BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Need coverage now due to job loss? 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? If you are not, please use our Test Site Finder to learn about options near you. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. We know how important it is to continue taking your prescriptions as directed by your doctor. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. Cost share waiver extends to the end of the public health emergency. For members of Medicaid plans, Medicaid state-specific rate and other state regulations may apply. COVID-19 vaccines for youth toolkit available. No prior authorizations for diagnostic tests and covered services. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. Cover your coughs and sneezes with tissues; discard the tissues. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Out-of-network coverage will be provided where required by law. 3. Who can order a test? Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. What CPT/HCPCS codes would be appropriate to consider for the administration of a COVID-19 vaccines? No. Members can get their test covered at an in-network primary care physician or urgent care center or an in-network or out-of-network emergency room. Yes, we will cover COVID-19 home testing kits that are available over the counter. If an in-network provider is not reasonably available, the cost share waivers will include testing or screening for COVID-19 when received from an out-of-network provider. 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. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing 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. Wash your hands often with soap and water; use hand sanitizer when you cant wash. Clean and disinfect items and surfaces you touch often. Please visit VaccineFinder to find COVID-19 vaccines by ZIP Code, vaccine brand, and availability status. Otenti said if someone has been near a person with COVID-19 within a two-week time frame, there is also good reason to test for the virus . To access your member services, please visit your BCBS company. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Go to the main page on anthem.com/ca to log in and search for a doctor, or call the Member Services number on your ID card. See the Allowed Virtual Services document located on anthem.com/For Providers/Provider Resources/Forms & Guides/Select a State/Allowed Virtual Services (Telehealth/Telemedicine) for allowable codes for telehealth visitsfor physical, occupational and speech therapies for visits coded with place of service (POS) 02 and modifier 95 or GT for our fully-insured employer, individual, Individual, Medicare Advantage plans and Medicaid plans, where permissible. 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. 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. COVID-19 Coverage Expanded to Include Over-the-Counter Kits for Diagnostic Tests. 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. Do a video or phone visit with a doctor or therapist from home. Anthem is a registered trademark of Anthem Insurance Companies, Inc. 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. According to the CDC, vaccination prevents severe illness, hospitalizations, and death. Good health habits can also help prevent and fight COVID-19. 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. Heres everything you need to know about it. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. What codes would be appropriate to consider for a telehealth visit with a patient who wants to receive health guidance during the COVID-19 crisis? Making healthcare affordable. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. In Kentucky: Anthem Health Plans of Kentucky, Inc. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. View insurance accepted, education, awards, and specialties for NeuMed Modern Urgent Care + IV Therapy - Heights - Virtual. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Anthem is a registered trademark. Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. Anthem covers COVID-19 diagnostic tests for all members with no out-of-pocket costs. In Ohio: Community Insurance Company. Our coverage commitment is to ensure our members can quickly access the right care at the right time. Anthem recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. Talk to your doctor to see if a 90-day supply would work for you. Effective March 17, 2020, through September 30, 2020, unless a longer period is required by law, Anthems affiliated health plans will waive member cost share for telehealth (video + audio) in-network visits, including visits for behavioral health, for our fully-insured employer plans and individual plans. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. 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 If their symptoms get worse, call their doctor. If you have employer coverage, or an individual or family plan, you can get over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSIL/Prime Therapeutics pharmacy benefits. For non-COVID-19 tests (like flu, RSV, etc.) Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. If your plan offers LiveHealth Online, just log in at anthem.com/ca to use it. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. 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. Focusing solely on testing symptomatic patients may not be sufficient to prevent further transmission of COVID-19. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. Is Anthems vendor, LiveHealth Online, prepared for the number of visits that will increase to telehealth? 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. 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.. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): Wash your hands often with soap and water for at least 20 seconds. 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. All Rights Reserved. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. After that time, standard Medicare and Medicare Supplement cost sharing and coverage will apply. Similar to a cold or the flu. Administration for Community Living: COVID-19 and what you need to know, Members with Cal MediConnect plans (Los Angeles County), Members with Cal MediConnect plans (Santa Clara County), You can still use in-person diagnostic COVID-19 testing sites. Independent licensees of the Blue Cross and Blue Shield Association. Call us at 888-832-2583 to explore your options. Cover your cough or sneeze with a tissue, and throw away the tissue. Providers can print double-sided or email these flyers to Nevada Medicaid recipients. The health of our members is always our top priority. 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. Psych Huboffers resources to help with pandemic-related stress such as social isolation, coping with grief and loss, and other mental health issues. The Blue Cross name and symbol are registered marks of the Blue Cross Association 2023 Anthem Blue Cross. border-radius: 50%; Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. Use our test Site Finder to learn about options near you that will to. 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