What You Need To Know About Telemedicine and Health Insurance

During the COVID-19 pandemic, the use of telemedicine skyrocketed and reduced in-person visits. Thanks to technology, telemedicine and telehealth have emerged as a convenient tool for both healthcare providers and patients. Through video calls and phone consultations, healthcare has become more accessible than ever.

As telemedicine gained popularity, many insurance providers recognized its benefits. Both private and federal health insurance have added coverage for telehealth services. However, access to telemedicine coverage isn’t suitable for all types of medical conditions. In this blog post, we will discuss the essential information about telehealth and its relationship with health insurance.

What is Telemedicine?

The terms "telemedicine" and "telehealth" are often used interchangeably, but telemedicine is under the umbrella of telehealth. Doctors and healthcare professionals use video conferencing and phone calls to provide services remotely. Through telemedicine, consultations, diagnosis, and monitoring can be done virtually. These virtual doctor visits can save you both time and money.

Telemedicine mostly includes doctor-patient consultations, counseling, therapy sessions, and medication management. 

Benefits of Telemedicine

Even though COVID-19 is no longer a public health emergency, telemedicine is here to stay due to its advantages. Here are several benefits for both patients and healthcare providers:

• Convenient and Cost-Effective
• Increased Access to Healthcare
• Reduced Commute and Waiting Times
• Improved Continuity of Care
• Medical Access for People in Remote Areas
• Less Exposure to Pathogens and Viruses

Does Private Health Insurance Cover Telemedicine?

Due to the COVID-19 pandemic, many insurance providers have broadened coverage for telehealth services. Most major carriers offer a form of telemedicine coverage for routine health consultations. Your coverage for telemedicine may vary depending on your specific insurance provider and plan.

Telemedicine is ideal for treating non-emergency conditions and managing medications. Some private health insurance plans cover all types of appointments. While other insurers only offer telehealth appointments with in-network providers. 

Since insurance coverage policies differ, it’s important to review your existing policy. Pay attention to sections related to telemedicine coverage and identify limitations. 

It’s also better to check with your insurance provider to know specific details of telemedicine coverage. You may ask if they require pre-approval for telemedicine services before you receive them.

Does Medicare Cover Telemedicine?

Medicare Part B or Medical Insurance covers a range of telemedicine services. This allows Medicare beneficiaries to have access to healthcare through electronic means like video calls, phone calls, or online messaging platforms. This is a convenient alternative to in-person visits, especially for individuals living in remote areas. 

In general, telemedicine services covered by Medicare include the following:

• Routine check-ups
• Preventive health screenings
• Follow-up appointments
• Evaluation and management visits
• Remote patient monitoring
• Psychotherapy and mental health counseling

The copayments and deductibles for telemedicine services are the same as in-person services. After meeting the Medicare Part B deductible, you will only pay 20% of the Medicare-approved amount for the services. These telehealth services will continue to be covered under Medicare through December 31, 2024.

Does Medicaid Cover Telemedicine?

Like Medicare, Medicaid has included some level of coverage for telemedicine. While it’s true that telehealth coverage varies widely from state to state, many states are now allowing:

• Telehealth services via electronic and virtual means
• Home as the originating site for telehealth
• Asynchronous telemedicine

Each state operates its own Medicaid program, which means specific telemedicine services vary widely. Some states have more comprehensive coverage, while others have limitations or restrictions. Since Medicaid programs differ by state, it’s important to contact your state's Medicaid program or check their official website for more information.

Tips for Preparing for a Telemedicine Appointment

• Check your email for instructions
• Mark the date and time of your telehealth visit
• Set up your computer or smartphone
• Find a quiet and well-lit spot
• Reduce background noise
• List your pre-existing symptoms and conditions
• Write down questions to ask your doctor
• Take notes of prescribed medications and follow-up appointments

Conclusion

The rise of telemedicine has changed how healthcare is delivered. If you want to learn more about private health insurance and Medicare plans, count on our team at Local Retirement Group. Our insurance agents will explain different Medicare options and help you get the best coverage. From traditional Medicare to supplement plans, we’ve got you covered. 

You’re in good hands with our experienced and knowledgeable insurance agents. Feel free to reach out to us for more details. We look forward to hearing from you soon!