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COVID-19 Virtual Check-Ins

Last update: April 3, 2020, 11:20 a.m. CDT

Our commercial and Medicare Advantage plans currently reimburse for “virtual check-in” patients to connect with their doctors remotely. These services are for established patients, not related to a medical visit within the previous 7 days and not resulting in a medical visit within the next 24 hours (or soonest appointment available). These services can be billed when furnished through several communication technology modalities, such as telephone (HCPCS code G2012) or captured video or image (HCPCS code G2010).

To help you understand how UnitedHealthcare will reimburse telehealth services during the COVID-19 emergency period, we created a telehealth coding guide that includes scenarios to show some examples of how services might be reimbursed. UnitedHealthcare’s temporary changes to its reimbursement policies do not alter state and federal laws applicable to your practice. This document applies to dates of service March 18 through June 18, 2020, unless UnitedHealthcare extends the end date.

For commercial and Medicare Advantage members, UnitedHealthcare reimburses the following audio-only or digital services for virtual check-in: Services through several communication technology devices, such as telephone (Healthcare Common Procedure Coding System (HCPCS) code G2012) or captured video or image (HCPCS code G2010).

These virtual check-ins are for patients with an established (or existing) relationship with a physician or certain practitioners, where the communication is not related to a medical visit within the previous 7 days and does not lead to a medical visit within the next 24 hours (or soonest appointment available). The patient must verbally consent to receive virtual check-in services.

Effective immediately through June 18, 2020, our Medicaid plans will reimburse for “virtual check-in” patients to connect with their doctors remotely. These services are for established patients, not related to a medical visit within the previous 7 days and not resulting in a medical visit within the next 24 hours (or soonest appointment available). These services can be billed when furnished through several communication technology modalities, such as telephone (HCPCS code G2012) or captured video or image (HCPCS code G2010).

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Disclaimer:

The benefits described on this website describe federal requirements and UnitedHealthcare national policy. Additional benefits may be available in some states and under some plans.