September 27, 2021
In support of our members and employer groups, in 2022 Blue Cross and Blue Shield of Illinois (BCBSIL) will continue to cover the expanded telehealth services that we’ve covered in 2021.
We’re continuing to evaluate our members’ needs and may add services to our coverage. We’ll provide a final code list in the coming months. BCBSIL will not accept the GQ modifier on telehealth claims and beginning Jan. 1, 2022, will no longer accept telehealth claims from facilities.
This applies to our fully insured and self-funded employer group members. Telehealth benefit coverage will be for medically necessary service and treatments consistent with the member’s benefit plan, including copays, coinsurance and deductibles. Medicare members’ telehealth coverage is consistent with Centers for Medicare & Medicaid (CMS) requirements. Our Medicaid members’ telehealth benefits are defined by state Medicaid requirements.