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Coronavirus (COVID-19) Update Center

Coronavirus Quicklinks

 

Quicklinks

COVID-19 Testing Information

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Testing Information

Log in to your Blue Cross account for instructions on filing a claim for reimbursement of over-the counter (OTC) COVID-19 FDA-authorized test kits.

During the Public Health Emergency (PHE), over-the-counter (OTC) COVID-19 FDA-authorized test kits are covered for eligible members, up to eight per member, per month, and will be reimbursed with no member cost share based on federal guidance. Eligible members include members on Individual plans and members with employer sponsored plans. Currently, Blue Advantage, C Plus, BlueRx, and Short Term Limited Duration plans are not included in the federal requirement for coverage.

To search for FDA authorized OTC At Home COVID-19 tests, search FDA Authorized tests and search for “Home” in the search bar.

Once you have determined that you need to be tested.  Click on link below to access health departments links in all 50 states, 8 US territories and freely associated states, and the District of Columbia.

When Should I Get Tested?

  • If you have questions or concerns about whether you should receive a test for COVID-19, your physician or healthcare provider will be able to make that recommendation based on your specific circumstances (for example, your age, any chronic conditions that you have, your health history, where you live, etc.)
  • Blue Cross and Blue Shield of Alabama covers, with no member cost share, testing that is ordered by your provider to help diagnose or treat you for COVID-19

COVID-19 Vaccination Information

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COVID-19 Vaccination Information

COVID-19 Vaccine Booster Shots

The CDC recommends the COVID-19 vaccine booster to eligible individuals. For the most up-to-date guidance related to the COVID-19 vaccine booster, including who should get a booster shot, visit www.cdc.gov/COVID19.

COVID-19 Vaccines and Pregnancy

The recent rise in COVID-19 cases has resulted in an increased number of pregnant women seeking hospital services in Alabama. Compared to last year, more pregnant individuals have been admitted to intensive care units, resulting in increased use of services including mechanical ventilation and heart/lung bypass. The CDC recognizes that pregnancy itself is a risk factor for severe complications and death from COVID-19.

Multiple professional societies and medical experts including American College of Obstetricians and Gynecologist, Society of Maternal Fetal Medicine and the CDC recommend vaccination as the single most effective tool to prevent serious illness from COVID-19. Information supports the safety of vaccination in individuals, before, during, and after pregnancy.

Talk to your healthcare provider if you have questions or concerns about COVID-19 vaccination during pregnancy.

COVID-19 Vaccine Safety

The COVID-19 vaccines continue to help in the fight against the coronavirus pandemic!

An effective COVID-19 vaccine will help protect people who come in contact with the virus from becoming sick and hopefully help bring an end to the pandemic.

But some are concerned about the safety of the vaccines. According to the Centers for Disease Control and Prevention (CDC), safety has always been a top priority when developing and authorizing a COVID-19 vaccine.

Some key areas of safety include:

  • Careful Testing. All vaccines go through clinical trials to test for safety and effectiveness. For the COVID-19 vaccine, the Food and Drug Administration (FDA) set up rigorous safety standards for vaccine developers to meet.
  • Clinical Trials. None of the vaccine clinical trials reported any serious safety concerns. Trials for the COVID-19 vaccine have had fully independent safety monitoring boards, and safety data is continuously reviewed by the FDA and expert panels.
  • Continuous Monitoring. Once a vaccine is authorized for use, monitoring by the FDA and the CDC continues, with systems in place to track problems or side effects that were not detected during the clinical trials.
  • Allergy Concerns. The CDC indicated people with allergies to certain foods, insects, latex and other common allergens can have the COVID-19 vaccine. Those with a history of severe allergic reactions to injectables or other vaccines should discuss the vaccine with their doctor, who can then evaluate the individual and assess their risk.

Our members’ concerns and safety are our top priority. Based on information from the CDC, we’ve created documents that highlight several FAQs (frequently asked questions) and Myth vs Fact information to help ease these concerns.

Some areas of concern we’ve highlighted are:

  • Will the COVID-19 vaccine alter my DNA?
  • Can I get COVID-19 from the vaccine or after getting the vaccine?
  • Are there any side effects after taking the COVID-19 vaccine?
  • Will the COVID-19 vaccine cause infertility?

If an individual has not been vaccinated, they should continue to follow preventive measures such as wearing a face mask, practicing social distancing, and washing hands frequently. Refer to www.cdc.gov/COVID19 for the most current CDC mask guidance recommendations.

For more information about the COVID-19 vaccine and its availability in your area, contact your physician’s office or local pharmacy. Additional COVID-19 topics and how the pandemic could affect you and your family can be found at https://www.cdc.gov/COVID19. If you are a resident of Alabama, you can refer to the Alabama Department of Public Health (ADPH) website at www.alabamapublichealth.gov/covid19.

Plan Coverage Line COVID

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Questions about your Blue Cross coverage?

If you are a Blue Cross and Blue Shield of Alabama customer and need to reach us by phone, please use the telephone number on the back of your ID card. If your ID card is not available, you may use one of the Customer Service telephone numbers below.

  • Federal Employees: 1-800-492-8872
  • Blue Advantage Members: 1-888-234-8266 (TTY users should call 711)
  • All Other Blue Cross Members: 1-800-292-8868

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Coronavirus - Member Resources Header

 

Member Resources

Crisis Line Open to the Public COVID

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Crisis Line Open to the Public

You and your families are our top priority.  New Directions' emotional support line is available 24/7 to assist you during this time of stress and uncertainty. Call 833-848-1764 to speak to a licensed therapist.

Looking for additional important resources and helpful information? Click on link below to access tips for coping with the COVID-19 outbreak and more.

COVID-19 Scams To Be Aware Of

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COVID-19 Scams To Be Aware Of

Unfortunately, there have been many reports of fraudulent acts related to COVID-19. We want to help you stay safe and aware by informing you of some of the scams you need to be on the lookout for:

  • Door-to-door solicitation for COVID-19 testing and prescribing
  • Phone calls asking for your Blue Cross contract information for free testing and/or services
  • Outreach from healthcare workers offering to send you an at-home test kit
  • False advertisements for vaccinations or medications to treat COVID-19
  • Unexplained or unauthorized lab tests or prescriptions appearing on your Claims statement (Explanation of Benefits/EOB)
  • Advertisements offering health products that are unsuccessful against treating COVID-19 (i.e. herbal teas, supplements, oils or ointments)
  • Fraudulent emails referencing “Coronavirus” or “COVID-19,” which contain malicious software that can damage your device
  • Fake charities that pop up during disasters
  • Don’t post a photo of your vaccination card on social media. Someone could see your card and steal your name, birthdate, and other personal information.
  • Be aware of scammers pretending to be COVID-19 contact tracers. Legitimate contact tracers will never ask for your Medicare number, financial information, or attempt to set up a COVID-19 test for you and collect payment information for the test.
  • Someone pretending to be from FEMA’s COVID-19 Funeral Assistance Program to offer program registration to family members of people who have died from COVID-19. The individual could then steal the family members' Social Security numbers and other forms of identification.
  • Be cautious of COVID-19 surveys. Do not give your personal, medical, or financial information to anyone claiming to offer money or gifts in exchange for your participation in a COVID-19 vaccine survey.

Telehealth covid

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Telehealth Updates

Blue Cross has made telehealth services related to COVID-19 available to members. Telehealth services can serve as an initial screening for members who need to be tested for COVID-19.

Check with your in-network provider to see if they offer telehealth services. To locate a current listing of in-network providers, login to myBlueCross and visit Find A Doctor.

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Coronavirus - Tips and Advice Header

 

Tips and Advice

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Tips to avoid getting COVID-19
  • Wash your hands often with soap and water for at least 20 seconds or use alcohol-based hand sanitizer, especially after coughing or sneezing
  • Avoid touching your eyes, nose and mouth with unwashed hands
  • Cover your mouth and nose with a tissue when coughing or sneezing, or cough or sneeze into your elbow or shoulder, not your hands
  • Stay home if sick, and stay home for at least 24 hours after the last signs of fever

 

If you have been diagnosed with COVID-19
  • Stay home and away from others in your household
  • Call before visiting your doctor
  • Wear a face mask whenever possible
  • Clean surfaces that are touched often as much as possible. Examples include counter tops, doorknobs, telephones, toys, bathroom fixtures and keyboards
  • Cover your mouth with a tissue when coughing or sneezing. Throw tissues away in a lined trash can. Immediately wash your hands afterwards
  • Clean your hands often  
  • Monitor your symptoms

COVID Quick Links

COVID-19 Trusted Resources

The best resources for all COVID-19 information: 

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Frequently Asked Questions

Claims and Benefits

What services are covered at 100% related to COVID-19?

As a result of the Families First Act, as amended by the Coronavirus Aid, Relief and Economic Security (CARES) Act, both in-network and out-of-network diagnostic tests for COVID-19 and the related in-person or telehealth visit, emergency room visit, or urgent care visit are covered at 100% during the declared public national emergency. Members are not required to pay for these services.

What to do if you are having trouble paying your Blue Advantage or BlueRx premium?

Your Blue Advantage or BlueRx plan is there for you with well established guidelines for members struggling to pay their premiums. Your plan premium is due in our office by the first day of the month. If we have not received your premium by the 10th, we will send you a notice telling you that your plan membership will end if we do not receive your premium payment within 180 days. If you are having trouble paying your premium on time, please contact Member Services to see if we can direct you to programs that will help with your plan premium. If we end your membership because you did not pay your premiums, you will still have health coverage under Original Medicare.

Contact Blue Advantage Member Services at 1-888-234-8266 (TTY users should call 711), calls to this number are free. 8 a.m. to 8 p.m. seven (7) days a week. Contact BlueRx Member Services at 1-800-327-3998 (AL)/1-888-311-7508 (TN), calls to this number are free. 8 a.m. to 8 p.m. seven (7) days a week.

Will more than one medically necessary diagnostic test for COVID-19 be covered?

Yes. If medically necessary, multiple diagnostic tests for COVID-19 will be covered.

Are at-home testing kits for COVID-19 covered?

Yes. As required by the Families First Act/CARES Act, COVID-19 at-home tests must be covered at 100% with no member cost sharing if that test has been approved by the FDA, received an Emergency Use Authorization (EUA) or whose manufacturer has the intent to apply for an EUA, AND if the purpose of the test is for diagnosis and/or treatment of COVID-19 and NOT for surveillance purposes (such as testing required by an employer, institution or school.

Are antibody tests covered for COVID-19 testing?

Yes, antibody tests for COVID-19 testing are covered at 100% with no member cost sharing as required by the Families First Act/CARES Act; however, antibody testing does NOT indicate if an individual has an active COVID-19 infection. Only a nasal swab test can identify the actual virus and identify a COVID-19 infection. If a member thinks that he or she has a current COVID-19 infection, the member should be tested with a nasal swab test.

How will international claims for medically necessary services related to COVID-19 be covered?

International claims for medically necessary services related to COVID-19 will process at the in-network level of benefits.

How will HSA-qualified High Deductible Health Plans (HDHPs) be affected by COVID-19?

Based on recent IRS guidelines, expenses related to testing and treatment, including related office visits, for COVID-19 can process pre-deductible under an HSA-qualified HDHP.

 

General Questions

What is COVID-19?

COVID-19 is the official name for the illness caused by the newly identified coronavirus. Since the outbreak began late last year, infections have been reported in numerous international locations, including within the United States.

On January 30, the World Health Organization declared the outbreak a “public health emergency of international concern.” On January 31st, the U.S. Health and Human Services office declared a public health emergency to aid the U.S. healthcare community in responding to COVID-19.

What is a coronavirus?

Coronaviruses are not new, and are very common in many species of animals, including camels, cattle and bats. Occasionally coronaviruses can infect people and then spread person-to-person, as was the case with severe acute respiratory syndrome (SARS) and now with COVID-19. Coronaviruses infect the respiratory tract and are associated with the common cold and pneumonia.

How is it spread?

The virus that causes COVID-19 is thought to spread mainly from person to person, primarily through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. Spread is more likely when people are in close contact with one another (within about 6 feet). Maintaining good social distance (about 6 feet) is very important in preventing the spread of COVID-19.

It may be possible that a person can also get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes. This is not thought to be the main way the virus spreads, but we are still learning more about this virus. The Centers for Disease Control and Prevention (CDC) recommends people practice frequent “hand hygiene,” which is either washing hands with soap or water or using an alcohol-based hand sanitizer. The CDC also recommends routine cleaning of frequently touched surfaces.

COVID-19 seems to be spreading easily and sustainably in the community (“community spread”) in many affected geographic areas. Community spread means people have been infected with the virus in an area, including some who are not sure how or where they became infected.

What are the symptoms of COVID-19 infection?

Some people with confirmed cases of COVID-19 experience very mild symptoms while others have experienced severe illness and death. Symptoms may appear 2-14 days after exposure to the virus and have included:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • Sore throat
  • New loss of taste or smell
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

 

When should I get tested?
  • If you have questions or concerns about whether you should receive a test for COVID-19, your physician or healthcare provider will be able to make that recommendation based on your specific circumstances (for example, your age, any chronic conditions that you have, your health history, where you live, etc.)
  • Blue Cross and Blue Shield of Alabama covers, with no member cost share, testing that is ordered by your provider to help diagnose or treat you for COVID-19
Is there a vaccine for COVID-19?

Yes. There are several COVID-19 vaccines available. Visit https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html to access current CDC information for each vaccine.

Individuals should talk to their healthcare provider if they have specific questions about COVID-19 vaccines.

How can people avoid catching COVID-19?

The CDC recommends the following best practices to avoid becoming sick with a respiratory illness:

  • Avoid close contact with sick people
  • Avoid touching your face with unwashed hands
  • Stay home when sick
  • Cover coughs and sneezes with a tissue, then discard the tissue
  • Clean and disinfect frequently touched objects and surfaces
  • Wash hands frequently with soap and water for at least 20 seconds
What should I do if I traveled near an outbreak or have been in contact with someone has tested positive for COVID-19?

People who have recently traveled to any area where there is an outbreak, or had close contact with someone infected with COVID-19 and develop symptoms, should contact their healthcare provider and make them aware of their symptoms and exposure. Their healthcare provider will advise them of the appropriate next steps.

Where can I learn more about COVID-19?

To access the most current official information on the COVID-19 virus, please visit the COVID-19 pages on the Center for Disease Control and Prevention’s website.

 

Prime Therapeutics (Prime)/Pharmacy Questions

In the event members are affected by quarantines, will they be able to refill prescriptions early?

Yes. We are working with Prime to allow members to obtain early refills of their medications. Prime will allow early refills on prescription drugs including retail, maintenance, mail order and specialty drugs from 3/7/2020 until further notice.

Prime is maintaining communication with all pharmacies and notifying them how to submit early refill prescription claims. Contact your pharmacy if an early refill of your prescription medication(s) is needed.We recommend members use their 90-day retail or mail order benefit when possible.

 

 

Medicare FAQ

Medicare Information

Am I covered if I get the illness?

Coverage for Blue Advantage (PPO) members:

  • All diagnostic tests for COVID-19, treatments and the related and follow-up in-person or Telehealth visit, emergency room visit, or urgent care visit are covered at 100% with no member out-of-pocket cost.
  • Any drug indicated for the treatment of COVID-19 will be covered by your plan.
  • Telehealth will be covered regardless of diagnosis.

As a reminder, this plan covers mail-order prescription drugs shipped to your home through our mail-order delivery program. You can get a 90-day supply of routine medications for the cost of a 60-day supply. Contact your local pharmacy and ask about home-delivery services.

Coverage for BlueRx (PDP) members:

  • Any drug indicated for the treatment of COVID-19 will be covered by your plan.

As a reminder, this plan covers mail-order prescription drugs shipped to your home through our mail-order delivery program. You can get a 90-day supply of routine medications for the cost of a 60-day supply. Contact your local pharmacy and ask about home-delivery services.

Coverage for C Plus members:

  • All diagnostic tests for COVID-19, treatments and the related and follow-up in-person or Telehealth visit, emergency room visit, or urgent care visit are covered at 100% with no member out-of-pocket cost.
  • Telehealth will be covered regardless of diagnosis.

Subject to certain limitations. Please contact Member Services for a complete list of services covered at 100% with no member out-of-pocket costs.

Contact Blue Advantage Member Services at 1-888-234-8266 (TTY 711), calls to this number are free. 8 a.m. to 8 p.m. seven (7) days a week.

Contact C Plus Member Services at 1-888-417-4775 (TTY 711), calls to this number are free. Monday through Friday, 8 a.m. to 5 p.m.

What do we know about the vaccine at this time?

Currently, there are three vaccines that have received Emergency Use Authorizations (EUA) for COVID-19:

  • The Pfizer-BioNTech COVID-19 two-dose vaccine for use in individuals ages 5 and older
  • The Moderna COVID-19 two-dose vaccine for use in individuals ages 18 and older
  • The Johnson & Johnson/Janssen Pharmaceutical Companies COVID-19 single-dose vaccine for use in individuals ages 18 and older
How will the vaccine be covered?

During the declared public national emergency, the cost of the vaccine and related administration fees will be covered by the Federal Government for Medicare members with no out-of-pocket costs.

Where will members be able to access the vaccine?

Individuals in Alabama can contact the COVID-19 Vaccine Scheduling Hotline at 1-855-566-5333, seven days a week from 8 a.m. to 5 p.m. The hotline is for members in eligible groups to schedule an appointment for a COVID-19 vaccine at local health departments.

Due to the massive call volume, callers to the COVID-19 scheduling hotline are encouraged to try their call again later if they get a busy signal.

We anticipate additional changes about COVID-19 vaccinations. Click here for more information regarding COVID-19 vaccines from the Alabama Department of Health website.

Will providers giving the COVID-19 vaccine provide their patient with a COVID-19 vaccination record card?

Providers must provide the vaccine recipient or caregiver with a COVID-19 vaccination record card that includes the name of the vaccine administered, the date of administration, and the name/location of the administering clinic. This card will also be used to remind the patient what vaccine was administered and when to come back for the second dose.

What to do if you are having trouble paying your Blue Advantage or BlueRx premium?

Your Blue Advantage or BlueRx plan is there for you with well established guidelines for members struggling to pay their premiums. Your plan premium is due in our office by the first day of the month. If we have not received your premium by the 10th, we will send you a notice telling you that your plan membership will end if we do not receive your premium payment within 180 days. If you are having trouble paying your premium on time, please contact Member Services to see if we can direct you to programs that will help with your plan premium. If we end your membership because you did not pay your premiums, you will still have health coverage under Original Medicare.

Contact Blue Advantage Member Services at 1-888-234-8266 (TTY 711), calls to this number are free. 8 a.m. to 8 p.m. seven (7) days a week. Contact BlueRx Member Services at 1-800-327-3998 (AL)/1-888-311-7508 (TN), calls to this number are free. 8 a.m. to 8 p.m. seven (7) days a week.

Can I refill my prescriptions early due to the pandemic?

Existing prescriptions are eligible for early refills.

How are DME supplies affected by the early refill allowance being applied to prescription drugs?

Diabetic supplies filled under the prescription benefits are subject to the same early refill allowance as other prescription medications.

What if I want to use an out-of-network pharmacy to get prescriptions during COVID-19 pandemic?

Blue Cross has put a change in place to allow members to fill prescriptions at out-of-network pharmacies. The member will be required to submit a paper claim for the prescription.

Can I use Telehealth services during this time?

Telehealth services are recommended instead of onsite care at your doctor’s office as a way to limit your exposure to COVID-19 and other illnesses. Examples of expanded physician services include optometry, dental and physical therapy.

 

  • You can receive care via phone call or video chat to limit your exposure to COVID-19 and other illnesses.
  • Serves as an initial screening when you may need testing for COVID-19.
  • Allows consultations and visits provided by providers for routine health conditions, illness, therapy, etc.
  • Provides ongoing health evaluations and care management based on the provider’s medical judgement.
What will my cost-sharing be for Telehealth services?

Telehealth services related to treatment and testing of COVID-19 will be covered at 100% with no member out-of-pocket cost. For Telehealth services not related to COVID-19, applicable member cost sharing will apply.

Can I use Telehealth services to complete my Annual Wellness Visit?

You may complete your Annual Wellness Visit using Telehealth services if provided by your doctor.

How do I stay physically active at home?

SilverSneakers offers the following ways to stay active and in good health while at home:

  • SilverSneakers “Livestream” classes offered via video conferencing technology
  • SilverSneakers Go digitally-led activities such as guided walks
  • SilverSneakers instructors and fitness network locations hosting live broadcast events
  • OnDemand classes and workshops available 24-7 through the SilverSneakers member portal
What is SilverSneakers Go?

Stay engaged digitally through SilverSneakers Go app. Download the app to experience guided workouts that range from 4-12 weeks for all fitness levels.

How do I access OnDemand classes?

Log in to silversneakers.com (or create an account) to enjoy OnDemand workout videos from home. OnDemand gives you access to 200+ online workout videos like SilverSneakers Classic, Yoga, etc.

Does SilverSneakers offer a fitness class through Facebook Live?

Yes! SilverSneakers has a Facebook Live fitness class you can join. Click HERE for more information.

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News and Updates

 

Posted June 17, 2020

COVID-19 Impacts Maternal Care

 

The COVID-19 pandemic has changed how many women access prenatal care. According to the Blue Cross Blue Shield Health of America Report on Maternal Health, 61% of commercially insured women surveyed nationally saw limited office hours from their doctors, and 48% had their appointments shifted to virtual visits. More concerning is that over 1 in 4 women surveyed skipped prenatal care appointments since the start of the pandemic or when social distancing restrictions were put into place.

The COVID-19 pandemic also impacted delivery plans for the majority of women surveyed:

The Study measures member satisfaction among 146 health plans in 22 regions throughout the nation. J.D. Power examines six key factors: coverage and benefits, provider choice, information and communication, billing and payment, cost, and customer service.

  • 53% were not able to have a loved one in the delivery room with them
  • 28% delivered at a different hospital than they originally planned
  • 15% used a different doctor
  • 15% shifted to a home birth

Postnatal care plans also changed for a majority of women due to COVID-19.

  • 61% said their doctor’s office hours were limited
  • 48% had their appointments shifted to virtual visits
  • 25% of women missed their postnatal visits

According to the Centers for Disease Control, it is important for expectant mothers to not skip prenatal care or postpartum appointments. If they are concerned about attending an appointment due to COVID-19, they are advised to talk to their healthcare provider about steps being taken to separate healthy patients from those who may be sick.

Access to quality care is critical to helping women lead healthier lives, have healthier pregnancies and uncomplicated births. Towards this end, Blue Cross has expanded access to telehealth for in-network providers with no member cost-sharing in addition to office visit consultations by physicians. This applies to members wanting to receive their care remotely to limit their exposure to COVID-19.

The Blue Cross Blue Shield HOA report also found that:

  • A greater number of women are entering pregnancy with pre-existing conditions like hypertension, type II diabetes, obesity, major depression, anxiety and substance use disorder – increasing the risk of pregnancy and childbirth complications.
  • While 80 percent of women have healthy pregnancies and deliveries, rates of complications are rising due to gestational diabetes and preeclampsia (due to high blood pressure). Between 2014-2018, the rates of pregnancy complications rose more than 16%, while rates for childbirth complications rose more than 14%. About seven out of every 1,000 pregnant women experienced both kinds of complications, a nearly 31% increase since 2014.
  • Women diagnosed with postpartum depression increased nearly 30% since 2014. Pre-existing behavioral health conditions are linked with a greater risk for postpartum depression. More than two thirds of women diagnosed with postpartum depression had at least one other behavioral health diagnosis before becoming pregnant, and more than 1 in 4 women had two or more pre-existing behavioral health conditions including anxiety, major depression, and substance use disorder.

You can view the entire Health of America Report on Maternal Health here.


View Full Media Release

 

 

Posted March 31, 2020

Alabama Health Organizations Join Together to Stop the Spread of COVID-19

The health and safety of Alabamians is our top priority. To that end, the Alabama Department of Public Health, the Alabama Hospital Association, Blue Cross and Blue Shield of Alabama, the Medical Association of the State of Alabama and Alabama Medicaid Agency are joining together to help stop the spread of the Coronavirus Disease (COVID-19).

"We have been working very closely with numerous organizations across the state as part of our mitigation strategy. We appreciate their involvement and support as we work to protect the health of Alabamians," said Dr. Scott Harris, State Health Officer, Alabama Department of Public Health.

We are now seeing an increase in confirmed cases in Alabama. Even though it’s not the high number of confirmed cases when compared to some other states, we can’t stress enough the importance for the public to take the “stay at home” request made by the Governor seriously. The COVID-19 healthcare crisis is constantly changing so we urge Alabamians to listen to the guidance and follow the instructions given by medical professionals and our government leaders. If you must go out, please practice social distancing. Here’s why:

A person with COVID-19 can be asymptomatic (not experiencing any symptoms), so even if a person is feeling fine they can be a carrier of COVID-19 and be a potential threat to others, especially those at higher risk. People who are at higher risk include those who are 65 and older, those who have compromised immune systems and people with other underlying health conditions, like heart problems or diabetes. COVID-19 can cause serious illness, and even death, especially to those in a higher risk population.

According to the Alabama Hospital Association, the goal of staying at home and practicing social distancing is also to slow down the spread of the disease so we don’t overwhelm our health care system. Most diseases have a natural curve that starts small, peaks and then goes back down. If individuals will stay home and not venture out when they’re sick, we hope that we can interrupt the natural flow of the outbreak and be sure our hospitals, physicians and others can continue to care for regular patients as well as those who may need hospitalization due to COVID-19.

“Our hospital leaders and frontline staff have been working tirelessly day and night to address this challenge, and they need our support,” said Dr. Don Williamson, president, Alabama Hospital Association. “Many communities have asked what they can do to help, and the answer is simple. We all need to practice social distancing and stay home.”

The Medical Association of the State of Alabama, physicians and the entire medical community are also urging all Alabamians to stay at home. Physical distancing and staying at home are the key to slowing the spread of COVID-19 to give physicians, nurses and everyone on the front lines a fighting chance at having the equipment, time and resources necessary to take on this immense challenge.

“Physicians are on the front lines and will continue to provide first contact, preventive and ongoing essential care during this medical emergency. The Medical Association is dedicated to advocating for access to the highest quality of care for Alabamians, and that remains the case in the face of this pandemic,” said Dr. John S. Meigs, President of the Medical Association of the State of Alabama.

Blue Cross and Blue Shield of Alabama has also taken a number of important steps to ensure their members have access to the right care when they need it.

“Now more than ever we want our customers to know we are here for them, and we will remain by their side during this challenging time,” said Tim Vines, President and CEO of Blue Cross and Blue Shield of Alabama. “We will continue to work closely with our health organization partners across the state to do everything possible to help stop the spread of COVID-19.”

Blue Cross is waiving prior authorizations for diagnostic tests and covered services that are medically necessary and consistent with CDC guidance for members diagnosed with COVID-19. Access to prescription medications has been increased by waiving early medication refill limits. Telehealth access has also expanded, giving members the option to receive their care remotely to limit their exposure to COVID-19 and other illnesses. Telehealth can be used for acute symptoms, such as those related to COVID-19, but also for patient consultations and evaluations for routine, chronic and behavioral health conditions that, based on the provider’s medical opinion, can be managed over the phone.

Pharmacies statewide are also doing their part in the fight against COVID-19. Most are helping Alabamians with early refills, offering curbside pickup and expanded delivery options including making deliveries to the elderly.

The Alabama Medicaid Agency has taken similar steps to protect the health of recipients, providers, and Medicaid employees during the COVID-19 emergency. Since these unprecedented times require limited interaction, Medicaid temporarily extended the scope of telemedicine services for providers, and they implemented temporary modified work schedules for employees allowing the Agency to continue providing essential services to Medicaid recipients and providers.

“We anticipate no disruption in our day-to-day functions and all district offices will remain open with modified staffing requirements,” said Stephanie Azar, Commissioner of the Alabama Medicaid Agency. “The Agency stands ready to continue serving the most vulnerable residents of our state in perhaps their greatest time of need.”

These are difficult times for all of us, but we are confident we will overcome this healthcare crisis if we all do our part. Stay at home, practice social distancing, wash your hands often, stay informed and follow CDC guidelines. During this unprecedented time, we are rising to the challenge and doing what is best for the health and safety of Alabamians and the communities we serve.
 

 

MEDIA RELEASE - Posted March 19, 2020

Blue Cross and Blue Shield of Alabama Warning Alabamians of COVID-19 Scam

Birmingham, AL – Blue Cross and Blue Shield of Alabama is warning their customers and Alabamians about national Coronavirus scams. These scams are targeting members by leveraging fear related to COVID-19.

Scam Warning Signs:

  • Door to door solicitation for any testing and prescribing for COVID-19; (tell individual(s) you are not interested, and you will contact your physician
  • Phone calls asking for health insurance contract information for free testing and services; hang up immediately)
  • Outreach from unfamiliar healthcare workers offering to send you a home test kit
  • False advertisements for vaccinations or medications to treat the disease
  • Unexplained or unauthorized laboratory tests or prescriptions appearing on your Blue Cross Explanation of Benefits statement
  • Advertisements offering health products that are ineffective against COVID-19 such as herbal teas, supplements, oils or ointments
  • Spear phishing emails referencing COVID-19 which contain malware


Blue Cross and Blue Shield of Alabama cares about the health and well-being of our members and Alabamians. We are taking every step available to minimize these scams. We encourage members and Alabamians to be vigilant. If you suspect healthcare fraud, please report it to AlabamaBlue.com/fraud or call our fraud hotline at 1-800-824-4391.

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MEDIA RELEASE - Posted March 17, 2020

Blue Cross and Blue Shield of Alabama Expands Telehealth Coverage as Customers’ Health and Well-Being Remains Top Priority

Birmingham, AL – Blue Cross and Blue Shield of Alabama wants our customers to have peace of mind knowing we are here for them, and their health and well-being is our top priority. We continue to monitor the outbreak of the new coronavirus (COVID-19) in Alabama. In response, Blue Cross will expand telehealth to ease access to appropriate medical services for our customers.

Effective March 16, 2020, Blue Cross and Blue Shield of Alabama is expanding telehealth coverage. This expansion allows physicians, physician assistants, nurse practitioners and behavioral health practitioners to provide medically necessary services via telephone consultation.

Telehealth gives our customers the option to receive their care remotely to limit their exposure to COVID-19 and other illnesses. It can also serve as an initial screening for patients who may need testing for the coronavirus. For guidance on coronavirus testing, please refer to the Centers for Disease Control & Prevention and the Alabama Department of Public Health websites.

Telehealth is appropriate for consultations and visits for low complexity or routine health conditions. It is also used for ongoing health evaluations and care management. This includes acute illnesses or chronic disease management that, based on the provider’s medical judgment, can be managed over the phone.

Customers can check with their physicians to see if they participate in Telehealth. This service is available when an in-network provider is used.

If members have questions, they can call the customer service number located on the back of their ID card. For the latest on COVID-19 developments, please visit the CDC’s website.

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MEDIA RELEASE - Posted March 12, 2020

Blue Cross and Blue Shield of Alabama Prepared to Meet the Needs of Customers In the Event of Sustained Spread of COVID-19

Birmingham, AL – Blue Cross and Blue Shield of Alabama cares first and foremost about the health and well-being of our customers. Please be assured Blue Cross will continue to meet the needs of groups, members and providers with the sustained spread of a novel coronavirus that causes COVID-19.

“The health and safety of our members remains our top priority,” said Dr. Dow Briggs, Executive Vice President of Blue Cross and Blue Shield of Alabama. “We want our customers to have peace of mind and know they have access to the healthcare they need if they are exposed to coronavirus or become sick. We will continue to do what is necessary to support the health and well-being of our members and the community.”

As the illness caused by COVID-19 continues to spread, many are concerned about the possible impact to themselves and their families. Blue Cross has taken the following steps to ensure our members have access to the right care during this challenging time.

  • Waiving prior authorizations for diagnostic tests and covered services that are medically necessary and consistent with CDC guidance for members diagnosed with COVID-19.
  • Covering medically necessary diagnostic tests that are consistent with CDC guidance related to COVID-19 at no cost to our members with fully insured individual, employer-based, Federal Employee Program, and Medicare Advantage plans. For self-funded employer plans, members’ cost share for diagnostic tests will be based on their benefit plan.
  • Increasing access to prescription medications by waiving early medication refill limits on prescriptions and encouraging members to use their 90-day retail or mail order benefit.
  • Expanding access to telehealth and nurse/provider hotlines. Given the nature of the COVID-19 outbreak, seeking in-person medical care may lead to further spreading of the virus.
  • Dedicating staff to be specifically available to address inquiries related to medical services, ensuring timely responses related to COVID-19.

Blue Cross and Blue Shield of Alabama is closely monitoring the situation and has contingency plans in place to ensure business operations continue to run smoothly:

  • Continuing to process claims electronically. 99% of claims are process electronically, and we do not anticipate disruption to claims processing.
  • Expanding our telework capabilities to cover nearly 100% of our workforce over the next 2-4 weeks to maintain staffing of critical business areas.

If members have questions, they can call the customer service number located on the back of their ID card. For the latest on COVID-19 developments, please visit the CDC’s website.

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Posted March 9, 2020
 

A Message About the Coronavirus (COVID-19)

As the illness caused by the novel coronavirus, COVID-19, continues to spread, many are concerned about the possible impact to themselves and their families. Blue Cross and Blue Shield of Alabama is closely monitoring the situation and has prepared contingency plans to ensure business operations continue to run smoothly in the event of a widespread outbreak.

To help prevent the spread of respiratory viruses, we encourage you to follow the CDC’s guidelines:

  • Wash your hands often with soap and water for at least 20 seconds or use alcohol-based hand sanitizer, especially after coughing or sneezing.
  • Avoid touching your eyes, nose and mouth with unwashed hands.
  • Cover your mouth and nose with a tissue when coughing or sneezing, or cough or sneeze into your elbow or shoulder, not your hands.
  • Stay home if sick, and stay home for at least 24 hours after the last signs of fever.

To keep current on the latest COVID-19 developments, please visit the CDC’s website.
 

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