From: Bishop, Brandi <BBishop@Stillwater-Medical.org>
Sent: Wednesday, April 1, 2020 8:52 AM
To: ctyoftonk@cableone.net; Bob Dill; Jason Powers; 'Joe
Brining'
Subject: CARES act and Proposed Telehealth changes
Attachments: CARES Act.docx; Frates Self-file.docx
Good morning,
We hope you and your
families are staying safe during this difficult time. In light of the
current situation with Covid-19, we have proposed the following changes to add
telehealth services to our current plans. We would like these changes to
be effective 3/1/20-6/30/20, at which time we will revisit the need to extend
the effective dates or make permanent changes. Please let me know if you
have any objections to the changes proposed below. Our next step will be
to send this to stop loss for their approval.
1. We will be
allowing ALL telehealth services to be covered by our plans.
There will be a copay that will be determined based on the type of
service provided. All primary care telehealth services will match the
plans current primary care copay and all specialty telehealth services will
match the groups current specialty copay. This will be for the telehealth
visit only. Any additional testing or read fees, etc. would be subject to
deductible and coinsurance.
2.
Stillwater Medical providers have started telehealth services during the
weekday hours, as have many other primary care providers. Our Stillwater
Collaborative Care Concierge, 405-742-5771, is available to assist
members with locating telehealth services. During the evening hours and
over the weekend we do not currently have telehealth available in our
Stillwater Collaborative Care Region and the members will need to use an
outside resource such as telehealth though Integris or St. John, or any other
telehealth provider.
3. Member that use
a telehealth provider and pay up front will be able to send in their claims to
Frates to self-file. The members will then be reimbursed any additional
amount that is over the plan copay for the service provided. For example,
a member uses Integris telehealth for a primary care provider visit and is
charged $45 up front for the visit. If the member's typical PCP copay is
$20, the member would then be refunded the $25
difference. Instructions for how to self-file with Frates are
attached.
4. All telehealth
services will be considered a Tier 1 (lowest out of pocket) service and will go
toward the member's Tier 1 deductible and Tier 1 out of pocket, when applicable.
We have also
attached information on the CARES Act (Coronavirus Aid, Relief, and
Economic Security Act), which includes information on coverage for Covid-19
testing.
Please let us know if
you have any questions.
Thank you,
Brandi Bishop, RN, BSN
Manager
Stillwater Collaborative
Care
405-742-5791