Telemedicine and Telehealth Services
Refer to the COVID-19 Preparedness page for temporary information related to servicing members in response to COVID-19.
Physicians and health professionals who practice in Texas have the option to provide telemedicine and telehealth services and procedures to their patients to strengthen patient relationships and encourage continuity of care. Telemedicine and Telehealth services are covered for certain fully insured PPO and HMO plans. These services are covered in accordance with Chapter 1455 of the Texas Insurance Code. In addition, medical policies, benefits and eligibility are determining factors in reimbursement.
BCBSTX provides general reimbursement information policies, fee schedule request forms and fee schedule information on the General Reimbursement Information section of the provider website. Texas physicians and health professionals can provide telehealth services to their BCBSTX patients through their contract with BCBSTX. Also, healthcare providers can join approved telemedicine vendors such as MDLive. The MDLIVE physician network provides telephonic telehealth services to Blue Advantage HMOSM, Blue Advantage PlusSM HMO and Blue Choice PPOSM fully insured members by calling 888-450-1572 or going to MDLIVE . Some plans may use other vendors for telemedical/telehealth services. Benefits should always be verified before providing services.
Refer to Telemedicine and Telehealth Services on Clinical Payment and Coding Policies.
If you need assistance, please contact your Network Management office.