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​​​​​​​​​​COVID-19 (Coronavirus): Telemedicine services for AmeriHealth New Jersey members

October 29, 2021

This article was revised on October 29, 2021, to update the effective date range range for self-funded groups. To learn about the AmeriHealth Pennsylvania position on telemedicine services, please read this article.

Expansion of telemedicine coverage

To encourage social distancing and increase access to care, AmeriHealth New Jersey continues to expand its telemedicine services to our members. This chart provides details of the expanded coverage.

  Fully insured groups Self-funded groups
Coverage timeline

Effective March 6, 2020, until 90 days after the end of both the state of emergency and the public health emergency related to COVID-19.

​ Effective March 6, 2020, until December 31, 2021​.

Primary care provider (PCP) visits

  • Cost-sharing (i.e., copayment, deductible, and coinsurance) is waived for all telemedicine visits with in-network PCPs.

  • ​Groups can choose to waive cost-sharing for all non-COVID-19 related telemedicine with in-network PCPs.​

Specialist visits

  • Cost-sharing is waived for telemedicine appointments with in-network specialists; nutrition counseling; urgent care; video-only visits for physical and occupational therapy; and audio or video for speech therapy.

  • Groups can choose to waive cost-sharing for all non-COVID-19 related telemedicine visits with in-network specialists; nutrition counseling; urgent care; video-only visits for physical and occupational therapy; and audio or video for speech therapy for in-network services.  Out-of-network services are only covered if the benefit design allows or is permitted by AmeriHealth New Jersey due to a network adequacy or access limitation.

Behavioral health visits

  • No cost-share for in-network tele-behavioral health visits.​

  • Groups can choose to waive cost-sharing for all non-COVID-19 related in-network tele-behavioral health visits.

MDLive® visits

  • Cost-sharing is waived for all MDLive telemedicine visits.

  • Groups can choose to waive cost-sharing for all non-COVID-19 related MDLive telemedicine visits.


It is federally mandated that visits related to COVID-19 testing and diagnosis are covered without member cost-sharing.

AmeriHealth New Jersey is committed to providing our members with access to the care they need during the COVID-19 pandemic. We encourage all AmeriHealth New Jersey members to visit our dedicated COVID-19 webpage for AmeriHealth New Jersey regularly for the latest news and updates. We will continue to evaluate member needs as the situation changes.  

Learn more​

Read more about coverage requirements, billing, reimbursement, and proper coding in the News Article, Telemedicine and Telehealth Services for AmeriHealth New Jersey Members (Updated October 6, 2021), which is posted on our Medical and Claim Payment Policy Portal.

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This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of AmeriHealth, AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey.
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