Telehealth Coverage Extended for State Plans

On November 3, 2020, the governor issued Executive Order #20-276, extending Executive Order #20-52, thereby extending Executive Order #20-85, which directs the Florida Department of Management Services (DMS) to amend its state employee health benefits plan documents to allow for telehealth services.

Under Executive Order #20-85, members may access telehealth services through the State’s HMO and PPO plans to receive covered healthcare benefits from participating healthcare practitioners acting within the scope of their licenses and Florida law.

For telehealth services to be covered, an audio conversation must allow for the telehealth provider and the patient to talk to one another, and to have a live, real-time visual image of one another (requirements for Medicare members may differ, so Medicare members should contact their healthcare plan/provider).

Telehealth services are available for the duration of the public health emergency period at no cost share to the member. The extension provided under Executive Order #20-276 is valid for 60 days from the date of the order. Once the Executive Order expires, the 2020-2021 General Appropriations Act provides that telehealth services for primary care benefits will become effective under the State Group Health Insurance Plan, at which time co-pays may apply.

Questions? Contact the Benefits Office at  

title-inside title-centered