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Telehealth Services

Covered by Medicare

Coverage

Telehealth services (sometimes called telemedicine) are medical services provided by a doctor or qualified healthcare specialist using a two-way telecommunication system with real-time audio and video. Telehealth is used by a doctor or other healthcare professional who cannot be at your current location.
Part B covers all Medicare-approved telehealth services. Medicare will pay 80 percent of the cost of service, and you are responsible for the remaining 20 percent as well as the Part B deductible.

If you have a Medicare Advantage plan, it will cover the out-of-pocket costs involved with telehealth services. Medicare Advantage plans may also offer more telehealth options than Original Medicare.

Costs

The cost of telehealth services will vary depending on your provider and what type of service you are getting.

What to Know

Medicare Advantage plans may offer more coverage for telehealth services.

Medicare has temporarily expanded telehealth services during the coronavirus pandemic.

Medicare made some key changes to telehealth as of late, including:

  • A patient can get Medicare telehealth services at renal dialysis facilities and at home.
  • A beneficiary can get Medicare telehealth services for faster diagnosis, evaluation, or treatment of symptoms of an acute stroke no matter where they are located.
  • If a beneficiary is being treated for a substance use disorder or a co-occurring mental health disorder, they can take advantage of Medicare telehealth services from home.
  • Medicare also covers virtual check-ins and E-visits.

Medicare By State

Medicare is regulated by the federal government. However, private insurance companies are allowed to offer various parts of Medicare, and these plans can differ from state to state.

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