This is a great time to think about changing any prescription medicines you take on a regular basis from a 30-day supply. What financial assistance is available for care providers during the COVID-19 crisis? Save your receipts when you purchase over-the-counter COVID-19 diagnostic tests. They include fever, cough, and shortness of breath. In Connecticut: Anthem Health Plans, Inc. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. 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). If your doctor isnt available for some reason, well help you find alternate care. independent licensees of the Blue Cross and Blue Shield Association. CMS has provided coding guidelines related to COVID-19 vaccines:https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies. No, prior authorization is not required for diagnostic services related to COVID-19 testing. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. 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. Get Reimbursed for Over-the-Counter COVID-19 Tests. Click below for the latest information for providers: The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), has announced $20 billion in new funding for providers on the frontlines of the Novel Coronavirus (COVID-19) pandemic. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. This modifier should be used for COVID-19 evaluation and testing services in any place of service. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? } 7 insurers (Anthem, Blue Cross Blue Shield of Michigan, Blue . 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. Johns Hopkins University has resources to help you learn more about the disease. 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. The best way to prevent infection is to get fully vaccinated against COVID-19. Hyperlink reference not valid. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. We have established a team of experts to closely monitor developments and how they will impact our members and health care provider partners. We're here to make sure you have the resources and care you need to keep yourself safe and well. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. 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. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. 155 0 obj <>stream What is changing regarding prior authorization requirements? Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. As the number of COVID-19 cases in New Jersey moves in the wrong direction, Horizon Blue Cross Blue Shield of New Jersey will continue to do whats right for our members and communities. Be sure to log in and check your communication preferences. 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. 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. Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. Waiving cost-sharing for COVID-19 testing and treatment. An attending health care provider may order a test. Members can call the number on the back of their identification card to confirm coverage. 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 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. In addition, Anthem has established a team of experts to monitor, assess and help facilitate timely mitigation and response where we have influence as appropriate for the evolving novel coronavirus threat. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. Providers who currently submit electronic claims are encouraged to do so. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. Here is what the CDC recommends. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. No. 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. 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. Page one is in English and page two is in Spanish for each flyer. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. Call the Pharmacy Member Services number on your ID card to find out about your options. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. hbbd```b``:"@&@$2X&9 `2H2?bo X 2X* 0 * }X Were monitoring developments in this area closely and will evaluate how benefits will cover treatments once treatments are approved. Wash your hands often with soap and water for at least 20 seconds. 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. 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. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? For members who arent feeling well, telehealth services are available so you can get care at home. 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. Were working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) 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. Blue Cross recommends that members contact and work closely with their health care . Anthem is a registered trademark. Does Anthem expect any slowdown with claim adjudication because of COVID-19? Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. In case of mass pandemic, how can you ensure that your contracted providers can still provide services? 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. Call our 24/7 Nurse Line for COVID-related health questions and advice. cdc.gov/coronavirus/2019-ncov/about/index.html. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Its part of the same family of coronaviruses that includes the common cold. 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. Cost shares will be waived for emergency services related to COVID-19 testing or screening from either an in-network or out-of-network provider in Colorado. On December 18, 2020, the FDA also approved the Moderna vaccine for EUA for individuals aged 18 years and older. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Providers may submit the COVID-19 Vaccination Roster Billing Form to Availity at https://www.availity.com/ by signing in and submitting the form electronically to the Anthem health plan. What Are Your Thoughts On The Vaccines Against Covid-19? 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