AmeriHealth New Jersey Market Edge Article
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March 2022
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Market Edge
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News for All Group Business | AmeriHealth NJ
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AmeriHealth New Jersey telemedicine coverage update
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Governor Murphy recently signed a law that lifts the requirement for insurance carriers to waive cost sharing for all telemedicine visits regardless of diagnosis.
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One exception is that, through the end of the federal state of emergency, insurance carriers will continue to be required to waive member cost‑sharing for any telemedicine visit that result in an order for a COVID‑19 test.
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Effective April 1, 2022, AmeriHealth New Jersey will no longer waive member cost‑sharing for in‑network telemedicine visits. Standard cost sharing will apply for telemedicine visits with the exception of those that result in a COVID‑19 test.
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Effective July 1, 2022, telemedicine visits will be limited to in‑network providers only.
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Members utilizing out-of-network telemedicine benefits will receive outreach with further guidance by April 1, 2022.
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For more details on these updates, view our updated benefits grid.
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How members can access telemedicine
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Below are a few ways members can take advantage of telemedicine services with their health plan benefits:
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- In‑network providers: Members may use providers in their health plan network that offer telemedicine services. To find an in‑network provider, members can visit amerihealthnj.com/providerfinder and search for telehealth.
- MDLIVE: Members get 24/7 access to care by online video, mobile app, or phone with a board-certified doctor through MDLIVE. Visits are included with a member's AmeriHealth New Jersey plan. Members can register today at mdlive.com/amerihealthnj.
- Quartet: Quartet can match members to a mental health care provider that fits their needs and preferences, and that is covered by their health plan. Members can visit amerihealthnj.com/quartet.
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If you have any questions, please contact your account representative.
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