Medicare AdvantageCoverageHigh impact
Update: Telehealth flexibilities for Medicare members
Harvard Pilgrim Health Care·Cardiology, Psychiatry, Nephrology +4 more·Provider Newsletter
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Point32Health will continue telehealth coverage for Medicare Advantage members as supplemental benefits effective October 1, 2025, regardless of CMS decisions. Specific codes across multiple specialties including cardiac rehab, mental health, physical therapy, and pulmonary rehab will remain eligible for telehealth reimbursement.
Action Required
Immediately: Billing team must continue processing telehealth claims for listed codes for Point32Health Medicare Advantage members (Tufts Medicare Preferred, Tufts Health One Care, and Tufts Health Plan Senior Care Options). Hold claims for telehealth flexibilities not covered as supplemental benefits per CMS guidance dated October 10, 2025. Update billing system to differentiate between covered supplemental telehealth codes and expired flexibility codes pending CMS guidance.