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.
Resource
CMS: Medicare billing for COVID-19 Vaccine Shot Administration
MPC_030620_1N-177-ART