Aetna and Telehealth: Questions and Answers

April 23, 2020
 / 
Rick Gawenda
 / 

Due to the COVID-19 Pandemic, Aetna has expanded telehealth services to include outpatient physical, occupational and speech therapy services. In this article, I will answer some of the more common questions I have received regarding Aetna’s expansion of telehealth services to include physical, occupational and speech therapy services.

Question
When did Aetna expand telehealth services to outpatient physical, occupational and speech therapy services?

Answer

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Question
What is the end date of the expansion of telehealth services to outpatient physical, occupational and speech therapy services?

Answer (Updated June 1, 2020)

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Question
What plans does the telehealth expansion apply to?

Answer

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Question
What CPT codes will Aetna pay for when delivered via telehealth under a physical, occupational or speech therapy plan of care?

Answer

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Question
If submitting a claim on a 1500-claim form, what place of service code should I use?

Answer (Updated June 1, 2020)

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Question
If submitting a claim on a 1500-claim form, what modifier do I append to each CPT code on the claim form?

Answer (Updated June 1, 2020)

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Question
If I submit claims on a UB-04 claim form, will Aetna pay for telehealth services if provided under a physical, occupational and/or speech therapy plan of care?

Answer

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Question
How do I access all of this information on the Aetna website?

Answer

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I hope you found this article helpful and answered many of your questions. If you have additional questions regarding Aetna and telehealth, please email me at info@gawendaseminars and your question may be added to this article. Thank you for being a Gold Member!


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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

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