Your safety and the safety of our members
We are encouraging our members to use telehealth services to help reduce exposure in healthcare settings as well as prevent community spread.
Due to the COVID-19 pandemic, Vibra Health Plan has made temporary enhancements to our telehealth services.
For claims with dates of service through April 15:
Vibra Health Plan is waiving member cost sharing (copay, deductible, and coinsurance) for medically necessary telehealth (phone or video conference) visits with in-network healthcare providers outside of the Amwell app.
In-network providers eligible to provide telehealth services include:
- Physician Assistants (PAs)
- Certified Nurse Midwives (CNMs)
- Clinical Nurse Specialist (CNA)
- Certified Registered Nurse Anesthetists (CRNAs)
- Clinical Social Workers (CSWs)
- Clinical Psychologist (CPs)
- Registered dietitian or nutrition professional
- Nurse Practitioners (NPs)
- Licensed Professional Counselors (LPCs)
- Licensed Family and Marriage Therapist (LFMTs)
After April 15, member cost sharing applies for telehealth visits outside of the Amwell app. Throughout this pandemic we are continually assessing our policies to meet the evolving needs of our members and community. We will revisit our telehealth policy as the situation evolves.
Telehealth Payments and Billing, Member Cost Share for Inpatient COVID-19 Treatment
Telehealth services provided by an eligible in-network provider have been a covered benefit for Vibra Health Plan members. We will continue to follow CMS guidelines for coverage of telehealth services.
Vibra Health Plan contracted providers may schedule telehealth visits with members through the provider’s normal processes and scheduling platform.
COVID-19 Related Telehealth Payment and Billing Update
Given the current COVID-19 situation, Vibra Health Plan is temporarily allowing providers to bill and receive reimbursement consistent with an in-person visit. This change applies beginning March 6, 2020 through the end of the public health emergency.
Telehealth Coding Change
To facilitate reimbursement, providers must identify the place of service (POS) they would bill had the visit occurred as a face-to-face visit. Providers should NOT use “02” as POS. They must also identify that it was a telehealth service by including Modifier 95 (Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System).
Coverage Update – Member Cost Share for In-network, Inpatient Treatment
Vibra Health Plan continues to make it easier for members to get in-network treatment for care they need during the COVID-19 pandemic. As an additional step in that effort, effective April 1 through May 31, 2020, Vibra Health Plan is waiving member’s cost share (copays and coinsurance) for in-network, inpatient hospital treatment for COVID-19. Please check each patient’s eligibility for the waiver.
Continually Updated Information
Visit our COVID-19 page for the most updated information on how Vibra Health Plan is making it easier for our members to access COVID-19 treatment.
Updated October 1, 2020