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September 07, 2020

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Do you need help during the COVID-19 outbreak? Call MAP.

Anthem’s Member Assistance Program (MAP) offers support for you and your families during this challenging time.

As news of COVID-19 continues to evolve, you may find yourself growing increasingly concerned about dependent care, personal finances or even your family’s preparedness to whether the storm.  If so, rest assured you’re not alone. Remember, your Member Assistance Program (MAP) is here to provide you and your household members support during challenging times.

Need support?  Reach out to the MAP today!

With your MAP you’ll have no-cost, confidential access to1:

  • Telephonic support.  Available 24/7 at 855-686-5615.  Talk to a counselor for in-the-moment support or a work/life specialist who can assist you in identifying resources to meet your individual needs.
  • Counseling visits.  Get a referral for in-office or LiveHealth Online video visits to manage stress, anxiety, and other issues.  Call 855-686-5615 for a referral.
  • Child and Eldercare resources.  Speak to a work/life specialist who can conduct a search for local resources for full, part-time and back-up care.  Conduct your own search at anthemeap.com (log in: MEABT).
  • Financial consultations.  Meet telephonically with a certified financial professional who can discuss your short and longer term financial concerns.
  • Legal consultations. Speak to an attorney for a no cost consultation to discuss your legal questions.2  
  • myStrength.  Join this virtual “health club for your mind” to gain access to tools to help manage stress, anxiety, depression, insomnia and more. To register select the myStrength Center on the MAP website and enter MEABT.
  • Website. At anthemeap.com (log in: Anthem), you’ll find tips, tools and resources for COVID-19, a critical event center, and more.

 1 In accordance with federal, state law, and professional ethical standards.

2 Excludes benefit and employment matters. A per issue per 12-month period benefit.

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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. 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. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. (serving Virginia excluding the city of Fairfax, the town of Vienna and the area east of State Route 123.).  In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.

July 01, 2020

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Medicare Advantage Meeting Pre-Recorded Session

MEABT Medicare Advantage Educational Presentation

 

Please copy the password below, before you "click" Play Recording.

Recording password: JpXPytw2

 

Play recording

January 19, 2021

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COVID FAQ'S

Are COVID-19 vaccines covered under the medical or pharmacy benefit?

Anthem health plans cover the COVID-19 vaccine under the medical or pharmacy benefit, depending on the site of administration. If the vaccine is administered by a pharmacy, it will be covered under the pharmacy benefit. If the vaccine is administered at a doctor’s office or another clinical site of care, it will be covered under the medical benefit. 

Will Anthem waive cost shares on treatments for potential complications from a COVID-19 vaccine? 

No, Anthem will not waive cost shares on treatments for potential complications from a COVID-19 vaccine.

Which retail pharmacies will have access to the vaccines?

Below is a list of retail pharmacies that have partnered with HHS on Nov. 6 to provide access to vaccines when they become available. The list includes pharmacies across the nation, with approximately 60 percent of all US pharmacies to date. 

· Albertsons Companies, Inc. (Osco, Jewel-Osco, Albertsons, Albertsons Market, Safeway, Tom Thumb, Star Market, Shaws, Haggen, Acme, Randalls, Carrs, Market Street, United, Vons, Pavilions, Amigos, Lucky’s, Pak n Save, Sav-On)

· Costco Wholesale Corp.

· CPESN USA, LLC

· CVS Pharmacy, Inc. (Long’s)

· Good Neighbor Pharmacy and AmerisourceBergen Drug Corporation’s PSAO, Elevate Provider · Health Mart Systems, Inc. · H-E-B, LP · Hy-Vee, Inc.

· LeaderNET and Medicine Shoppe, Cardinal Health’s PSAOs · Managed Health Care Associates (MHA) · Meijer Inc.

· Publix Super Markets, Inc.

· Retail Business Services, LLC (Food Lion, Giant Food, The Giant Company, Hannaford Bros Co, Stop & Shop) · Rite Aid Corp.

· The Kroger Co. (Kroger, Harris Teeter, Fred Meyer, Frys, Ralphs, King Soopers, Smiths, City Market, Dillons, Marianos, Pick-n-Save, Copps, Metro Market)

· Topco Associates, LLC (Big-Y Pharmacy and Wellness Center, Brookshire’s Pharmacy, Super One Pharmacy, FRESH by Brookshire’s Pharmacy, Coborn’s Pharmacy, Cash Wise Pharmacy, MarketPlace Pharmacy, Hartig Drug Company, King Kullen, Food City Pharmacy, Ingles Pharmacy, Raley’s, Bel Air, Nob Hill Pharmacies, Save Mart Pharmacies, Lucky Pharmacies, SpartanNash, Price Chopper, Market 32, Tops Friendly Markets, ShopRite, Wegmans, Weis Markets, Acme Fresh Markets)

· Walgreens (Duane Reade)

· Walmart, Inc. (Sam’s Club)

· Winn-Dixie Stores Inc. (Winn-Dixie, Harveys, Fresco Y Mas)

Will the federal government be paying for the cost of the COVID-19 vaccines and their administration?

At least in the short term, the cost of the vaccines, and ancillary supplies will be funded by HHS. The CDC has indicated the vaccine purchased with US taxpayers’ dollars will be available at no cost. 

CMS, along with the Departments of Labor and the Treasury, require that fully-insured and self-funded plans cover the vaccine and vaccine administration with no member cost-sharing for the duration of the public health emergency.

HHS does not cover the costs of vaccine administration for commercial or Medicaid members but they will cover administration for Medicare beneficiaries, including Medicare Advantage members. Anthem health plans will cover those costs for fully-insured, employer-sponsored customers and many Medicaid members unless otherwise directed by a state. Self-insured customers will be financially responsible for the administration fees.

CMS has announced the fees to administer the vaccines at pharmacies range from

Are COVID-19 vaccines covered under the medical or pharmacy benefit?

Anthem health plans cover the COVID-19 vaccine under the medical or pharmacy benefit, depending on the site of administration. If the vaccine is administered by a pharmacy, it will be covered under the pharmacy benefit. If the vaccine is administered at a doctor’s office or another clinical site of care, it will be covered under the medical benefit. 

Will Anthem waive cost shares on treatments for potential complications from a COVID-19 vaccine? 

No, Anthem will not waive cost shares on treatments for potential complications from a COVID-19 vaccine.

Which retail pharmacies will have access to the vaccines?

Below is a list of retail pharmacies that have partnered with HHS on Nov. 6 to provide access to vaccines when they become available. The list includes pharmacies across the nation, with approximately 60 percent of all US pharmacies to date. 

· Albertsons Companies, Inc. (Osco, Jewel-Osco, Albertsons, Albertsons Market, Safeway, Tom Thumb, Star Market, Shaws, Haggen, Acme, Randalls, Carrs, Market Street, United, Vons, Pavilions, Amigos, Lucky’s, Pak n Save, Sav-On)

· Costco Wholesale Corp.

· CPESN USA, LLC

· CVS Pharmacy, Inc. (Long’s)

· Good Neighbor Pharmacy and AmerisourceBergen Drug Corporation’s PSAO, Elevate Provider · Health Mart Systems, Inc. · H-E-B, LP · Hy-Vee, Inc.

· LeaderNET and Medicine Shoppe, Cardinal Health’s PSAOs · Managed Health Care Associates (MHA) · Meijer Inc.

· Publix Super Markets, Inc.

· Retail Business Services, LLC (Food Lion, Giant Food, The Giant Company, Hannaford Bros Co, Stop & Shop) · Rite Aid Corp.

· The Kroger Co. (Kroger, Harris Teeter, Fred Meyer, Frys, Ralphs, King Soopers, Smiths, City Market, Dillons, Marianos, Pick-n-Save, Copps, Metro Market)

· Topco Associates, LLC (Big-Y Pharmacy and Wellness Center, Brookshire’s Pharmacy, Super One Pharmacy, FRESH by Brookshire’s Pharmacy, Coborn’s Pharmacy, Cash Wise Pharmacy, MarketPlace Pharmacy, Hartig Drug Company, King Kullen, Food City Pharmacy, Ingles Pharmacy, Raley’s, Bel Air, Nob Hill Pharmacies, Save Mart Pharmacies, Lucky Pharmacies, SpartanNash, Price Chopper, Market 32, Tops Friendly Markets, ShopRite, Wegmans, Weis Markets, Acme Fresh Markets)

· Walgreens (Duane Reade)

· Walmart, Inc. (Sam’s Club)

· Winn-Dixie Stores Inc. (Winn-Dixie, Harveys, Fresco Y Mas)

Will the federal government be paying for the cost of the COVID-19 vaccines and their administration?

At least in the short term, the cost of the vaccines, and ancillary supplies will be funded by HHS. The CDC has indicated the vaccine purchased with US taxpayers’ dollars will be available at no cost. 

CMS, along with the Departments of Labor and the Treasury, require that fully-insured and self-funded plans cover the vaccine and vaccine administration with no member cost-sharing for the duration of the public health emergency.

HHS does not cover the costs of vaccine administration for commercial or Medicaid members but they will cover administration for Medicare beneficiaries, including Medicare Advantage members. Anthem health plans will cover those costs for fully-insured, employer-sponsored customers and many Medicaid members unless otherwise directed by a state. Self-insured customers will be financially responsible for the administration fees.

CMS has announced the fees to administer the vaccines at pharmacies range from $16.94 for the first dose, covid-faqs8.39 for the second dose and covid-faqs8.39 for vaccines requiring one dose only.

How is Anthem reimbursing providers for FDA-Approved COVID-19 Vaccines?

The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. Anthem will reimburse for the administration of COVID-19 FDA-approved vaccines in accordance with Federal and State mandates. 

 

6.94 for the first dose, covid-faqs8.39 for the second dose and covid-faqs8.39 for vaccines requiring one dose only.

How is Anthem reimbursing providers for FDA-Approved COVID-19 Vaccines?

The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. Anthem will reimburse for the administration of COVID-19 FDA-approved vaccines in accordance with Federal and State mandates.