What Are the Top Benefits of Telehealth?
During the past few years, Telehealth has become significantly more popular. There are several reasons why this has become a mainstay of the medical field. First, it is much easier for people to stay safe. Even though a lot of people are used to going to the doctor's office, many people do not want to expose themselves to other people in the waiting area. It is also important for privacy issues. People do not want to run into someone they know what the doctor's office if they are going to the doctor for a sensitive issue. Furthermore, it makes it easier for people who live in a rural area to access the care they need. They do not have to worry about driving hours to see a doctor, and they might not have to take time off of work. At the same time, the laws related to Telehealth coverage are still very much in flux. They can vary depending on the state and the payor.
Does Medicaid Cover Telehealth?
Medicaid is a federal program, but it is administered at the state level. Therefore, different states can have different regulations related to Medicare reimbursement. All states, including the District of Columbia, reimburse for live video services as a part of the Medicaid Program. Furthermore, at least 11 states clearly stipulate that Medicaid provides coverage for Telehealth services. Even if they do not cover the entirety of the cost, they still should provide some benefit for Telehealth visits.
Do States Have Laws for Private Payors Paying for Telehealth?
Right now, Washington DC and 43 states have some sort of law in place related to private insurers and Telehealth. Typically, the law says that private insurance companies need to reimburse for Telehealth visits in a manner that is commensurate with what they reimbursed for in-person visits; however, not all of these policies specifically require them to provide coverage. Many of these laws are still being written because Telehealth is relatively new, so it can be difficult for people to figure out what is covered and what is not.
Which States Do Not Have Policies for Telehealth and Private Insurance?
There are a few states that do not have policies in place for private insurance and Telehealth. They include Wisconsin, Wyoming, Idaho, Pennsylvania, Alabama, North Carolina, and South Carolina. These states have policies in place for Medicaid coverage related to Telehealth, but they do not have policies related to private insurance. In addition, American territories, such as Guam in the Virgin Islands, do not have any Medicaid or private insurance policies in place related to Telehealth Because Telehealth has become so popular, there is a lot of pressure for these states to write policies that include private insurance, Medicaid, and Telehealth; however, this is still something that is very much in flux. Furthermore, every health insurance policy is different. That is why people need to verify coverage before they arrive for their Telehealth appointment.