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Using Your Telehealth Benefits with Teladoc



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Remote Care Without Co-pay
You may have had telehealth visits with PlushCare in the past, which used to be the Board’s network telehealth vendor. However, in 2022, Teladoc became the chosen provider for FUSD PPO Plan members. When you use Teladoc for your remote healthcare needs, you will have your co-pay waived, meaning you will not be responsible for any out-of-pocket payments for your telehealth appointment. Learn more about using Teladoc below.

What’s Covered with Teladoc

When you use Teladoc for your remote healthcare needs, you will have your co-pay waived, meaning you will not be responsible for any out-of-pocket payments for your telehealth appointment. The table below shows how Teladoc can save you money compared to other emergency healthcare services.

Can I Still Use PlushCare?

Since the FUSD PPO Plans cover non-Teladoc telehealth visits at the regular office visit coverage level, you are able to continue to use a PlushCare provider for your telehealth needs just like any other doctor. PlushCare would submit the claim to Aetna, and Aetna would price it based on the individual provider’s contracting status with Aetna. Delta Health Systems (DHS) would then apply the regular office visit benefit, with a co-pay. If the individual PlushCare provider is not in-network with Aetna, you would be responsible for the amount over the non-network allowance, in addition to your co-pay. It is your right to use PlushCare if you so choose—however, you will not have your co-pay waived as you would when using Teladoc.

When to Use Telehealth Services

Virtual doctor visits and telehealth services have been increasing in popularity for years because they are versatile and convenient. While in-person visits are necessary in certain cases, using telehealth can shorten appointment wait times, cut down on time off from work or school, and limit the spread of disease. Our Teladoc doctors are practicing primary care physicians who are board-certified and licensed in California. With an average of 20 years of experience, physicians are credentialed every three years. Interpreting services are available in over 240 languages through Teladoc.

You should use Teladoc:

  • If you’re considering the emergency room or urgent care center for a non-emergency
  • When on vacation, a business trip, or away from home
  • For short-term prescription refills

Teladoc doctors can treat many medical conditions, including:

  • Cold and flu symptoms
  • Allergies
  • Bronchitis
  • Respiratory infection
  • Urinary tract infection
  • Sinus problems
  • Much more

If you have any serious or life-threatening conditions or are experiencing a serious health crisis, you should call for immediate medical assistance using 911. Do not use telehealth services if you are experiencing any of the following symptoms:

  • Chest pain or other signs of a heart attack
  • Difficulty breathing
  • Seizures
  • One-sided weakness, facial drooping, or other signs of stroke
  • Suspected broken bones
  • Unexplained change in mental status, such as fainting or becoming delirious
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