Online Doctor That Accepts
Highmark Blue Cross Blue Shield in Pennsylvania

Yes. TeleDirectMD is contracted as an in-network telehealth provider with Highmark Blue Cross Blue Shield commercial plans in Pennsylvania. Dr. Parth Bhavsar, MD (NPI: 1104323203) is the treating physician. If you have a Highmark Blue Cross Blue Shield employer-sponsored or individual commercial plan in Pennsylvania, your telehealth visit may be covered subject to your plan's copay or deductible. Claims are submitted electronically using CPT codes 99213/99214.

Most Highmark Blue Cross Blue Shield commercial plans in Pennsylvania have telehealth copays of $0–$30. Often $0 for employer plans. Highmark BCBS Pennsylvania frequently offers $0 telehealth copays for commercial employer plans in the Pittsburgh and Philadelphia markets. Log into your BCBS member portal at https://www.highmarkbcbs.com/member-center/ or call the member services number on your Highmark Blue Cross Blue Shield card to verify your exact cost. Self-pay is always available for $49 flat.

Yes. Highmark Blue Cross Blue Shield covers telehealth visits for most commercial plan members in Pennsylvania. Federal telehealth parity requirements and Pennsylvania state law ensure that Highmark Blue Cross Blue Shield must cover telehealth services comparably to in-person visits for most commercial plans. Your actual cost depends on your plan's copay, coinsurance, and deductible status. Medicaid, Medicare fee-for-service, and BCBS Medicaid products are not accepted.

Highmark Blue Cross Blue Shield commercial plans in Pennsylvania cover telehealth visits for UTI, sinus infection, strep throat, ear infection, pink eye, flu, asthma inhaler refills, hypertension medication refills, acid reflux, yeast infections, and many more. Coverage depends on your specific plan benefits. Use the conditions grid below to explore specific condition + BCBS + Pennsylvania coverage details.

Book at teledirectmd.com/book-online, select "Insurance" as your payment method, and have your Highmark Blue Cross Blue Shield member ID card ready. We verify your coverage before your visit begins. You can also book self-pay for $49 flat — no insurance required, same physician and quality of care.

TeleDirectMD submits your claim electronically to Highmark Blue Cross Blue Shield using CPT code 99213 (standard complexity) or 99214 (moderate complexity). Highmark Blue Cross Blue Shield processes the claim and applies it to your benefits. You'll receive an Explanation of Benefits (EOB) from Highmark Blue Cross Blue Shield within 2–4 weeks showing what was billed (typically $150–$250) and your responsibility (your copay or deductible portion). Questions? Call the member services number on the back of your Highmark Blue Cross Blue Shield card.

The following plan types are not accepted: Highmark Blue Cross Blue Shield Medicaid, BCBS Community Health Plan, Medicare fee-for-service, and BCBS Medicare Advantage plans. If you are unsure about your plan type, self-pay is available for $49 flat — same physician and care quality, no insurance required.

Yes. Telehealth visits with a licensed physician are qualified medical expenses eligible for FSA and HSA payment. If your Highmark Blue Cross Blue Shield plan applies your deductible before covering the visit, your FSA or HSA card can be used to pay your cost-sharing. The $49 self-pay option is also FSA/HSA eligible.

Highmark Blue Cross Blue Shield covers the telehealth visit under your medical benefit. Prescription coverage is handled by your Highmark Blue Cross Blue Shield pharmacy benefit. Most first-line medications for common conditions (antibiotics, antivirals, PPIs, antihypertensives) are Tier 1 generic drugs covered by virtually all Highmark Blue Cross Blue Shield commercial plans for $4–$15. Check your BCBS formulary at https://www.highmarkbcbs.com/member-center/ or ask your pharmacy.

If your specific Highmark Blue Cross Blue Shield plan is not in-network with TeleDirectMD in Pennsylvania, you can still see Dr. Bhavsar as a self-pay patient for a flat $49 fee. You may also submit an out-of-network claim to Highmark Blue Cross Blue Shield for partial reimbursement depending on your plan's out-of-network benefit.

Log into your Highmark Blue Cross Blue Shield member portal at https://www.highmarkbcbs.com/member-center/, navigate to "Benefits," and look for "Telehealth" or "Virtual Care" under your plan details. You can also call the member services number on the back of your Highmark Blue Cross Blue Shield card. When calling, ask: "Is TeleDirectMD in-network for telehealth?" and "What is my telehealth copay?" Have your member ID ready.

In most Highmark Blue Cross Blue Shield commercial plans in Pennsylvania, telehealth copays are equal to or lower than your primary care in-person copay. Many employer-sponsored Highmark Blue Cross Blue Shield plans carry $0 telehealth copays — particularly since the post-pandemic expansion of telehealth benefits. Your specific plan determines the exact amount. Log into https://www.highmarkbcbs.com/member-center/ to confirm your telehealth cost-sharing.