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Medicare Advantage telehealth cost share & COVID-19 vaccine billing
March 9, 2021

No member cost for these telehealth services

This is a reminder that effective January 1, 2021, we are waiving cost share (copayment or
co-insurance) for Medicare Advantage members who receive telehealth services for the following types of services:

  • primary care visits
  • specialist visits when treatment is related to COVID-19
  • urgent care visits
  • outpatient mental health visits

Cost share will apply for all other telehealth visits, such as physical therapy visits.

Send Medicare COVID-19 vaccine claims to original Medicare

This is a reminder that coverage for the COVID-19 vaccine and administration, or antibody infusion treatment for your Medicare Advantage patients, is covered through original Medicare.

You must submit claims for COVID-19 vaccine and administration or antibody infusion treatment to the CMS Medicare Administrative Contractor (MAC) for payment—not to Blue Cross.


CMS: Medicare billing for COVID-19 Vaccine Shot Administration