Updated 2022 Telehealth Services

Posted September 27, 2021 (Updated November 11, 2021)

In support of our members and employer groups, in 2022 Blue Cross and Blue Shield of Illinois (BCBSIL) will continue to provide benefits for the expanded telehealth services similar to our 2021 coverage and consistent with guidelines from the American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS).

BCBSIL will continue to accept telehealth claims from both professionals and facilities and adjudicate them in accordance with each member’s benefits. BCBSIL will not accept the GQ modifier (for example, asynchronous services) on telehealth claims.

This applies to our fully insured and self-funded employer group members. Telehealth benefit coverage will be for clinically appropriate and medically necessary service and treatments consistent with the member’s benefit plan, including copays, coinsurance and deductibles. Medicare members’ telehealth coverage is consistent with CMS requirements. Our Medicaid members’ telehealth benefits are defined by state Medicaid requirements.

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