12924

Member for

7 years 1 month
Submitted by Site Factory admin on
Telehealth services received from a Blue Cross and Blue Shield approved telehealth physician or practitioner using a telecommunications system. The telehealth provider will use an audio and video telecommunications system that permits a two-way, real-time communication. A member may see a telehealth provider online or by mobile device when care is needed for a minor illness or injury such as a cough, a sore throat, or a fever; or care is needed for a chronic condition; or care is needed for obstructive sleep apnea and other sleep disorders or sleep related conditions; or help is needed for a general health and wellness concern. A referral or prior approval is not required. For covered telehealth services, the member's cost share amount (such as deductible, copayment, and/or coinsurance) is the lowest cost share that applies for similar health care services when they are furnished in the office by the member's primary care provider. There is one exception, in-network member cost is waived for diagnosis and treatment of obstructive sleep apnea and other sleep disorders or sleep-related conditions.