How Anthem benefits will work
COVID-19 testing is covered.
All Anthem members are covered. If COVID-19 testing is needed, the test and the visit where members get the test are covered with no out-of-pocket costs. If you’re diagnosed as having COVID-19, your Anthem health plan’s benefits apply to treatments.
Symptom checks and doctor visits from home are covered.
Members can download the free Sydney Care mobile app for a quick and easy way to evaluate symptoms. They can connect with a doctor through a LiveHealth Online video session or a Virtual Care text session right from their phone. The doctor they connect with can evaluate their symptoms, help them understand whether they’re at risk for COVID-19, and let them know whether they need to visit a local health care provider in person for COVID-19 testing. LiveHealth Online is available for members at no extra cost through June 14, 2020.
Sydney Care is available to download now on Android or iOS. This app should accompany the Sydney Health and Engage app. Coronavirus Assessment functionality is in development and expected to be available within the next week.
Members can also log in to their anthem.com account and connect to LiveHealth Online.
Most plans include telehealth as part of their benefits. If LiveHealth Online isn’t part of a member’s plan benefits, they can still use it for $59 per visit.
If doctors in a member’s plan don’t use LiveHealth Online, but have their own telemedicine technology to see patients, members can use that technology to see them at no cost until June 14, 2020.
Early prescription refills are covered.
Anthem is relaxing early prescription refill limits, where permitted, for members who have Anthem pharmacy benefits and wish to refill a 30-day supply of most maintenance medications early.
Additionally, members who have a pharmacy plan that includes a 90-day mail-order benefit should talk to their doctor about whether changing from a 30-day supply to a 90-day supply of their prescriptions is appropriate. Members filling 90-day prescriptions can get most of their medications through our home delivery pharmacy. Members can call the Pharmacy Member Services number on their health plan ID card to learn more.
If there’s an epidemic, how will you ensure that the doctors in the Anthem plan can still provide care?
Anthem is committed to making sure members can get the care they need. We’re working closely with the doctors and other health care professionals in our plans to prepare for more calls and visits. If doctors aren’t available for some reason, we’ll help them find alternate care. Members can go to anthem.com or call the Member Services number on their ID card.