COVID-19 Updates: Premera

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YOU NOW HAVE GREATER ACCESS DURING THE COVID-19 OUTBREAK

Starting April 21, 2020, Premera Blue Cross is expanding telehealth access options for mental health and substance use disorder.  Three in-network provider options have been added to help support you during the COVID-19 pandemic.

What’s new:

In addition to new providers, Premera added new covered services for care delivered virtually.  Telehealth is now covered for:

  • Applied behavioral analysis (ABA)
  • Partial hospitalization programs (PHPs) for mental health and substance use disorders
  • Intensive outpatient programs (IOPs) for mental health and substance use disorders

For additional information, please review the Telehealth information found on the Premera website.

Customers may begin treatment with existing in-network providers or Premera’s new telehealth providers without a referral.  Member cost shares are waived for all telehealth services.  Access to these new providers and the waiving of member cost shares are available through June 30, 2020 with the potential to extend duration based on business and epidemiological considerations.

Other resources clients can use:

  • Many in-network providers, including local counselors, therapists, psychologists, psychiatrists, and facilities are offering care virtually during this time.
  • Customers can also receive care from Premera’s national telehealth provider for talk therapy, Talkspace and Teladoc.
  • If customers have already established care with an in-network provider or provider group, they may reach out to them to learn more about telehealth options for medical care and behavioral health care.  To find an in-network provider, use the Find a Doctor tool on premera.com.
  • Some customers may also have access to behavioral health care through an employee assistance program (EAP).

Important information to note:

  • If a telehealth provider charges you a copay, deductible or coinsurance for telehealth services through June 30, 2020, Premera or the telehealth provider will reimburse you when the claim is processed.
  • Telehealth providers can’t diagnose COVID-19 or order any COVID-19 testing.  They may be able to assist with a review of symptoms and recommendations on next steps.
  • Only providers seen in-person can diagnose the COVID-19 virus.  Testing can also be performed at drive-through locations.

For questions relating to this in-network provider expansion and how Premera is responding to COVID-19, please visit www.premera.com or contact your WCIF Account Executive.

For more information and to stay up to date on the latest coronavirus information please visit:  www.coronavirus.wa.gov.

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