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Additional Services Eligible Through Telehealth for Medicare Advantage Members (Retroactively Effective 01/01/2026)

Independence Blue Cross·News & Announcements
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage plans have expanded telehealth coverage to include additional services, effective retroactively from January 1, 2026. This policy allows billing teams to submit telehealth claims for previously non-covered services through Medicare Advantage plans.

Action Required

Action needed
Immediately: Billing team should review current telehealth service denials from Medicare Advantage plans since January 1, 2026, and identify claims that may now be eligible for reprocessing. Contact Medicare Advantage plan representatives to obtain the complete list of newly covered telehealth services and update billing system rules accordingly. Submit corrected claims or appeals for previously denied telehealth services that are now covered.