We're introducing an updated policy that will cover telemedicine services for members enrolled in all Aetna® commercial plans.
Under the policy, we'll reimburse for two-way, real-time audiovisual interactive communication between the patient and the health care practitioner. This interaction does not include direct patient contact, but the patient must be present and take part throughout the interaction.
This updated policy will take effect as of January 1, 2020. At that time, you will be able to review the payment policy and approved codes on the provider website.
Billing
When billing for eligible services rendered via telemedicine, as explained above, you must bill them using the appropriate telemedicine modifier representing two-way, real-time audiovisual interactive communication.
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Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?
