Telemedicine and Telehealth Services
Physicians and health professionals who practice in Texas have the option to provide telemedical and telehealth services and procedures to their patients to strengthen provider/patient relationships and encourage continuity of care with the same provider. Telemedicine and Telehealth services are covered for certain insured PPO and HMO plans (other than small group 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 at bcbstx.com/provider. To view this information, visit the General Reimbursement Information section of this website. Texas physicians and health professionals can provide telehealth services to their BCBSTX patients through their contract with BCBSTX. Also, providers can join the MDLIVE physician network and provide 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.com.
Refer to Telemedicine and Telehealth Services on Clinical Payment and Coding Policies.
If you need assistance, please contact your Network Management office.