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Telehealth Coverage During COVID



Medicare has temporarily expanded its coverage of telehealth services to respond to the current Public Health Emergency, These services expand the current telehealth covered services, to help you have access from more places (including your home), with a wider range of communication tools (including smartphones), to interact with a range of providers (like doctors, nurse practitioners, clinical psychologists, licensed clinical social workers, physical therapists, occupational therapists, and speech language pathologists).

During this time, you will be able to receive a specific set of services through telehealth including evaluation and management visits (common office visits), mental health counseling and preventive health screenings without a copayment if you have Original Medicare. This will help ensure you are able to visit with your doctor from your home, without having to go to a doctor's office or hospital, which puts you and others at risk of exposure to COVID-19. You may be able to communicate with your doctors or certain other practitioners without necessarily going to the doctor's office in person for a full visit. Medicare pays for "virtual check-ins"-brief, virtual services with your physician or certain practitioners where the communication is not related to a medical visit within the previous 7 days and does not lead to a medical visit within the next 24 hours (or soonest appointment available). You need to consent verbally to using virtual check-ins and your doctor must document that consent in your medical record before you use this service.


You pay your usual Medicare coinsurance and deductible for these services. Medicare also pays for you to communicate with your doctors using online patient portals without going to the doctor's office, Like the virtual check-ins, you must initiate these individual communications. Since some people do not have access to interactive audio-video technology needed for Medicare telehealth services or choose not to use it even if offered by their practitioner, Medicare is allowing people to use an audio-only phone. You may use communication technology to have full visits with your doctors.


Also, you can get these visits at rural health clinics and federally qualified health clinics. Medicare pays for many medical visits through this telehealth benefit.

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