Updated February 9 2021 1. The objectives of Anthem Blue Cross Telehealth program are to.
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We make our reimbursement policies available to health care professionals as part of Anthems commitment to transparency.
Anthem telehealth policy. Anthem is making adjustments in our policy in the provision of these telephonic-only services to address the need for expanded access outside of telehealth audio video to include telephonic only visits with in-network providers and out-of. COVID Telehealth Payment Policies Comparison Between Medicare FFS and Other Payors. The telehealth services are mandated by state or federal law 3.
Providers that are eligible pursuant to Connecticut regulatory requirements may also be eligible for telehealth services reimbursement effective March 17. Increase access to care in rural areas Improve timeliness to diagnosis and treatment planning Improve quality of care Support the continued education and retention of rural providers Telehealth is a health care delivery method that applies high-speed telecommunication. Policies Guidelines Manuals.
Anthem will cover telephonic-only medical and behavioral health services from in-network providers and out-of-network providers when required by state law. Payor Payor COVID Payment Policy Website Effective Dates Payment Parity Between Audio Visual and In Person Visits Payment Parity Between Audio Only Phone Calls and In Person Visits CPT. Anthem also recommends members use telehealth when possible as it can help prevent them from spreading a virus further within a physical clinical setting.
Anthem members have access to this service through our telemedicine partner LiveHealth Online. Our clinical team is actively monitoring external queries and reports from the Centers for Disease Control and Prevention CDC to help us determine what action is necessary on our part. Anthem telehealth and telemedicinepolicy.
The telehealth services are provided by a participating provider in one or more of the Health Plans networks listed in the Health Plans provider directory and contracted with the Health Plan to provide telehealth services via execution of Anthems. The telehealth services are provided through a Health Plan approved telehealth program eg LiveHealth Online or b. As of March 17 2020 through September 30 2020 Anthem and its delegated entities will waive any member cost share for telehealth or telephonic visits provided by in-network provider including visits for mental health for our fully insured employer individual and Medicaid plans.
Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. Telehealth Payment Policies. Anthem is temporarily suspending its contractual telehealth certification requirements.
Reimbursement for telehealth services may be available when interactive services occur between the patient and the remote provider and. Anthem recently issued the following bulletin regarding telehealth and telephonic-only visits. The policy in effect in six states is seen as an effort to convince people to use telehealth or mHealth rather than go to the ER for non-urgent care.
Here you will find information for assessing coverage options guidelines for clinical utilization management practice policies the provider manual and support for delivering benefits to our members. You can cut down on wait times and avoid the commute to and from your doctors office. With telehealth you can access qualified medical care 24 hours a day.
Were committed to supporting you in providing quality care and services to the members in our network. The American College of Emergency Physicians ACEP and Medical Association of Georgia MAG are suing Anthem over its policy to screen ER visits. Anthem is closely monitoring COVID-19 developments and what it means for our customers and our health care provider partners.
Telehealth video plus audio 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 Dec. Consumer-facing telehealth programs meanwhile generally charge between 50 and 80 for an online visit. According to Anthem an ER visit costs about 1200 on average compared to 190 for a visit to an urgent care center 125 for a trip to the doctors office and 85 for an appointment at a walk-in clinic at a pharmacy.
This trend is known as telehealth or telemedicine. 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 mental health or substance use disorders for our fully-insured employer plans and individual plans.
