Policies and coding guidance for extended telehealth coverage during the COVID-19 emergency from more than 50 of the better-known national, regional, and state-based payers.
This list of state-based and national and regional payers provides details on more than 50 of the better-known commercial insurers’ policies for extended telehealth (TH) coverage during the COVID-19 emergency.
NOTE: Expiration dates are rapidly changing. While we strive to keep the information updated, please check with the insurer directly for current information.
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: extended through 12/31/2020
Type of plan: Commercial and Medicaid/Medicare
Coverage dates: N/A
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: N/A
Type of plan: Commercial/Medicaid
Coverage dates: 3/1/2020–6/30/2020
Type of plan: Commerical, Medicaid
Coverage dates: Updated 5/28/2020 but no stated end date. Company claims that guidance will be updated frequently.
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: 3/17/2020–6/30/2020
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: N/A
Type of plan: Commercial
Coverage dates: N/A
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: N/A
Type of plan: Commercial
Coverage dates: effective for dates of service 3/6/2020 until 7/20/2020 (if necessary, date may be extended again)
Type of plan: Commercial, Medicare Plus, and BCN Advantage
Coverage dates: N/A
Type of plan: Commercial
Coverage dates: Effective 3/26/2020 through 6/30/2020, will temporarily allow credentialed providers to bill routine practice codes for services provided through telehealth. Other policies have different effective dates.
Type of plan: Commercial and Medicaid
Coverage dates: Extended telehealth policy effective the duration of the national public health emergency related to COVID-19
Type of plan: Commercial, Medicare, and Self Insured
Coverage dates: extended to 7/25/2020
Type of plan: Commercial
Coverage dates: 3/13/2020–6/30/2020
Type of plan: Commercial and Medicare/Medicaid
Type of plan: Commercial
Coverage dates: N/A
Type of plan: Insurance exchange and commercial
Coverage dates: N/A
Type of plan: Commercial, Medicaid, Medicare Advantage
Coverage dates: N/A
Type of plan: Appears to be both commercial and Medicare/Medicaid
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: N/A
Type of plan: Commercial and Medicare
Coverage dates: N/A
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: N/A
Type of plan: Commercial
Coverage dates: N/A
Type of plan: Commercial and Medicare Advantage
Coverage dates: until emergency order is lifted by the US Dept of Health and Human Services
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: N/A
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: N/A
Type of plan: Commercial
Coverage dates: N/A
Type of plan: Commercial/Medicare Advantage
Coverage dates: through 6/30/2020
Type of plan: Commercial/Medicare
Coverage dates: Commercial telemedicine services are effective 3/6/2020 through 12/31/2020; Medicare Advantage telemedicine services are effective 3/6/2020, and for the duration of the public health emergency.
Coverage dates: during the state of emergency
Type of plan: Commercial and Medicaid/Medicare
Coverage dates: 9/30/2020
Type of plan: Commercial and Medicare
Coverage dates: extended through 7/31/2020
Type of plan:
Coverage dates: N/A
Type of plan: Commercial and Medicare
Coverage dates: until the end of the COVID-19 public health emergency period
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: 3/16/2020–until further notice
Type of plan: Commercial
Coverage dates: N/A
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: No end date specified; only specification is effective date of 3/1/2020
Type of plan: Commercial
Coverage dates: N/A
Type of plan: Commerical, Medicaid
Coverage dates: Extended thru 12/31/2020
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: extended through 12/31/2020
Type of plan: Commercial
Coverage dates: N/A
Type of plan: Self-Insured, Medicare Cost and Advantage, Medicaid, MSHO, SNBC, WI Marketplace (Coverage for certain products may not be available for all self-insured plans)
Coverage dates: N/A
Type of plan: Commercial and Medicare/Medicaid
Coverage dates: N/A
Type of plan: Commercial, Medicare, Self-Insured (at sponsor discretion)
Coverage dates: (effective 3/6/2020) waiver of cost sharing extended to 9/30/2020 and allowance of phone only extended to 8/4/2020
Region: National, but only in certain states: CA (Blue Cross but not Blue Shield), CO, CT, GA, IN, KY, ME, MO (excluding 30 counties in the Kansas City area), NV, NY (only Empire BCBS—other parts of state are coved by other BCBS companies), OH, VA (except DC suburbs) and WI
Coverage dates: Most telehealth policies effective 3/17/2020 through 9/13/2020. But for out of network providers, waiving cost shares is only effective through 6/15/2020. Anthem “will continue to actively monitor the rapidly evolving situation”
Coverage dates: 4/17/2020–12/31/2020
Type of plan: Commercial
Coverage dates: 3/6/2020 until national emergency ends
Type of plan: Commercial
Coverage dates: 3/17/2020–7/31/2020 (applies to claims since 3/2/2020)
Type of plan: Commercial and Medicare Advantage
Coverage dates: following state emergency orders for deadlines
Region: National—BH Carve out company
Type of plan: Commercial, Medicare, Managed Medicaid
Coverage dates: 3/18/2020–end of federal emergency
Type of plan: Commercial, Medicare Advantage, Managed Medicaid. Application to self-insured plans not yet clear. Waiver of patient responsibility (see “Developmental / Behavioral Screening and Testing Services”) clearly excludes self-insured plans but not yet clear for other policies.
Coverage dates: 3/19/2020–7/24/2020
We prepared this page to provide information to psychologists in this rapidly changing landscape. Because the law and related information continually change, we will strive to update the page regularly. Please email us with any updates.
Please note this document does not constitute legal advice. APA cannot guarantee the completeness or accuracy of this document, and we recommend that psychologists independently verify this information (partly by using the reference(s) included in each listing) and consult with counsel in their state with appropriate experience before relying on or making decisions based on this information.