Last updated April 9, 2:47 P.M.


Based on our research and communication with individual insurance companies, we’ve compiled the following Telehealth information. Should there be any questions around eligibility and benefits for Telehealth services a benefits check should be completed before seeing the patient. 


Please remember that health insurance coverage is a contract between the patient and insurance company. Patients are responsible for knowing what services are covered under the plan they chose, how much they are responsible for paying for covered services and if authorization or referral is required to see a specialist.


The information on this page does not represent a guarantee of coverage or payment. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. 


We will continue to update this page frequently as we learn more or as insurance companies update their policies.If you have Telehealth related information for any insurance companies missing or if you have received conflicting or updated information, please send to Jacob.Hamm@ProHealthDesk.com so that we can update our website. Thank you.

Alaska

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

Premera

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “95”. Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver: Yes for all In-network Providers through 06/30/20 (FEP, BlueCard, Providence, HCA, Shared Admin or Self-funded plans are not inlcuded)

COVID-19 Response

Telehealth Policy

TriCare West (HNFS)

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. 

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Telehealth Update

Telehealth Policy

Telehealth Billling

Arizona

Statewide Executive Order

Governor Ducey issued an Executive Order requiring health care insurance companies to expand telemedicine coverage for all services that would normally be covered for an in-person visit. It remains in effect until the termination of the declared public health emergency.

Executive Order

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

BCBSAZ

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan (FEP Blue must use Teledoc & Self-funded/TPA Administered plans may not have Telehealth benefits).

Copay/Coinsurance Waiver: Yes, until 05/31/20

COVID-19 Telehealth Update 04/03/20

COVID-19 Telehealth Update 03/19/20

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare West (HNFS)

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. 

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Telehealth Update

Telehealth Policy

Telehealth Billling

California

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Anthem - Temporary Policy through 06/15/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver: Yes, until 06/15/20

COVID-19 Response (04/01/20 Update)

COVID-19 Telehealth Guidance

Blue Shield of California

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02. No modifier is required. Telehealth services must be a covered benefit under the member’s benefit plan. 

COVID-19 Response

Telehealth FAQ


Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare West (HNFS)

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. 

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Telehealth Update

Telehealth Policy

Telehealth Billling

Colorado

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Anthem - Temporary Policy through 06/15/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver: Yes, until 06/15/20

COVID-19 Response (04/01/20 Update)

COVID-19 - Telehealth Guidance

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare West (HNFS)

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. 

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Telehealth Update

Telehealth Policy

Telehealth Billling

Connecticut

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Anthem - Temporary Policy through 06/15/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver: Yes, until 06/15/20

COVID-19 Reponse (04/01/20 Update)

COVID-19 Telehealth Guidance

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

Florida

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Florida Blue

In response to COVID-19, Telehealth is allowed for 90 days beginning 03/17/2020 using a HIPAA compliant real-time audio/video conferencing service, using Place of Service Code 02 and modifier "GT". This applies to Commercial and Medicare Advantage plans.

COVID-19 Update 03/17/20

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicaid

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. 

Telehealth Policy

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

Idaho

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 11 and modifier “95”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

Regence

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 11 and modifier “95”. Telehealth services must be a covered benefit under the member’s benefit plan.  Telehealth Reimbursement Policy 

TriCare West (HNFS)

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. 

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Telehealth Update

Telehealth Policy

Telehealth Billling

Maryland

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

CareFirst

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. 

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicaid - OPTUM Maryland

Telehealth is allowed during National State of Emergency only using HIPAA compliant real-time audio/video conferencing service, using Place of Service code 11 and using “GT” modifier.  

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

Missouri

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Anthem - Temporary Policy through 06/15/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver: Yes, until 06/15/20

COVID-19 Reponse (04/01/20 Update)

COVID-19 Telehealth Guidance

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

New Jersey

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

New York

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Empire Blue/Anthem - Temporary Policy through 06/15/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver: Yes, until 06/15/20

COVID-19 Response (Updated 04/01/20)

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

Oregon

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

CareOregon

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service and telephone during National State of Emergency using Place of Service code 11 if Provider is in office or Place of Service code 02 if Provider is not in office, and “GT” modifier. Telehealth Reimbursement Policy

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

MODA

Telehealth is allowed using HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “95”. Telehealth services must be a covered benefit under the member’s benefit plan.  

Telehealth Expansion 03/31/2020

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

Regence

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 11 and modifier “95”. Telehealth services must be a covered benefit under the member’s benefit plan.  Telehealth Reimbursement Policy

TriCare West (HNFS)

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. 

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Telehealth Update

Telehealth Policy

Telehealth Billling

Pennsylvania

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 


Capital Blue

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02. When reporting a Telehealth service there are no billing requirements for the utilization of modifiers. Telehealth services must be a covered benefit under the member’s benefit plan.  

COVID-19 Response

Telehealth Policy


Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Highmark

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member's benefit plan.  

COVID-19 Response

Telehealth Policy

Telehealth Reimbursement Policy


Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ


Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

Texas

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

BCBSTX

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “95”. Telehealth services must be a covered benefit under the member’s benefit plan. 

Telehealth Policy

Telehealth Reimbursement Policy Effective 07/01/2019

Telehealth Reimbursement Policy Effective 05/10/2020

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicaid

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “95”.  

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

Virginia

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Anthem - Temporary Policy through 06/15/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver: Yes, until 06/15/20 

COVID-19 Response (Updated 04/01/20)

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy

Washington

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

First Choice Health

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Kaiser NW - Temporary Policy effective 03/17/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services. 

COVID-19 Response

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

Premera

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “95”. Telehealth services must be a covered benefit under the member’s benefit plan. 

Copay/Coinsurance Waiver: Yes for all In-network Providers through 06/30/20 (FEP, BlueCard, Providence, HCA, Shared Admin or Self-funded plans are not inlcuded)

COVID-19 Response

Telehealth Policy

Regence

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 11 and modifier “95”. Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: No, not for behavioral health  

COVID-19 Response

Telehealth Policy

TriCare West (HNFS)

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”. 

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Telehealth Update

Telehealth Policy

Telehealth Billling

West Virginia

Aetna - Temporary Policy through 06/04/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service 02 and modifier "95". Providers must be in network.  Telehealth services must be a covered benefit under the member’s benefit plan. 

Copays/Coinsurance Waiver:  Yes, until 06/04/2020

COVID-19 Response

COVID-19 Temporary Behavioral Health Telehealth Services

Telehealth Policy 

Cigna - Temporary Policy through 05/31/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “95”.   Telehealth services must be a covered benefit under the member’s benefit plan. Self-funded plans through third party administrators using Cigna’s network may have different rules based on each employer.  

Copay/Coinsurance Waiver: No, not for behavioral health

COVID-19 Response

COVID-19 Interim Guidance for Behavioral Health Providers

Highmark

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member's benefit plan.  

COVID-19 Response

Telehealth Policy

Telehealth Reimbursement Policy

Humana - Temporary Policy effective 03/23/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier “GT”.  Telehealth services must be a covered benefit under the member’s benefit plan.

Copay/Coinsurance Waiver: Yes, for all Telehealth services

COVID-19 - Telehealth Expansion

Telehealth FAQ

Magellan

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing services, using Place of Service code 02 and modifier “GT”. Telehealth services must be a covered benefit under the member’s benefit plan. Provider must complete Attestation Form.

Copay/Coinsurance Waiver: No information available, defer to Medical Health Plan rules

COVID-19 Response

Telehealth FAQ

Telehealth Codes

Telehealth Billing

Medicare - 1135 Waiver effective 03/06/20

Beneficiaries can communicate with their doctors using a HIPAA compliant real-time audio/video conferencing service, audio only or virtual visits using Place of Service code 02 and modifier “GT”.  

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Fact Sheet

CMS Telehealth Tool Kit

OPTUM - Temporary Policy through 04/30/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service or audio only, using Place of Service code 02 and modifier "GT".

Copay/Coinsurance Waiver: Yes, through 06/18/20

COVID-19 Response Updated 04/01/20

COVID-19 Response

Cost Sharing Update 04/02/20

Telehealth FAQ

Telehealth Eligibility

Telehealth Billing

TriCare East - Temporary Policy effective 03/18/20

Telehealth is allowed using a HIPAA compliant real-time audio/video conferencing service using Place of Service code 02 and modifier “GT".

Copay/Coinsurance Waiver: No, not for behavioral health.

COVID-19 Telehealth Updates

TriCare Telehealth Policy