Cigna, one of the country’s largest private health insurers, has implemented a new virtual care reimbursement policy as of Jan. 1. The policy builds on billing and coding flexibilities spurred by COVID-19. UnitedHealthcare has also changed its telehealth policies recently.
Cigna’s new policy applies to services provided to commercial medical customers, including those with Individual & Family Plans (Cigna Behavioral Health and Cigna Medicare Advantage customers will continue to have virtual care services covered through their own separate benefit plans). The policy provides continued payment for virtual services that are typically performed in an office setting.
Common services included in the policy include:
Common codes included in the policy include:
The following general requirements must be met for Cigna to consider paying for a virtual care visit:
— Brennan Cantrell, Commercial Health Insurance Strategist, American Academy of Family Physicians
Sign up to receive FPM's free, weekly e-newsletter, "Quick Tips & Insights," featuring practical, peer-reviewed advice for improving practice, enhancing the patient experience, and developing a rewarding career.