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CDPHP Waiving Cost-Share for Behavioral Health Care Services for Essential Employees

The COVID-19 crisis has had an immeasurable impact on all New Yorkers, particularly those on the front lines, such as health care workers, first responders, and all employees deemed essential. As such, Governor Andrew M. Cuomo has issued an emergency regulation removing all cost-share for essential employees seeking outpatient behavioral health care services with an in-network provider. Effective May 2, 2020, the change will remain in effect for 90 days. 

For a list of employees considered essential, visit the NYS DFS website.

Cost-share for any medications subsequently prescribed will not be waived.

This change effects all CDPHP commercial, Medicaid (although there is no cost-share for Medicaid), Child Health Plus, and Essential Plan members. The change does not apply to CDPHP Medicare Advantage members.

Please note, the regulation does not apply to individuals enrolled in federally qualified health savings accounts (HSA). For federally qualified plans that do not have an HSA, members must meet the deductible before CDPHP will waive any applicable co-insurance or copays. 

In addition, some employers who self-insure do not have this benefit. Self-funded groups should contact their CDPHP representative if they would like to change their benefits to waive cost-share for behavioral health care services.

Podcast: Meeting Your Needs During the COVID-19 Pandemic

To learn more about what CDPHP has done and is doing to meet the needs of its providers, members, and employees during the COVID-19 pandemic, we invite you to listen to this podcast by Dr. John Bennett, CDPHP president and CEO.

CDPHP Waives Cost-Share for All COVID-19 Treatment

The health and safety of our members and the community is a top priority at CDPHP. With this in mind, CDPHP is waiving cost-share for all coronavirus (COVID-19) related treatment for members in fully insured commercial plans, qualified high deductible plans, Medicare plans, Medicaid plans, Child Health Plus, and Essential Plan. This change is retroactive for all COVID-19 treatment, including hospitalizations, testing, and office visits.

Self-funded groups have the option of adding this benefit.

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For tips on staying healthy during the COVID-19 pandemic, visit our Daily Dose blog

Telephonic & Telemedicine Services

The following telemedicine services should be used as a first line of defense against COVID-19 for CDPHP members in fully insured commercial plans, qualified high deductible plans, Medicare plans, Medicaid plans, Child Health Plus, and Essential Plan:

  • ER Anywhere - emergency telemedicine app available to members 24/7 for consultations, triage, testing, and treatment. ER Anywhere is a safe and convenient alternative to the emergency room. Members can access ER Anywhere by downloading the mobile app or calling 1-866-ER-Anywhere.

  • Doctor On Demand - telemedicine app available 24/7 for consultation, testing, and treatment. Doctor On Demand is a safe and convenient alternative to urgent care. Members can access Doctor On Demand by downloading the mobile app or logging into the Doctor On Demand website.

    In addition, Doctor on Demand has a team of licensed psychiatrists and psychologists available to provide mental health services from the comfort of home.

CDPHP is also encouraging members to take advantage of telephonic consultations for physical and mental health services.

Self-funded groups have the option of adding these benefits. Contact your account representative to make changes to your plan.

Prior Authorizations

CDPHP is removing all requirements for prior authorization for medical and behavioral health care services for in-network providers throughout the crisis. Prior authorization for pharmaceuticals will continue.

Self-funded groups should consult their CDPHP representative if they would like to remove prior authorization for their members.

CDPHP has many other resources available to members regarding COVID-19.