Telehealth Coverage

AZ Blue offers coverage of telehealth services in compliance with Arizona’s telehealth law.  Our benefit plans for fully insured groups and individuals under age 65 and their families include telehealth services as described in this excerpt from the AZ Blue Provider Operating Guide. Please also reference the audio-only code list from the Arizona Telehealth Advisory Committee.

Plans for self-funded group members, members from other Blue Plans, Federal Employee Program^® (FEP^®) members, and Medicare Advantage members are governed by different regulations as indicated below.

• BlueCard^® (out-of-area) and self-funded group plans – Healthcare regulations vary from state to state, so telehealth coverage and requirements might be different for members with benefit plans from other Blue Plans. The same is true for AZ Blue members with self-funded employer group plans – these plans are not bound by the same state regulations that govern our fully insured plans. Be sure to check member eligibility and benefits.
• CHS Group plans – Contact the group’s third-party administrator (TPA) listed on the back of the member ID card.
• FEP plans – FEP members have 24/7 quick-access telehealth benefits through Teladoc. Telehealth service received outside of the Teladoc network are also covered (standard primary care and specialist copays apply in most cases. For more information, visit FEPblue.org > Telehealth Services.
• Medicare Advantage plans – See Medicare Advantage members have access to the 24/7 Nurse On Call service. Other telehealth services are covered in accordance with See CMS guidance.