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Does Medicare still pay for telehealth visits?

Published in Medicare Telehealth 2 mins read

Yes, Medicare continues to pay for telehealth visits, providing beneficiaries with convenient access to healthcare services from their homes or other locations.

Medicare Telehealth Coverage Explained

Medicare broadly covers telehealth services, which allow you to receive care remotely from your doctor or other healthcare providers using real-time audio and video technology. This includes a wide range of services, such as routine office visits, mental health counseling, and certain preventive services.

Current Flexibility in Coverage

A significant provision currently in place ensures broad access to telehealth:

  • Until December 31, 2024, Medicare covers telehealth visits regardless of whether you live in a rural or urban area.
  • You can receive these services at home or in healthcare settings, offering greater flexibility and accessibility.

This means that for the time being, geographical restrictions that existed prior to the pandemic generally do not apply to telehealth coverage for most services.

Medicare Advantage Plans and Telehealth

If you have a Medicare Advantage Plan (Part C), your telehealth coverage might differ from Original Medicare. These plans are offered by private companies approved by Medicare and can provide additional benefits.

Type of Medicare Telehealth Coverage Key Point
Original Medicare Generally covered until December 31, 2024, regardless of location (rural/urban) or setting (home/healthcare facility). Applies broadly, offering flexibility in where and how you receive care for most services.
Medicare Advantage Coverage and costs can vary significantly by plan. It is essential to contact your specific plan directly to understand its costs, coverage rules, and any additional telehealth benefits it may offer.

Medicare Advantage plans may offer expanded telehealth benefits, sometimes including services not covered by Original Medicare, or at different cost-sharing amounts.

Understanding Your Telehealth Costs

For most telehealth services, you will typically pay the same out-of-pocket costs (such as deductibles, copayments, or coinsurance) that you would for an in-person visit. Your specific costs will depend on your Medicare plan (Original Medicare or Medicare Advantage) and any supplemental insurance you may have.

For detailed information on Medicare coverage for telehealth services, you can refer to resources from organizations like Medicare Interactive: Medicare coverage of telehealth services