Understanding Telehealth Coverage in Your Health Plan - HealthPlanOptionsToday

Understanding Telehealth Coverage in Your Health Plan

In recent years, telehealth has emerged as a vital component of the healthcare system, offering a convenient and efficient way for patients to access medical care. The COVID-19 pandemic accelerated the adoption of telehealth services, making it more important than ever to understand how these services are covered under your health insurance plan.

What is Telehealth?

Telehealth refers to the delivery of healthcare services through today’s communication technologies, such as video conferencing, phone calls, and mobile apps. This can include virtual consultations with doctors, remote monitoring of patients with chronic conditions, and even mental health therapy sessions. Telehealth makes it possible for patients to receive medical care from the comfort of their own homes, reducing the need for in-person visits.

Why is Telehealth Important?

Telehealth offers 3 key benefits:

  • Convenience: Patients can consult with healthcare providers without traveling to a clinic or hospital, saving time and effort. With the single and unmarried population in the United States now at historic numbers, not everyone has someone to take them to the doctor when they aren’t feeling well. Telehealth helps solve this problem.
  • Access: Telehealth can help bridge the gap for individuals in rural or underserved areas who might have limited access to healthcare facilities. With telehealth, someone in rural Iowa can access the best heart specialist in New York City if need be.
  • Safety: Telehealth minimizes the risk of exposure to infectious diseases by reducing the need for face-to-face interactions. This was especially important during the pandemic.

“Telehealth helps bridge the gap for people in rural or underserved areas who might have limited access to healthcare”

How Does Telehealth Coverage Work?

Telehealth coverage can vary widely depending on your health insurance plan. Here are some key points to consider:

1. Check Your Plan’s Telehealth Benefits

Most insurance providers now offer some form of telehealth coverage, but the specifics can differ. Review your insurance policy or contact your provider to understand what telehealth services are covered. Look for information about:

  • Eligible Services: Which types of telehealth visits are covered? This can include primary care consultations, specialist visits, mental health counseling, and more.
  • Preferred Platforms: Some insurers have partnerships with specific telehealth platforms or providers. Ensure you use an approved service to avoid unexpected charges.
  • Cost Sharing: Determine if there are copayments, deductibles, or coinsurance associated with telehealth visits. These costs can be different from those for in-person visits.

2. Network Considerations

Just like in-person visits, telehealth services might be subject to network restrictions. Check if your telehealth provider is in-network. Using out-of-network services can result in higher out-of-pocket costs or limited coverage.

3. Prescription Policies

Telehealth visits can often include prescriptions for necessary medications. Verify if your insurance covers prescriptions written during a telehealth consultation and whether there are any restrictions.

Maximizing Your Telehealth Benefits

To make the most of your telehealth coverage, follow these tips:

  • Stay Informed: Regularly check for updates on your insurance provider’s telehealth policies. Coverage can evolve, especially as telehealth becomes more integrated into healthcare systems.
  • Prepare for Appointments: Ensure you have a stable internet connection and a quiet, private space for your telehealth visits. Have your medical history and current medications on hand to discuss with your healthcare provider.
  • Know Your Options: If your primary care doctor or specialist offers telehealth services, this continuity of care can be beneficial. However, for urgent or after-hours care, using your insurer’s recommended telehealth platforms might be more convenient.


Telehealth is transforming the way we access healthcare, making it more accessible and convenient. Understanding your health plan’s telehealth coverage ensures you can take full advantage of these services while minimizing out-of-pocket costs. As telehealth continues to grow, staying informed about your coverage options will help you make the best choices for your health and well-being.

For more detailed information about telehealth coverage or to explore the best health insurance options for you (including telehealth plans), call us at (855) 218-3447 or click below and we’ll get in touch with you. Our experts are here to help you navigate your healthcare needs!

Photo by Tima Miroshnichenko: https://www.pexels.com/photo/a-woman-holding-a-bottle-8376235/