Through June 30, 2021, all member cost sharing (deductibles, coinsurance, and copays) for 24/7 telemedicine visits provided by Amwell® (amwell.com), Doctor On Demand™ (doctorondemand.com) and Teladoc™ (teladoc.com) will be waived regardless of medical diagnosis, including behavioral health services for those feeling high levels of stress or anxiety. This applies to all fully insured commercial groups and individual products that cover this service under the telehealth service benefit — both Qualified High Deductible High Performance Plans and non-Qualified High Deductible High Performance plans.
Cost sharing for in-network virtual PCP visits will also be waived for all full-insured plans and all diagnoses.
Yes. The cost-sharing will be waived regardless of medical diagnosis. This is important given the high levels of stress or anxiety or anxiety members may be experiencing at this time.
Self-insured customers have to opt out of this waiver by March 22, 2021.
Yes. Telemedicine and virtual visits are effective ways for members experiencing mild symptoms to see a physician quickly and safely, without exposing or being exposed to others. For this reason, we are encouraging and promoting the use of telemedicine as an early line of defense.
If an individual meets CDC criteria for COVID-19 testing, the telemedicine clinician will refer the patient to a local urgent care or emergency center for immediate testing and management. We are waiving the cost-sharing for these visits to encourage members to seek care in the most effective way.
We are waiving all fees for most telemedicine services until June 30, 2021—including behavioral health sessions for those suffering from anxiety during the crisis. Telemedicine is a great way to avoid leaving home when sick and still receive medical assistance. Members should call the number for Member Service on the back of their Highmark card to find which telemedicine service is in network. The Member Service number is plan-specific and is the fastest path to correct answers about their coverage.
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All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.
This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.
®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.
PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.
Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.
West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit our website to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.
Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
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