Shopmen's Local 527 Benefit and Pension Fund

What is the cost to the member?

Virtual Visits - All Highmark member cost-sharing (deductibles, coinsurance and copayments) for outpatient virtual visits will be waived from March 13 through June 13, 2020 regardless of medical diagnosis.

Telemedicine Services – All Highmark member cost-sharing (deductibles, coinsurance and copayments) for covered services provided by our national vendors, American Well, Doctor On Demand, or Teladoc will also be waived from March 13 through June 13, 2020 regardless of medical diagnosis.

If a member has a virtual visit but needs a screening test, will they need a second doctor visit with additional cost share?

Possibly. Some testing sites may require additional evaluation in order for a person to be deemed eligible to be tested for COVID-19. If the member is referred for testing, Highmark will waive the member cost share for the COVID- 19 test and in-person visit (if the visit results in the COVID-19 diagnostic test being ordered or administered). Any items or services provided during the visit in which the test is ordered or administered, but unrelated to the evaluation of whether a patient should be tested, will be paid based on the member’s benefit plan. If the visit does not result in the COVID-19 diagnostic test being ordered or administered, the visit will be paid based on the member’s benefit plan.