8 de junio de 2020
Updated on July 24, 2020
As the COVID-19 crisis continues to evolve, Blue Cross and Blue Shield of New Mexico (BCBSNM) is making changes to serve our Medicare members. We are following Centros de servicios de Medicare and Medicaid (CMS) 
guidelines as appropriate. You can find updates in our COVID-19 FAQs for Medicare Providers, including on testing, treatment, telehealth and claims.
Unless otherwise noted, the FAQs refer to our members in these individual and group Medicare Advantage and Medicare Supplement plans:
- Blue Cross Group Medicare Advantage (HMO)SM
- Blue Cross Group Medicare Advantage (PPO)SM
- Blue Cross Group Medicare Advantage Open Access (PPO)SM
- Cobertura Blue Cross Medicare Advantage HMO
- Blue Cross Medicare Advantage Dual Care (HMO SNP)SM
- Blue Cross Medicare Advantage (PPO)SM
- Blue Cross Medicare SupplementSM
The FAQs include details on:
Coverage for testing, testing-related visits and treatment
Medicare Advantage and Medicare Supplement members won't pay copays, deductibles or coinsurance for:
- Medically necessary lab tests to diagnose COVID-19 that are consistent with CDC guidance
- Testing-related visits related to COVID-19 with in-network* providers, including at a provider's office, urgent care clinic, emergency room and by telehealth
- Treatment for COVID-19 with providers or at facilities from April 1 through Aug. 31, 2020 (previously June 30, 2020). Members should confirm whether their benefit plan covers services received from out-of-network providers. For questions about benefits, members may call the number on their ID card.
Expanded access to telehealth at no cost-share
Medicare Advantage and Medicare Supplement members can access in-network telehealth services at no cost-share for medically necessary, covered services and treatments consistent with the terms of the member's benefit plan. Medicare Advantage PPO members have access to telehealth services with out-of-network providers but will be responsible for member cost-share for these services consistent with the terms of their plans. This cost-share waiver for telehealth services applies to claims beginning March 1, 2020.
Telehealth for annual health assessments
Initial and subsequent Annual Wellness Visits (G0438 and G0439) may be conducted by telehealth. Submit claims for wellness visits with Modifier 95 and Place of Service (POS) 11. BCBSNM covers one wellness visit every calendar year.
- Note: CMS has not approved Initial Preventive Physical Examinations (IPPE) (G0402) for telehealth. Members are eligible for the IPPE during their first 12 months of enrollment in Medicare.
To confirm Medicare members’ coverage and benefits, you may use the Availity® Provider Portal or your preferred vendor. To verify telehealth coverage, please call Provider Services at 1-877-774-8592 for individual and 1-877-299-1008 for group members.
Recursos
*Blue Cross Medicare Supplement members do not have network restrictions unless otherwise noted in their plan terms.
Checking eligibility and/or benefit information and/or the fact that a service has been preauthorized/pre-notified is not a guarantee of payment. Los beneficios se determinarán una vez que se reciba el reclamo y se basarán, entre otras cosas, en la elegibilidad del asegurado y los términos del certificado de asegurado de la cobertura aplicable en la fecha en la que se prestaron los servicios. If you have any questions, call the number on the member's ID card.
Availity es una marca registrada de Availity, LLC, una compañía aparte que opera una red de información de salud para prestar servicios de intercambio de información electrónica a profesionales médicos. Availity presta servicios administrativos a BCBSNM. BCBSNM makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Si tiene alguna pregunta acerca de los productos o servicios ofrecidos por estos proveedores, debe comunicarse con el proveedor directamente.
Al hacer clic en este enlace, irá a un nuevo sitio web o a una aplicación ("sitio"). El sitio al que está por acceder podría ser administrado por un proveedor o un tercero. El sitio también podría proporcionarle información no relacionada con Medicare. Además, algunos sitios podrían solicitarle que acepte sus propios términos de uso y políticas de privacidad.
Indicador de un documento en formato portátil (PDF). Para ver este archivo, es posible que tenga que instalar un programa para leer PDF. La mayoría de los programas para leer documentos en formato PDF se pueden descargar sin costo. Una alternativa es Adobe® Reader® que tiene una función de lectura en pantalla incorporada. Más detalles y herramientas disponibles en http://access.adobe.com .