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. No prior authorizations for diagnostic tests and covered services. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. } For non-COVID-19 tests (like flu, RSV, etc.) Are there any in-network or out-of-network limitations on these guidelines? 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. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. div.treatment-testing-cont div.motif-icon.motif-marker:before { Cant reach your doctor? -moz-border-radius: 50%; Mild to severe fever, cough and shortness of breath. 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. Please note that the following information applies to Anthem Blue Cross and Blue Shields (Anthem) Commercial health plans. What codes would be appropriate for COVID-19 lab testing? 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. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. Check the. 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. Cost shares will be waived for in-network providers only. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. Anthem will waive member cost shares for COVID-19 lab tests performed by participating and non-participating providers. 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. Leading the way in health insurance since 1929. Do a video or phone visit with a doctor or therapist from home. This information can be found in theFederal Resources Available for Care Providers and Employers in the Federal CARES Actarticle in AnthemProvider News. Good health habits can also help prevent and fight COVID-19. Oct 13, 2022 As hospitals and emergency departments are overwhelmed, avoid going to the emergency room (ER) if you need to get tested. administered as part of determining the need for COVID-19 testing, the provider should submit the established codes appropriate for such testing. If you have questions about your COVID-19 benefits, please call the Member Services number on your ID card. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. 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. Call the National Information Center weekdays from 8 a.m. to 8 p.m. 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. 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. 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. Cost share waiver extends to the end of the public health emergency. What can I do to keep from running out of medication? FEP will waive copays for all virtual doctor visits by Teladoc during this time. Can I visit the emergency room for a test? The U.S. Department of Health and Human Services (HSS) announced the distribution of approximately $15 billion from the Provider Relief Fund to eligible providers who participate in state Medicaid and the Children's Health Insurance Program (CHIP): On June 9, 2020, the Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced additional distributions from the Provider Relief Fund to eligible Medicaid and Childrens Health Insurance Program (CHIP) providers who participate in state Medicaid and CHIP programs. Visit COVIDtests.gov to order your free test kits. 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. 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. 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. Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. Are there any prescription drugs that can be used to treat COVID-19? In Maine: Anthem Health Plans of Maine, Inc. margin-bottom: 40px; A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. Need coverage now due to job loss? To access your member services, please visit your BCBS company. No cost share for diagnostic tests or treatment. In addition, Anthem will waive member cost shares for a limited set of remote monitoring codes (99453, 99454, 99457, or 99091) with in-network providers for visits coded with POS 02 and modifier 95 or GT. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Are COVID-19 tests covered? No. 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). The electronic process is the quickest way to get the claims to Anthem. Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. 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. Clean surfaces often, like countertops, doorknobs, light switches, faucets and more. Providers should continue to submit claims specifying the services provided using the providers primary service address along with current tax ID number. Included in the law are new resources to address the economic impact of COVID-19 on employers of all sizes. This is applicable for our employer-sponsored, individual, Medicare and Medicaid plan members. 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. Symptoms may appear 2-14 days after being around someone who has COVID-19. Get Reimbursed for Over-the-Counter COVID-19 Tests. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. Member Discounts Take advantage of member-only discounts on health-related products and services. Every home in the U.S. can order four at-home COVID-19 tests at no cost. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? 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. It also lets you notify the CDC of any side effects you may experience. 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. What you need to know about the disease and our coverage commitment. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. . Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. COVID-19 is a new strain of coronavirus. Good health habits can also help prevent and fight COVID-19. 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. Pain or pressure in the chest that wont go away. In Kentucky: Anthem Health Plans of Kentucky, Inc. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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. 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. 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. 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. 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. Where permissible, these guidelines apply to FEP members. background-color: #7fcdbb; In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. 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