Health Plan - Highmark Delaware
Telemedicine (Virtual Medicine)
Announcement
100% coverage for telemedicine services has been extended for no more than 30 days following the end of the COVID-19 national public health emergency for individuals enrolled in a State of Delaware Group Health Plan. Instead of the copays listed in the charts below, members who receive telemedicine through their in-network primary care provider or other in-network physician as well as those who use Highmark Delaware’s telemedicine vendors will have a zero-dollar copay.
Bright Heart Health is Highmark’s vendor for on-demand medication assisted treatment (MAT) for addiction and opioid dependency via telemedicine. Services are available 24/7 and members and healthcare providers have access to their comprehensive outpatient services day or night. Members in need of these services can self-refer and providers can refer patients for ongoing MAT provided via telehealth. Members will receive comprehensive care, including medication management, counseling, case management and supportive services. For more information call 1-844-884-4474 or visit Bright Heart Health.
If you can’t get a quick appointment with your Primary Care Provider (PCP), consider using telemedicine instead of going to an urgent care center or ED. Telemedicine is a service that allows you to have an online video consultation with a doctor whether you are at home or on the go, by using your computer, tablet or smartphone. You can use telemedicine services and speak with a doctor to receive a diagnosis and get recommended treatment for minor illnesses, such as a sore throat, runny nose, or fever. The doctor can even prescribe medications when appropriate.
Highmark Delaware Comprehensive PPO Plan
| Site of Care | Average Cost Per Visit | Your Copay |
|---|---|---|
| In-network Telemedicine provider (Amwell, Doctor on Demand or Bright Heart Health) |
$49 | $0* |
| * For Behavioral Health visits through Amwell, the copay is $0. When using telemedicine for a scheduled appointment with your PCP or for Medication Assisted Therapy (MAT) through Bright Heart Health, the copay is $20. When using telemedicine for a scheduled appointment with a specialist, the copay is $30. | ||
Highmark Delaware First State Basic Plan
| Site of Care | Average Cost Per Visit | Your Cost |
|---|---|---|
| In-network Telemedicine provider (Amwell, Doctor on Demand or Bright Heart Health) |
$49 | 10% coinsurance after deductible |
