Insurance Coverage for Telehealth

Over 15,000 store-and-forward telehealth visits have been successfully billed to insurance by doctors who use HealthLens.

Most states have telehealth parity laws that mandate private-payer reimbursement for “store-and-forward” telemedicine to be the same as an office visit.

Other states have issued special waivers during COVID that permit healthcare providers to use any telehealth modality that is appropriate and require insurance carriers to cover telehealth services in any case where the same in–person service would be covered.

Private Payers

• Most states have telehealth parity laws that mandate private-payer reimbursement for “store-and-forward” telehealth to be the same as an office visit.
• Other states have issued special waivers during COVID that permit healthcare providers to use any telehealth modality that is appropriate and require insurance carriers to cover telehealth services in any case where the same in–person service would be covered.

Medicare

• Medicare reimburses store-and-forward visits at a much lower rate than live-video. Therefore, most providers will review the photos and history submitted by the patient and then initiate a video-call.
• Medicare also reimburses for telephone-only codes 99421 & 99441 at the same rate as an office visit – No live-video is required!