Physicians/Specialists
Facilities/Hospitals
Ancillary
Pharmacy
Publication Date: 
2020-05-04

May 8 Update

The telehealth measure has been extended through July 31, 2020. 


Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has made many policy and benefit changes to support members and providers during the COVID-19 pandemic. We are now extending certain measures based on the current state of the pandemic.

We will reevaluate if additional extensions are needed as we get closer to the new expiration dates.

Measure extended through July 31, 2020:

  • Expanded telehealth measures

Measure set to expire on June 1, 2020:

  • COVID-19 related treatment that is medically necessary and consistent with CDC guidance if a member is diagnosed with or has a suspected diagnosis of COVID-19
    • This measure is set to expire on June 1, 2020, but it will be reevaluated with the measures listed below for additional extensions.

Measures extended an additional 30 days starting on May 5, 2020, with an expiration date of June 4, 2020:

  • Waiving member cost-sharing (copays, deductibles and coinsurance) for:
    • Vendor-based telehealth
    • COVID-19 related clinical visits or testing that are ordered by a provider and FDA cleared, approved or authorized

Measures extended through May 31, 2020:

  • Refilling patient medications early (This measure is set to expire on May 31, 2020, as it follows the North Carolina state of disaster announcement, and may be renewed based on the state's decisions.)
  • Waiving prior authorization requirements for diagnostic tests and covered services that are medically necessary and consistent with CDC guidance for members who are diagnosed with or have a suspected diagnosis of COVID-19
  • Waiving prior authorization requirements for emergent non-elective inpatient admissions and post-acute care services; in place of prior authorization, providers must give a 24-hour notification for such services

We are closely monitoring the COVID-19 pandemic. If there is a surge in COVID-19 cases, we will consider extending these COVID-19 measures beyond May, 31, 2020. We will post an update by May 22, 2020.

For additional details, visit our dedicated provider coronavirus webpage at www.bluecrossnc.com/coronavirus-providers.