As of January 1, 2015, Highmark will cover Teledermatology and Virtual Behavioral Health visits for all sizes of group clients under 65 (fully insured and self-insured).* These forms of telemedicine use secure telecommunications technology to allow members to connect remotely with specialists. Please note: It is the provider’s decision to practice medicine in this manner and if it is the right type of care for the patient.
Coverage:
- Teledermatology visits will be covered in the same way as an in-person visit to a dermatologist, and are not a separate benefit.
- Virtual Behavioral Health visits will be covered as long as the benefit plan includes outpatient mental health visits. The majority of Highmark medical plans provide this coverage. If a client’s mental health benefits are covered by another carrier, the member should check with their mental health carrier to determine if this would be a covered service.
Finding telemedicine providers: It is noted on the provider’s profile on Highmark’s online Provider Directory if he/she participates in telemedicine programs.
*This coverage does not apply to Medicare Advantage plans or any plan in which Medicare is primary.