​​​​​​​​​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth New Jersey members

March 30, 2021

This article was revised on March 30, 2021, to update the effective date range. To learn about the AmeriHealth Pennsylvania position on telemedicine services, please read this article.

Expansion of telemedicine coverage

To encourage social distancing and increase access to care, AmeriHealth New Jersey continues to expand its telemedicine services to our members. This chart provides details of the expanded coverage.

  Fully insured groups Self-funded groups
Coverage timeline
Effective March 6, 2020, until 90 days after the end of both the state of emergency and the public health emergency related to COVID-19.

Effective March 6, 2020, until June 30, 2021.

Primary care provider (PCP) visits
  • Cost-sharing (i.e., copayment, deductible, and coinsurance) is waived for all telemedicine visits with in-network PCPs.

  • Groups can choose to waive cost-sharing for all non-COVID-19 related telemedicine with in-network PCPs.

Specialist visits
  • Covers telemedicine appointments for specialist visits; nutrition counseling; urgent care; video-only visits for physical and occupational therapy; and audio or video for speech therapy for in-network services at no cost.

  • Groups can choose to waive cost-sharing for all non-COVID-19 related telemedicine appointments for specialists; nutrition counseling; urgent care; video-only visits for physical and occupational therapy; and audio or video for speech therapy for in-network services. Out-of-network services are only covered if the benefit design allows or is permitted by AmeriHealth New Jersey due to a network adequacy or access limitation.

Behavioral health visits
  • Covers in-network tele-behavioral health visits at no cost.

  • Groups can choose to waive cost-sharing for all non-COVID-19 related in-network tele-behavioral health visits.

MDLive® visits
  • Cost-sharing is waived for all MDLive telemedicine visits.

  • Groups can choose to waive cost-sharing for all non-COVID-19 related MDLive telemedicine visits.

AmeriHealth New Jersey is committed to providing our members with access to the care they need during the COVID-19 pandemic. We encourage all AmeriHealth New Jersey members to visit our dedicated COVID-19 webpage for AmeriHealth New Jersey regularly for the latest news and updates. We will continue to evaluate member needs as the situation changes.  

Learn more

Read more about coverage requirements, billing, reimbursement, and proper coding in the News Article, Telemedicine and Telehealth Services for AmeriHealth New Jersey Members (Updated March 19, 2021), which is posted on our Medical and Claim Payment Policy Portal.