May 21, 2020

Mental Health Resources

Health care professionals can access resources from across UnitedHealth Group to help support their mental and physical well-being during the COVID-19 national public health emergency. Learn more.

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COVID-19 Virtual Check-Ins

Last update: May 22, 2020, 8:05 a.m. CDT

Our Individual and Group market health plans and Medicare Advantage plans currently reimburse for “virtual check-in” patients to connect with their doctors remotely. These services are for new or 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 (Healthcare Common Procedure Coding System (HCPCS) code G2012) or captured video or image (HCPCS code G2010). From March 18, 2020 until June 18, 2020, telephone evaluation and management service for both physician and qualified non-physician health care professionals (CPT codes 99441-99443 and 98966-98968) can also be used for new or established patients.

For Individual and Group Market health plans 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 (HCPCS code G2012), captured video or image (HCPCS code G2010) or telephone evaluation and management (99441-99443 or 98966-98968).

These virtual check-ins are for patients with a new or established 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.

From March 18, 2020 until June 18, 2020, our Medicaid plans will reimburse for “virtual check-in” patients to connect with their doctors remotely. These services are for new or 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), captured video or image (HCPCS code G2010) or telephone evaluation and management (99441-99443 or 98966-98968).

To help you understand how UnitedHealthcare will reimburse telehealth services during COVID-19 national public health 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 from March 18, 2020 through June 18, 2020, unless UnitedHealthcare extends the end date.

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We’re committed to keeping you up to date on COVID-19 – we’re monitoring your inquiries and working hard to answer your questions. Let us know how we’re doing.

We’ll be making daily updates to this site. Be sure to check back often for the latest information. 

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Disclaimer:

The benefits and processes described on this website apply pursuant to federal requirements and UnitedHealthcare national policy during the national emergency.  Additional benefits or limitations may apply in some states and under some plans during this time.

We will adjudicate benefits in accordance with the member’s health plan.

Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates outlined in the Medicaid Fee Schedule.