12927

Member for

7 years
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, member pays in-network deductible only (coinsurance is waived) for diagnosis and treatment of obstructive sleep apnea and other sleep disorders or sleep-related conditions.