Physicians/Specialists
Facilities/Hospitals
Ancillary
Publication Date: 
2020-05-08

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is extending its expanded telehealth measure through July 31, 2020. We will reevaluate if an additional extension is needed as we get closer to July 31.

Under the measure, visits to providers that previously required an in-person encounter can be performed virtually and will be paid at parity with office visits as long as they are medically necessary, meet criteria in the updated Blue Cross NC Telehealth Corporate Reimbursement Policy, and occur on or after March 6, 2020. It includes virtual care encounters for patients that can replace in-person interactions across appropriate care settings, including outpatient clinics, hospitals, and the emergency departments. The decision to extend the measure until the end of July is based on the current state of the pandemic, public health needs, and the desire to provide stability for providers.

The measure applies to fully-insured, State Health Plan, and Medicare Advantage plans offered or administered by Blue Cross NC, including Experience Health. Blue Cross NC will be consulting with self-insured employer groups with regard to revising their benefits. For additional details on our COVID-19 response for providers, visit www.bluecrossnc.com/coronavirus-providers.