​Effective January 1, 2024, AmeriHealth Insurance Company of New Jersey (AmeriHealth) will implement a new telehealth reimbursement rate for Medicare members in New Jersey.

When eligible physical health telehealth services are performed through telehealth by an AmeriHealth-participating professional provider, reimbursement for the physical health telehealth service will be at 85 percent of the provider allowance, subject to the specific terms and conditions of the participation agreement.

This reimbursement rate does NOT apply to behavioral health telehealth services. Reimbursement for behavioral health telehealth services will be at 100 percent.

We view telehealth as a complement to, not a replacement for, in-office services. It is not designed for all care. We hope that you will continue to work with your patients on treatment plans, using telehealth when it is appropriate. We strive to develop policies that get patients the right care at the right time and place.

More information will be available when the policy notification is published on December 1, 2023.​