COVID-19 (Coronavirus): Well visits for adult and pediatric members

March 30, 2021

This article was revised on March 30, 2021, to update the effective timeline.

Providers may use telemedicine services to perform preventive well visits.

  • AmeriHealth New Jersey: Effective March 6, 2020, until 90 days after the end of both the Public Health Emergency and State of Emergency declared by the State of New Jersey in response to COVID-19;
  • AmeriHealth Pennsylvania: Effective March 6, 2020, through June 30, 2021.

These policy changes may be re-evaluated during the public health emergency.

A preventive well visit performed thro‚Äčugh telemedicine is eligible for reimbursement for new and established pediatric and adult patients when it meets the criteria in the Medical and Claim Payment Policy News Articles.

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

Learn more

For information about the clinical criteria, eligible procedures codes and modifiers, and the policies impacted, read the Medical and Claim Payment Policy News Articles: