- For the next 90 days, Aetna is offering zero copays for telemedicine visits for any reason as a way to limit potential exposure to the coronavirus in physician offices. It will apply to all video.
- Aetna Better Health of Kentucky is part of Aetna ®, one of the nation's leading health care providers and a part of the CVS Health ® family. We have over 30 years of experience serving Medicaid populations including children, adults and people with disabilities or other serious health conditions.
Aetna announcement effective March 6 on zero co-pay telemedicine visits for any reason for 90 days, please see below excerpt. Also attached is Aetna’s updated telemedicine policy that was new 1/1/1/20 that had coverage details and CPTs and has been updated to reflect this March 6th update. 2nd attachment is the Aetna Covid Press release. This announcement also is posted and available to providers on NaviNet and Availity with links to policy and press release as well.
Aetna Medicare Explorer Value (HMO) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. Drugs in lower tiers will usually cost less than those in higher tiers. Custom HMO members – $10 copay; Bronze Plan members pay the cost of the visit which is $40; Choose a board-certified physician and discuss your medical symptoms using secure and HIPAA compliant technology. Visit with the doctor via the mobile app, website or even by phone; no extra cost for after hours or weekends. To Use Teladoc: Aetna.
Beginning March 6, 2020, Aetna will offer zero co-pay telemedicine visits for any reason for 90 days. We will waive the cost share for all video visits through the Aetna-covered Teladoc offerings and in-network providers delivering synchronous virtual care (live video-conferencing) for all Commercial plan designs*. Self-insured plan sponsors can opt-out of this program at their discretion.
*We will also cover G2010, G2012, 99441, 99442, and 99443 during the 90-day period.
For more information, see our press release below or at these links: Business in a box download for mac.
Additionally , more from Aetna:
March 17, 2020
Dear Valued Partner:
We share the same goal: to help people get and stay healthy. We are your partners in health care, and act to serve you and the millions of patients who rely on us for their health care needs.
In response to the rapidly evolving COVID-19 outbreak, CVS Health and Aetna are here to support you with timely answers and information. Through CVS Health and Aetna's combined resources and your partnership, we can best support your Aetna patients' health and well-being, ensure their access to medication and remove barriers to care.
We're here to help you, help your patients and recently announced these resources and enhancements when applicable:
If you request testing related to COVID-19, we'll waive your Aetna patient's cost sharing.
Aetna Commercial patients pay $0 for covered telemedicine visits until June 4, 2020.
Until further notice, Aetna is also expanding coverage of telemedicine visits to its Aetna Medicare members, so they can receive the care they need from you without leaving their homes. With this change and new flexibilities announced by the Centers for Medicare and Medicaid Services to help combat the virus, Aetna Medicare members can now see their providers virtually via telephone or video.
Aetna is offering its Medicare Advantage brief virtual check-in and remote evaluation benefits to all Aetna Commercial members and waiving the co-pay.
.jpg)
Care packages will be sent to Aetna patients diagnosed with COVID-19. Through Aetna's Healing Better program, Aetna Commercial and Medicare Advantage members will receive CVS items to help relieve symptoms as well as personal and household cleaning supplies to help keep others in the home protected from potential exposure. Call the number on your Aetna patient's ID card to register a recently diagnosed patient.
Patients won't have to pay a fee for home delivery of prescription medications from CVS Pharmacy®.
Aetna is extending its Medicare Advantage virtual evaluation and monitoring visit benefit to all Aetna members as a fully-covered benefit.
We're waiving early refill limits on 30-day prescription maintenance medications for all Commercial members with pharmacy benefits administered through CVS Caremark.
Aetna Medicare members may request early refills on 90-day prescription maintenance medications at retail or mail pharmacies if needed. For drugs on a specialty tier, we're waiving early refill limits for a 30-day supply.
Through existing care management programs, Aetna will proactively reach out to your patients who are most at-risk for COVID-19.
Please refer to the What You Need to Know About the Coronavirus (COVID-19) - Aetna Providers FAQs on Aetna.com for additional important information. There, you'll find information about codes related to COVID-19 and selected labs approved to do COVID-19 testing. This page will continually be updated with information as it becomes available to help you care for your patients.
Let's work together to provide your patients with a clear path to care. Thank you for your continued partnership.
Please see the updated attachments for additional and up to date information from Aetna.
Health Plan - Aetna
Telemedicine (Virtual Medicine)
New Telemedicine Feature
Teladoc for Behavioral Health: Members can register for Teladoc and log in via the web or through the Teladoc app to schedule a video visit with a board-certified psychiatrist, psychologist or licensed therapist 7 days a week from 7:00 am to 9:00 pm. Members have access to support for anxiety, depression, stress, family difficulties, and more. If members choose, they can then build an ongoing relationship with the same behavioral health professional by requesting follow-up appointments through the secure online message center.
Aetna Telehealth Copay
If you can’t get a quick appointment with your Primary Care Provider (PCP), consider using telemedicine instead of going to an urgent care center or ED. Telemedicine is a service that allows you to have an online video consultation with a doctor whether you are at home or on the go, by using your computer, tablet or smartphone. You can use telemedicine services and speak with a doctor to receive a diagnosis and get recommended treatment for minor illnesses, such as a sore throat, runny nose, or headache. The doctor can even prescribe medications when appropriate.
Frequently Asked Questions (FAQ)
Teladoc Member Journey (Video)
Aetna HMO Plan
| Site of Care | Average Cost Per Visit | Your Copay |
|---|---|---|
| In-network Telemedicine provider (Teladoc) | $40 | $0* |
| * When using telemedicine for a scheduled appointment with your PCP or for behavioral health services offered through Teladoc, the copay is $15. When using telemedicine for a scheduled appointment with a specialist, the copay is $25. | ||
Aetna Telemedicine Copay
Aetna CDH Gold Plan
| Site of Care | Average Cost Per Visit | Your Cost |
|---|---|---|
| In-network Telemedicine provider (Teladoc) | $40 | 10% coinsurance after deductible |
Aetna Telemedicine Copay
