Updates to BlueCross virtual visit benefits

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BlueCross BlueShield of South Carolina (BlueCross) is the third-party administrator for the State Health Plan. Below is updated information from BlueCross about Blue CareOnDemand and other telehealth services. If you have questions, please contact BlueCross at 800.868.2520. You can also refer to the original update from March 20, 2020.

Telehealth visits provide convenience for people to access care at home. This will also help slow the spread of COVID-19 by limiting exposure, mitigating the surge of demand on our health care system and helping protect health professionals on the front lines.

Blue CareOnDemandSM

Any visit type through Blue CareOnDemand is available with no member cost share, effective until May 31, 2020, when code COVID19 is used. For more information on the member experience follow this link to details.

Telehealth

Our provider telehealth policy has been expanded effective March 17, 2020, through June 15, 2020. After that, the policy will be reevaluated for extension or modification.

  • Telephone visits: Services delivered over the phone to existing patients will be covered. Providers offering these services must already be credentialed in the BlueCross system.
  • Telehealth services: Telehealth services will be covered at the same benefit level as office visits. This includes visits with new patients and current patients for providers already credentialed by BlueCross to offer telehealth services. Other providers will need to apply to BlueCross to use these telehealth services in their practices.
  • Members are encouraged to call their doctor and ask for a virtual visit. These virtual visits must be medically necessary and meet qualifying criteria. Please note that the member’s copay and coinsurance will still apply.

For the latest information, visit bcbs.sc/covid-19.