Better Benefits, No Headaches
The Power of Telemedicine
The Power of Telemedicine
The Power of Telemedicine – Revisit
I initially wrote this blog a few months ago, extolling the many benefits of telemedicine and pressing the need for communication to your employees about said benefits. At the time, open enrollment for January renewals seemed like months away – because open enrollment for January renewals were months away. Well, those months have passed, and here we are preparing to prepare our employees for making their 2021 benefits decisions. So, it’s the perfect time to kick off your telemedicine communications campaign.
While we’ve seen a marked spike in telemedicine usage since the onset of COVID-19, employers should still put their telemedicine benefit front and center in their open enrollment material, and regular reminders throughout the year are no less important. The key, now, is to sustain and even improve upon the higher levels of awareness and usage of this convenient and low-cost alternative to an in-person doctor’s office or urgent care visit. We’ve taken multiple steps forward in telemedicine usage in recent months. Let’s not take multiple steps back in the coming months.
It would be all too easy for your employees to return to the old habit of ignoring their telemedicine benefit. The risk of that runs high if you’re not driving awareness. If your employees are not reminded of the benefit and how easy it is to use, if they don’t know the value of telemedicine, if they don’t know it’s safe and effective, then telemedicine usage will drop and net healthcare costs will go up.
Importantly, educating your employees on the existence and benefits of telemedicine starts – but does not end – with your open enrollment communications. Since most of your employees have limited opportunity or reason to use their telemedicine benefit, they may need regular reminders that their telemedicine benefit is there for them to use and it’s to their advantage to use it. They need regular reminders that telemedicine is convenient, clinically effective and inexpensive. They need regular reminders that Emergency Departments and Urgent Care Centers are not for primary care.
So, how do you communicate with your employees? Whether it’s through your intranet site, a communication app like Teams, Slack, or Airbo, email, newsletters, team huddles, all-staff meetings, or all of the above, when was the last time your employee communications included information on the availability, ease of use, and value of their telemedicine benefit? Is there a poster in your break rooms? Are your managers and supervisors educated on telemedicine and talking about it in team huddles and meetings? Have you, as a leader in your organization, registered or even used your telemedicine benefit, and then shared your experience with your co-workers?
These are questions to ask even if we weren’t dealing with a pandemic. Telemedicine is a benefit to promote now and always. The more you can keep your employees out of an expensive healthcare facility filled with sick people, the better off they’ll be and the better your health insurance plan will perform.
So the message is, communicate… communicate… communicate. And if you really want to get creative, offer incentives for telemedicine registration and usage.
One last thing, as stated in the Families First Coronavirus Response Act, a group health plan and a health insurance issuer offering group or individual health insurance coverage, including grandfathered plans, shall provide coverage, with no cost-sharing. This includes the following items beginning on or after the date of enactment:
- Items and services furnished to an individual during health care provider office visits (includes in-person and telehealth), urgent care center visits, and emergency room visits related to in vitro diagnosis.
- Waiver of cost-sharing for COVID-19 testing and office visits under Medicare and Medicare
Advantage, Medicaid, CHIP, Tricare, coverage for veterans and federal civilians, and Indians covered through the Indian Health Services.
- The rule applies to insured and self-insured plans.
To make it easier, we’ve compiled a few national carrier’s telemedicine information in the chart below.
|Carrier||Telemedicine Response to COVID-19|
|Aetna||Until June 4, 2020, Aetna will waive member cost sharing for any covered telemedicine visits — regardless of diagnosis. For all Aetna plans offering Teladoc® coverage, cost sharing will be waived for all Teladoc® virtual visits. Cost sharing will also be waived for real-time virtual visits offered by in-network providers for all Commercial plan designs. Members may use telemedicine services for any reason, not just COVID-19 diagnosis. Self-insured plan sponsors will be able to opt-out of this program at their discretion.|
|Anthem||Anthem's telehealth provider, LiveHealth Online LiveHealth is offered as a health plan benefit to many individual, employer-sponsored and Medicaid and Medicare members. LiveHealth Online is increasing physician availability to handle a potential increase in patients, while maintaining reasonable wait times.|
|Blue Cross Blue Shield||BCBS will expand access to telehealth and nurse/provider hotlines by encouraging the use of virtual care and will also facilitate member access and use of nurse/provider hotlines.|
|CIGNA||Cigna has waived customer cost-sharing for telehealth screenings for COVID-19 through May 31, 2020. Cigna has also opened a 24-hour toll-free help line (1-866-912-1687) to connect people directly with qualified clinicians who can provide support and guidance.|
|Harvard Pilgrim||Telemedicine services, such as video visits with Doctor On Demand, are available to members on individual and group fully insured plans.|
|Humana||Humana has trained a specialized group of call center employees to help support members with specific coronavirus questions and concerns, including live assistance with telemedicine. Members can call Humana’s toll-free customer support line, which can be found on the back of their member I.D. card, to be connected to this dedicated team of professionals.|
|Optima Health||Optima Health will cover all telehealth visits in full if utilized with an in-network care provider visits through June 7, 2020.|
|United Healthcare||United is expanding provider telehealth access and waiving member cost sharing for COVID-19 testing-related visits. Members will have access to telehealth services in two ways: Designated Telehealth Partners or Expanded Provider Telehealth Access. United Healthcare will waive member cost sharing for COVID-19 testing-related visits.|