Price Comparison Tool
For purposes of complying with federal PCT requirements, MEHP is providing the 500 shoppable items and services as if rendered in the U.S. Only those shoppable items and services that can be provided on an urgent and emergency care basis shall have a cost component. Those shoppable items and services that do not have an urgent or emergency care basis in the U.S. will reflect the status of not being covered in the PCT. In addition to utilizing the PCT to obtain price comparison information, a member can also contact our Member Services team at (619) 365-4346, or via e-mail at memberservices@mediexcel.com, for the requested information.
Service Description | Plain Language Description | Service CPT Code | Notes |
|---|---|---|---|
Prev Visit Est Age 40-64 | Established patient periodic preventive medicine examination age 40-64 years | 99396 | See Note NC2 below |
Per Pm Reeval Est Pat 65+ Yr | Periodic primary re-evaluation for an established patient 65 and older | 99397 | See Note NC1 below |
Online Digital Evaluation and Management Service; 5-10 Minutes | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes | 99421 | See Note NC1 below |
Online Digital Evaluation and Management Service; 11-20 Minutes | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes | 99422 | See Note NC1 below |
Phone E/M Phys/Qhp 5-10 Min | Physician telephone patient service, 5-10 minutes of medical discussion | 99441 | See Note NC1 below |
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NOTE C1 - If this item/service is not separate from the primary reason for the emergency, then it would be considered an emergency care event in the U.S. and normally covered by MediExcel Health Plan. The percent refers to coinsurance of the allowed amount for the entire episode of care. The dollar amount is a copay per day.
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NOTE C2 - This item/service is not likely considered emergency care and would likely not be covered if rendered at a hospital emergency department. However, the service may be covered if provided at an urgent care facility or a provider providing urgently needed services in the U.S.
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NOTE C3 - This item/service will be covered if there is an underlying emergency care service, otherwise it will not be covered.
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NOTE NC1 - This item/service is not considered urgent care or emergency care and would not normally be covered in the U.S. by MediExcel Health Plan.
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NOTE NC2 - This item/service is considered preventive care and is not covered by MediExcel Health Plan in the U.S. under an urgent or emergency care basis.