Telehealth visits - Chapter 4, 2021 UnitedHealthcare Administrative Guide

Most Individual Exchange plans include 3 free telehealth visits. To schedule a visit with a telehealth care provider, members can download the UnitedHealthcare app from the app store or call 1-844-SEE-DOCS (733-3627).

Locally contracted care providers may also offer telehealth visits. Members can connect with one of the care providers in their primary medical group using the group’s telemedicine technology. Members should contact their PCP to learn how to use these services.

Individual Exchange members may also use telehealth visits to access behavioral health services. With this benefit, members can talk to an Optum licensed therapist or psychiatrist for the evaluation and treatment of behavioral health conditions such as depression and anxiety. Members can schedule their appointment online or call the care provider directly to schedule.

Billing for telehealth services

We require you to report one of the telehealth-associated modifiers (GT, GQ, G0 or 95) when performing a telehealth service. We will consider reimbursement for a procedure code/modifier combination using these modifiers only when the modifier is used appropriately. For additional coding guidelines, refer to UnitedHealthcare Telehealth and Telemedicine Policy, Professional on UHCprovider.com.