Blue Review
A Provider Publication

March 2022

Updating Telehealth Services For Certain Procedures

Blue Cross and Blue Shield of Illinois (BCBSIL) is continuing to update services it will provide benefits for when delivered via telehealth.

What’s Changing: Effective June 1, 2022, we are discontinuing coverage for some services delivered via telehealth because they can only be delivered in-person, such as vaccine administration and radiology procedures. Others are being discontinued because a more appropriate telehealth-specific code for that service is available and should be billed if the service is rendered by telehealth.

This notification applies to our fully insured and self-funded employer group members. Telehealth benefit coverage will be for clinically appropriate and medically necessary services and treatments consistent with the member’s benefit plan, including copays, coinsurance and deductibles. 

Medicare members’ telehealth coverage is consistent with Centers for Medicare & Medicaid Services (CMS) requirements. Our Medicaid members’ telehealth benefits are defined by state Medicaid requirements.

More Information: Fee schedules will reflect the code change beginning June 1, 2022. Professional providers participating in our PPO and Blue Choice PPOSM networks may download our Fee Schedule Request form on the Forms page of our Provider website.

Continue to visit the News and Updates and the Blue Review for any additional updates regarding telehealth.

This information does not apply to HMO providers.