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. .treatment-testing-cont:nth-child(2) { Anthem is offering at-home test kits, for eligible members, at no cost for a limited time to make COVID-19 testing more convenient. Call our 24/7 NurseLine 24 hours a day, 7 days a week, at the number on your ID card. How can I find a COVID-19 testing location? Are there any in-network or out-of-network limitations on these guidelines? Anthem is committed to working with and supporting our contracted providers. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. Screening tests show whether or not someone has COVID-19. We'll also explore the additional care and support available for your protection and everyday needs. 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. Members will pay no deductible, copay or coinsurance for services ranging from doctors visits to hospital stays when their testing or treatment is related to COVID-19. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. What modifier is appropriate to waive member cost sharing for COVID-19 testing and visits related to testing? No prior authorizations for diagnostic tests and covered services. Attention Provider Types 12 (Hospital, Outpatient) and 43 (Laboratory, Pathology Clinical): Rate Change for COVID-19 Testing Codes U0003 and U0004. A diagnostic test is used to determine if a person has COVID-19. independent licensees of the Blue Cross and Blue Shield Association. Findings. 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. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. whQf C4[IiKd"3\D.IK^C]&zD"V2. Need coverage now due to job loss? Call the Pharmacy Member Services number on your ID card to find out about your options. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. 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. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. 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. The DHHS and its Divisions respectfully request that providers make an extra effort to screen all youth more frequently. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Clean and disinfect items and surfaces you touch often with regular household cleaning spray or a wipe. If your doctor recommended you get tested, find a nearby COVID-19 testing site. border-radius: 50%; 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. Out-of-network coverage will be provided where required by law. Anthem is a registered trademark of Anthem Insurance Companies, Inc. At-home test kits are available to eligible Anthem members for a limited time. Testing expansion is urgently required to determine the impact of asymptomatic cases on viral spread. Learn more about COVID-19, including what you can do to prevent the spread of the disease and ways to stay healthy. When are COVID-19 tests covered? In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. If youre experiencing symptoms or if your doctor recommends a test, use our COVID-19 Test Site Finder to search your ZIP Code and find testing options near you. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing 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. 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 . This modifier should be used for COVID-19 evaluation and testing services in any place of service. Anthem Blue Cross and Blue Shield Healthcare Solutions waives cost share for COVID-19 treatment Use of the Anthem websites constitutes your agreement with our Terms of Use. -moz-border-radius: 50%; We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. As an Anthem member, you have access to a wide range of online resources to help you and your family members address emotional health and life challenges. That means members will pay nothing out-of-pocket to take care of their COVID-19-related health needs. Whenever possible, the person with COVID-19 should be alone and using a separate room and/or bathroom. Cover your cough or sneeze with a tissue, and throw away the tissue. 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. 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. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Independent licensees of the Blue Cross and Blue Shield Association. Clean and disinfect frequently touched objects and surfaces like phones, keyboards, and doorknobs. Some Anthem health plans include LiveHealth Online. 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. Were sharing information about how you can protect yourself and the people you care about. Serving residents and businesses in the 28 eastern and southeastern counties of New York State. We are not seeing any impacts to claims payment processing at this time. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. The health of our members is always our top priority. Centers for Disease Control and Prevention: About 2019 Novel Coronavirus (2019-nCoV) (January 28, 2020): Find free videos and tools that address topics like depression and anxiety in a helpful, sympathetic way. Taking care of your emotional health is important during this stressful time. Medicare Advantage members pay no member cost share for LiveHealth Online, regardless of national emergency. For non-COVID-19 tests (like flu, RSV, etc.) COVID-19 vaccines for youth toolkit available. CMS has provided the Medicare guideline to use the CS modifier: Error! Only visit the ER or call 911 if you're experiencing life-threatening symptoms. Increasing access to prescription medications. 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. %PDF-1.7 % 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. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. cost sharing for audio-only, in-network provider visits through January 11, 2023, for Medicare plans. Its part of the same family of coronaviruses that includes the common cold. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? 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. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. No. None of these drugs is approved for use with COVID-19, and many are still being investigated. Johns Hopkins University has resources to help you learn more about the disease. Anthem is a registered trademark. Reimbursement is available only during the COVID-19 public health emergency. Researchers from UNR Med, in partnership with the NV Department of Health and Human Services and Immunize NV, are conducting a survey to learn about the public's knowledge about the COVID-19 vaccines. To avoid paying any out-of-pocket costs, you must go to an in-network retail pharmacy, take the testing kit to the pharmacy counter and provide your Service Benefit Plan member ID card to the pharmacist and/or pharmacy technician. 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. 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. Log in to find out whether youre eligible to order an at-home test kit from Anthem. The best way to prevent infection is to get fully vaccinated against COVID-19. Here are some tips: Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. Your health is important. Heres what the Centers for Disease Control and Prevention says about wearing a facemask. 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. Simply put, if your doctor determines that you should be tested for COVID-19, your out-of-pocket costs for testing will be waived. Visit COVIDtests.gov to order your free test kits. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Hyperlink reference not valid.. Anthem also looks for the CS modifier to identify claims related to evaluation for COVID-19 testing. Information from Anthem for Care Providers about COVID-19 (Updated October 13, 2022). Plus, we will keep you updated as things develop. Anthem members have access to telehealth 24/7 through LiveHealth Online. Wash your hands or use hand sanitizer when entering their house or room. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. This applies to both diagnostic and screening tests. Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. If you have Medicare, you wont pay for your vaccine, Stay Informed About COVID-19 and Prevention, The best way to prevent infection is to avoid exposure to the virus. 2023 Blue Cross Blue Shield Association. Our standard health plan contracts do not have exclusions or limitations on coverage for services for the treatment of illnesses that result from a pandemic. Members can call the Pharmacy Member Services number on their health plan ID card to learn more. 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 Will Anthem cover telephonic-only services in addition to telehealth via video + audio? To help reduce the burden on the states health care facilities and ensure members get the care they need when they need it, the cost-sharing waiver also applies totelemedicine visits, includingtelephonic visits. This includes visits for behavioral health for our fully insured employer plans, individual and Medicaid plans, where permissible. In addition to using a telehealth service, you can receive in-person or virtual care from your own doctor or another healthcare provider in your plan's network. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. 111 0 obj <> endobj Anthem case management nurses are ready to help coordinate care for long-term symptoms of COVID-19. 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. If theres an epidemic, how will you ensure that the doctors in my plan can still provide care? In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc.