This post was pinned to the top of all other new posts. I have now removed the pin. We are updating this as information comes in. Be sure to click the links for the most up to date information from the plan:
Aetna – Check below links for updates. ” Only telemedicine at this time. Self- funded plan sponsors can choose to not waive member cost share.”
Link for providers – https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq.html
Link to members information from Aetna- https://www.aetna.com/individuals-families/member-rights-resources/covid19.html
BCBSTX – “This service is a benefit level and not all members have this benefit. Most employer plans are required to use MD Live.”
Check the below link for the most up to date from BCBSTX
https://www.bcbstx.com/provider/covid-19-preparedness.html
March 19th info from BCBS: New patients can be seen by telemedicine.
You will need to check eligibility and benefits as all groups will not have telehealth benefits.
CIGNA – has provided the following link: www.Cignaforhcp.com
They did not specify if Commercial only however it was from our commercial products contact.
CIGNA/HealthSpring – Letters are being sent to physicians regarding the situation. HealthSpring will be following CMS guidelines. Further details have been provided by HealthSpring. There was an update of the details on March 26th.
UPDATE – As of April 1, 2020 accepting 360s performed via telehealth(must be audio and visual). See April 2,2020 post for details.
March 31, 2020 find the latest by going to https://medicareproviders.cigna.com/ look for the blue box with a exclamation point and click on Billing Guidelines and FAQs
Molina – March 23 – Update and additional information can be found in COVID tag
March 19 – “We would expect that the visits would be covered based on the modifier and POS noted below:
Modifier 95* , POS 2* and document in their medical records that it was audio only *these are intended for visits with both video and audio,but we will also instruct providers to code for audio-only visits.”
Nexcaliber (Brookshires) – Will be working with Brookshire Brothers Employee Health Plan to allow reimbursement for robust telephone calls between physician and patient. This will be effective through April 30, 2020.
Superior – Will follow state regulations. Working to get better details.
The Governor’s release states:
“This coordinated efforts between the Office of the Governor, the Texas Department of Insurance, the Texas Medical Board, and health insurance plans will increase access to health care for all Texans. Today’s action will expand telemedicine options by giving health care providers greater flexibility to perform audio-only telephone consultations with their patients.
As a reminder, Texans covered by CHIP or Medicaid will not be charged copays for test or telemedicine consults. Individuals covered by Medicare or large employer plans should check with their health plan administrator to determine their specific benefits. “
United Healthcare – “You will find all information concerning COVID-19 for providers on the UHC Provider Service website.” The website describes how they will reimburse providers for telephone calls to existing patients based on type of product. https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19.html
Please see this post for updates!
Be sure to scroll down the page to view other important post regarding CMS and other regulators.