Notice to 1199SEIU Providers and Hospitals: Coverage of Telehealth Services Made Permanent

The Benefit Funds will continue to cover telehealth services for your 1199SEIU patients. This includes visits via phone, video and other virtual means for all eligible medical and mental health services, including COVID-19-related services.

Effective October 15, 2021, the Benefit Funds no longer covers telehealth services provided by an urgent care center and will deny any claims with telehealth procedure codes or modifiers where the place of service is 20.

During the Public Health Emergency, the Benefit Funds covered all codes with a telehealth modifier of 95 or GT, or place of service code 02. Effective May 12, 2023, coverage determination will be made based on the Benefit Funds’ telehealth policy.