As advances in technology have made remote healthcare and treatment more accessible, the question of insurance reimbursement for these services continues to be top of mind. In 2012, we featured a post regarding telemedicine reimbursement. In the 18 months since that post was published significant progress has been made in the area.
When looking at reimbursement it is important to understand what types of programs and institutions are eligible and what that truly means. At its very core, reimbursement in the telemedicine world requires insurance companies to pay the same fee for telemedicine services that would otherwise be covered with an in-person visit.
Programs that could benefit can vary from state to state but generally reimbursement is available through Medicare, Medicaid, Private Insurance, and Federally Qualified Health Centers.
From a private insurance standpoint, a significant number of states have made reimbursement a mandate; however, there are still many states that haven’t made this mandate law. Similarly, from a Medicaid perspective many states have mandated reimbursement and there are several currently proposing reimbursement.
It is clear that many have recognized the value of telehealth and that recognition continues to drive more and more legislation to provide equity between in-person and remote visits.
Check out the info graphic below for a quick summary of everything you need to know about reimbursement!