April 2020

Blue Shield is leading in the fight to contain COVID-19

Blue Shield of California President and CEO, Paul Markovich, is working directly with Governor Gavin Newsom as co-chair of a new task force to increase COVID-19 testing in California which will enable health officials to help contain the spread of the virus.

“This is a critically important project to help keep Californians safe and healthy,” said Markovich. “We need to test extensively and effectively to contain this virus, and we need to speed up the turnaround times so we know the full scope of the problem and how to control the risks.”

For more information on these efforts, please read the press release posted in our news center.

April 2020

Supporting our providers who care for our members

We are also extending financial support to providers, hospitals, and health professionals who are on the front lines fighting the coronavirus (COVID-19) pandemic. We will be making advance payments to providers to assist with anticipated healthcare costs and help get them through the next six months. Read the press release.

Blue Shield also has been working on a patient billing solution with San Francisco-based technology startup OODA Health and northern California providers such as Hill Physicians and Dignity Health. The payment pilot program was launched in the Sacramento region last year.

The initiative enables a provider to receive the patient’s portion of the bill at the time of claim adjudication, eliminating the time and expense providers experience to receive payment for member out-of-pocket costs.

Additional steps to help remove administrative burden for providers include:
  • For an April 1, 2020, effective date, enrollment request must be received no later than April 15.
  • Streamlining initial clinical concurrent reviews to reduce provider documentation requirements.
  • Waiving prior authorizations for patient transfers of post-acute patients when a member is moved to a different site of care, including skilled nursing facilities and extended acute rehabilitation facilities.
Blue Shield has taken several other steps to support providers and the public since the pandemic began. For information on what we are doing to support our members, brokers, and employers please see our COVID-19 response Fact Sheet.

April 2020

Help while sheltering-in-place: $0 Teladoc visits extended to behavioral health

Today’s shelter-in-place mandates, social distancing, and disruptions to routines may cause mental health issues to arise or become more acute. Telehealth visits offer a way for members to get help from the comfort of their homes. Early in our response to the COVID-19 outbreak, Blue Shield announced $0 copays for Teladoc Health medical visits, whether or not related to COVID-19, through May 31. We are now extending the Teladoc Health $0 copayment benefit to include behavioral health visits, also through May 31.

Expanded Teladoc coverage for mental health services is available to members enrolled in a wide range of Blue Shield health plans, outlined below. Members can log in to their accounts at www.blueshieldca.com to confirm benefit coverage and to schedule an appointment.

This general information flier for Teladoc behavioral health services with waived co-payments can be shared with your clients.

Fully insured plans with Teladoc
These members can take advantage of expanded coverage and access to Teladoc behavioral health services with $0 copayments through May 31, 2020.

ASO plans (self-funded, Shared Advantage, Shared Advantage Plus) with Teladoc
These members will obtain expanded coverage and access to Teladoc behavioral health services through May 31, 2020.
  • For ASO plans that have both Teladoc general medical and Teladoc behavioral health, Blue Shield is covering member copays through May 31, 2020. The group remains responsible for their current cost share.
  • For ASO plans with Teladoc general medical only, Blue Shield is adding Teladoc behavioral health through May 31, 2020. Blue Shield will cover both member copays and group cost during this time.

ASO plans (self-funded, Shared Advantage, Shared Advantage Plus) without Teladoc
If an ASO group does not have Teladoc today, they can purchase it (Blue Shield is not providing coverage for such groups unless they buy up).

Medicare Supplement Plans and IFP grandfathered plans
These members will be granted access to Teladoc behavioral health services through May 31, 2020.

Blue Shield Medicare Advantage and Blue Shield Promise Medicare Advantage plans
These members will be able to access behavioral health services by contacting their customer care team via phone. Teladoc behavioral health services will also be available to them through May 31, 2020.

Promise Cal MediConnect and Medi-Cal members
These members will be able to leverage tele-behavioral health services through Teladoc as well as Beacon Health Options. 

Other covered benefits for Blue Shield members to support mental health and well-being, include mental health services available through our Mental Health Services Administrator (MHSA) network, Magellan, LifeReferrals 24/7, and Wellvolution. We will share more additional information on these benefits in upcoming broker communications to share with your clients.

April 2020

Telehealth visits: We’re adding more platforms

We are working in partnership with state and federal regulatory agencies and our provider network to expand our ability to deliver covered services to Blue Shield of California and Blue Shield of California Promise Health Plan members via phone or video conferencing.

We are strongly encouraging our providers to use HIPAA-compliant platforms. However, we know that some providers are not set up to conduct HIPAA-compliant telehealth.

During this public health emergency, providers may offer care via widely available communication apps such as FaceTime or Skype. Members with existing provider relationships should contact their provider to find out how they can access services without leaving their homes.
  • All credentialed and contracted behavioral health providers are now permitted to conduct telehealth video sessions.
  • Providers can now use Skype, FaceTime, Zoom and other non-HIPAA–compliant platforms to conduct telehealth video sessions; however, we strongly encourage our providers to continue to use a HIPAA-compliant telehealth platform that includes both audio and video whenever possible. Providers may not use public-facing services, such as Facebook live, Twitter, Twitch, or TikTok.
  • Outpatient providers can also conduct telephone-only (no video) sessions if it is impossible for a member to do a face-to-face telehealth video session.
  • We are covering these sessions during the COVID-19 public health emergency as benefits for members in the same way we would if they visited their healthcare provider in person.

For further details, visit telehealth services.

April 2020

Stay up to date

Blue Shield is closely monitoring the trajectory of COVID-19, including state and federal policy. We will continue to keep you informed of policy changes affecting your employer groups.

Blue Shield announced last week that we will cover members’ copayments, coinsurance, and deductibles for COVID-19 medical treatments between March 1 and May 31. More details on this coverage are available here.

Comprehensive FAQs on Blue Shield’s response to COVID-19 are updated and re-formatted for easier searching, available here, and always posted on our resources page on Broker Connection. An overview of Blue Shield’s response is shared in this COVID-19 Fact Sheet.

We will continue to explore ways to meet the needs of our members through this challenging time, and will continue to keep you informed. Stay up to date with Blue Shield on our News Center or have updates delivered to your mailbox by subscribing here.