Anthem Simplifies Care Provider Protocols to Help Deliver Safe, Effective and Timely COVID-19 Care
March 27 2020 - 2:00PM
Business Wire
Anthem Medical Associate Volunteer Program
Allows Employees to Volunteer and Support Care Delivery in their
Community
As part of Anthem’s commitment to helping address the COVID-19
crisis, today the company announced simplified policies designed to
help providers deliver care to patients more quickly and
effectively. Today, unless otherwise required under specific State
and Federal mandates, Anthem health plans will suspend select prior
authorization requirements and audit protocols to allow healthcare
providers to focus on caring for patients diagnosed with COVID-19.
Additionally, Anthem has launched the Anthem Medical Associate
Volunteer Program as way for associates with professional
medical training to volunteer and assist in their local community’s
response to COVID-19.
Policy actions announced today include suspension of prior
authorization requirements for patient transfers, along with the
suspension of prior authorization requirements for use of medical
equipment critical to COVID-19 treatment. Additionally, Anthem will
cover respiratory services for acute treatment of COVID-19 along
with in-network and out-of-network coverage for COVID-19 laboratory
testing. To further ease the administrative demands on providers,
Anthem will also temporarily adjust handling and monitoring of
claims and audits. Proactive steps are underway to communicate
these changes to providers via Anthem’s provider portal and
provider services team.
“Anthem is committed to supporting our care delivery partners in
their efforts to keep our consumers, communities and themselves
safe,” said Anthem President and CEO Gail K. Boudreaux. “We will
continue to engage with medical leaders and frontline care
providers to provide the support they need in their work to combat
the COVID-19 crisis.”
Many Anthem associates have professional medical training, and
many have received requests by community leaders to volunteer and
provide relief in support of medical professionals treating
COVID-19. Anthem’s Medical Associate Volunteer Program allows these
associates the opportunity to take paid leave from their regular
Anthem role and use their medical expertise and training to support
providers and deliver care and relief. Providing critical services
to members, providers and customers is foundational to Anthem’s
culture and values and an important element of the organization’s
response to the COVID-19 crisis. For those associates who wish to
volunteer, their volunteer hours are eligible for a Dollars for
Doers match by the company’s philanthropic arm, Anthem Foundation.
Associates will receive $10 for every hour volunteered, allowing
additional resources to be directed to nonprofits serving
communities in this time of need.
These additional actions to support providers expand upon the
proactive steps Anthem has already taken in response to COVID-19,
which include:
- Access to Testing and Medical Care: Anthem’s affiliated
health plans will continue to waive copays, coinsurance and
deductibles for the diagnostic test related to COVID-19 as well as
for visits associated with in-network COVID-19 testing, whether the
care is received in a physician’s office, an urgent care center or
an emergency department.
- Access to Medication: Anthem is relaxing early
prescription refill limits for members who wish to receive a 30-day
supply of most maintenance medications, where permissible.
- Online Symptom Assessment & Sydney Care App: Anthem
launched a COVID-19 symptom assessment tool available online and
via the Sydney Care mobile app. Sydney Care is available at no-cost
for Anthem members on Android or iOS and in addition to COVID-19
and other health assessment tools can enable members to connect
directly to a board-certified doctor via text or secure two-way
video within the Sydney Care app who can then recommend care
options.
- Access to Virtual Care: Anthem’s affiliated health plans
will waive any member cost share until June 14, 2020 for telehealth
visits, including visits for mental health, for our fully insured
employer plans, Individual plans, Medicare plans and Medicaid
plans, where permissible.
As Anthem continues to closely monitor the COVID-19
developments, we remain committed to all of those we serve. Anthem
customers can rest assured that we are taking steps to ensure our
operations remain uninterrupted, while ensuring the health and
safety of our associates.
About Anthem, Inc.
Anthem is a leading health benefits company dedicated to
improving lives and communities, and making healthcare simpler.
Through its affiliated companies, Anthem serves more than 79
million people, including 41 million within its family of health
plans. We aim to be the most innovative, valuable and inclusive
partner. For more information, please visit www.antheminc.com or
follow @AnthemInc on Twitter.
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version on businesswire.com: https://www.businesswire.com/news/home/20200327005436/en/
Media: Jill Becher Jill.Becher@anthem.com Investor
Relations: Chris Rigg Chris.Rigg@anthem.com
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