TELEHEALTH








"TELEHEALTH" refers to all remote services requiring medical decision making and/or management by a medical professional. Telemedicine, Telephone, and Virtual services are included under this designation.


Per the Center for Medicare Services (CMS) provisions to date (1135 waiver as of March 17, 2020):


Telemedicine” benefits by Medicare are now covering patients who utilize healthcare providers by audio/visual devices (aka “face time”).

Telephone” services also have modest amounts of coverage.

CMS is no longer waiving copays and coinsurance for these visits at this time.

CMS has also temporarily waived the strict HIPAA regulations that previously disallowed cellphone apps. By doing this they have rapidly improved access to care for seniors.

Medicare Telemedicine Fact Sheet


Commercial insurers have rules depending on the insurer. Please contact your insurance to see if you are “covered” for telehealth services.


Aetna telemedicine service as of 12/1/23- No coverage

BCBS phone service as of 1/1/24- Variable coverage

BCBS telemedicine service as of 1/1/24- Variable coverage

Cigna telemedicine service as of 1/1/24- Variable coverage

Humana telemedicine service as of 1/1/24- Variable coverage

UHC telemedicine service as of 1/1/24- Variable coverage