How will the member responsibility be calculated in a consumer-directed health plan (CDHP)?
Members in CDHPs who have exhausted their fund limit will be responsible for the cost of the webVisit, just as they would be for an office visit. If a member has not yet met the plan’s deductible, the webVisit charge will be applied to the deductible, just as a charge for an office visit would be applied. Provider reimbursement levels may vary according to a physician’s contract and may vary by market. For example, the average online reimbursement for physicians participating in traditional (non-HMO) plans is $30 in most, but not all, markets.
