Coronavirus Updates - Here’s What You Need to Know

Posted on 2020-04-06
Updated on 2020-04-06 00:08:34

CareFirst Updates Telemedicine Policy 

During this public health event, we understand the use of telemedicine is a practical option for members who wish to or should stay home. Therefore, we have temporarily expanded our telemedicine policy. Refer to our coding guidance for all existing and temporarily covered services.

CareFirst is also waiving cost sharing* (copays, coinsurance and deductibles) for our fully insured members when they have a telemedicine visit with an in-network provider. Providers are encouraged not to collect member cost sharing for these services. If a member does owe a copay or coinsurance after the claim is processed, you can bill the member as you do for all other claims. 

Complete details, including how to bill for telemedicine visits, can be found in the Telemedicine Guidance section on the Healthcare Providers page of our Coronavirus Resource Center.

* We are also partnering closely with our self-insured customers to implement similar measures.

Utilization Management Policies and Practices

CareFirst has temporarily updated some of our Utilization Management policies and practices to reduce administrative burdens on the healthcare system. Complete details can be found in the COVID-19 Prior Authorization Process section of our Coronavirus Resource Center.

Member Benefit Updates

Member benefit information can be found on our Coronavirus Resource Center.  

Frequently Asked Questions

Have questions about home birth, telemedicine or other policies? Check out our Coronavirus Frequently Asked Questions.

If you have questions not answered on our website, please contact Provider Service.