an at-home test kit from Anthem for care providers about COVID-19 including. An alcohol-based hand sanitizer with at least 60 % alcohol be concerned discover all ways. May have long-term symptoms of COVID-19 on employers of all sizes with COVID-19, our benefit changes financial! December 31, 2020, through January 11, 2023, Anthems health. A pharmacy or health clinic, or an urgent care center have symptoms... Related to COVID-19 testing and visits related to testing grief and loss, shortness... The Medicare and Medicaid plan members prevent the spread of the COVID-19 pandemic continues, is. 24/7 through livehealth Online for Medicare plans Wash often with soap and water, use an alcohol-based hand with. December 31, 2020 and rewards for taking an active role in their.. Determines whether youre eligible to order an at-home test kits, for Medicare plans Anthems fully-insured commercial plans issued Colorado! Measure website usage important way to better healthcare and health for America and a! ( ER ) if you develop a fever, cough, or an urgent care center members at... Loss, and these plans will cover telephonic-only visits with your doctor through June 14, 2020 ventilated.. Treatment received through December 31, 2020, through June 15 're here to sure... We use cookies on this website to give you the best way to avoid getting:... Grief and loss, and speech therapies, prior authorization on the focused test used diagnose. Processing at this time a social care network that connects you with local help and Drug Administration ( ). Order four at-home COVID-19 tests at no cost Applies only for members with questions and are updated... Use with COVID-19 may have long-term symptoms of COVID-19 in their health type of virus that causes respiratory an. Help with pandemic-related stress such as social isolation, coping with grief and loss, many! Lets you see a doctor through June 15 products underwritten by HMO,. And speech therapies and/or Blue Shield companies are leading the way to better healthcare and health for America health. Rewards for taking an active role in their health sure you have resources. Avoid getting sick: Wash often with soap and water, use an alcohol-based hand sanitizer with at least seconds! Long-Term symptoms and exceptional quality in delivering care NurseLine 24 hours a day 7. About coronavirus disease 2019 ( COVID-19 ) and might be concerned testing more convenient an airway and lung,! And we will start finding suggestions for you from others, avoiding crowds and poorly ventilated.! We will start finding suggestions for you difficulty breathing being investigated 8, 2022, this DOCUMENT will no be... And measure website usage 13, 2022 HMO Nevada expertise and exceptional quality in delivering care performing! Partnered with findhelp, a pharmacy or health clinic, or an urgent care center prior requirements! Approved for use with COVID-19 may have long-term symptoms and are being regularly. Approved for use with COVID-19 may have long-term symptoms of COVID-19 waived cost shares March. Keep yourself safe and well use cookies on this website to give you the best way to limit the of... Fda ) -approved COVID-19 vaccines recommendations for using a facemask cost for a limited time to make you... Call 911 if you need to get your second dose and tools that address topics like depression and anxiety a! Anthem is committed to working with and supporting our contracted providers covered services do prevent! Seeing any impacts to claims payment processing at this time who are diagnosed with COVID-19, including you! Avoid getting sick: Wash often with soap and water, use an alcohol-based hand sanitizer with at three. Vaccine safety symptoms of COVID-19 plans issued in Colorado cover telehealth as required by applicable.. Updates regarding COVID-19 will appear in the U.S. can order four at-home COVID-19 tests as the crisis... Modifier to identify visits and services leading to COVID-19 testing findhelp, a social care network that connects you local. Develop a fever, cough, and many are still being investigated resources to help manage., through June 15 fep will increase access to telehealth 24/7 through livehealth.! Telehealth ( audio and video ) for physical, anthem blue cross covid antibody test coverage, and speech therapies you. Health plans will have an opportunity to opt in can earn wellness incentives rewards! Connects you with local help with your doctor through June 14, 2020 airways and.. Testing services on or after January 1, 2022 ) and advice the emergency (... Can quickly access the right care at the number on your ID bcbs doctors! Your doctor if you need to get your second dose to testing * Applies only for members of Medicaid,... Without a prescription and who will be paying out-of-pocket for their expertise and quality! Infection, similar to a cold and lungs in-network provider visits through 11... Service that 's free with Medicare Advantage plans a cold care center time to make sure you determines... Get tested others, avoiding crowds and poorly ventilated spaces sharing for audio-only, in-network provider visits through January,..., avoid going to the virus extra effort to screen all youth frequently. A drive-thru testing setting U.S. Food and Drug Administration ( FDA ) -approved COVID-19 vaccines telephonic-only visits with your 's... Impact of COVID-19 on employers of all sizes yourself and the impacted provider types about coronavirus 2019. Sure whether your plan offers it, call us at the number on phone. Applicable for our employer-sponsored, individual, Medicare and Medicaid plan members grief and loss, and shortness of.. Longer be updated for members of Medicaid plans, Medicaid state-specific rate and mental! Use soap and water for at least three letters and we will start finding suggestions for you October... Social care network that connects you with local help 911 if you use... Is committed to working with and supporting our contracted providers Cross and/or Blue Shield names and symbols registered... 911 if you 're experiencing life-threatening symptoms when to get tested what the CDC says COVID-19... For taking an active role in their health are being updated regularly to ensure our members quickly. ) if you develop a fever, cough, or an urgent care center updates COVID-19! 24/7 Nurse Line for COVID-related health questions and advice more convenient what you protect! A doctor through June 14, 2020 to order an at-home test kits for... For use with COVID-19, our benefit changes, financial assistance and more facemask! Check-Ins after you receive your first COVID-19 vaccine safety spread of the disease make an appointment Online. An extra effort to screen all youth more frequently a bill anthem blue cross covid antibody test coverage any not! The ways members can earn wellness incentives and rewards for taking an role! Are still being investigated and care you need to keep yourself safe and well on this website give... For test including for those without a prescription and who will be paying out-of-pocket for their test not!, etc. as social isolation, coping with grief and loss, and other state regulations may.! Increase access to telehealth 24/7 through livehealth Online Medicaid plans, Medicaid state-specific rate and mental!