Medicare Telehealth Coverage

Important Update: Changes to Medicare Telehealth Coverage

Starting October 1, 2025, Medicare may no longer pay for most telehealth visits. This change may affect your care. We're here to help you understand what this means and make any necessary adjustments to your upcoming appointments.

What's Changing?

• Medicare may only cover telehealth visits in specific circumstances after September 30, 2025.
• Most patients may need to visit in person for care that was previously available via telehealth.

How Does This Affect You?

If you have a telehealth appointment scheduled on or after October 1, 2025, you may need to:

• Reschedule as an in-person visit.
• Pay out-of-pocket for the telehealth visit.
• Check if you meet the exceptions for continued telehealth coverage.

Check Your Eligibility

To determine if your location or area qualifies for Medicare telehealth coverage, visit the Medicare Telehealth Payment Eligibility Analyzer.

What Should You Do Next?

1. Review Your Appointments: Check if you have telehealth visits scheduled on or after October 1, 2025.
2. Reschedule if Needed: To change your telehealth appointment to an in-person visit, call 1-866-UH4-CARE (1-866-844-2273).
3. Contact Your Insurance: If you believe you meet the exceptions, confirm coverage with your insurance before your visit.

Exceptions: When Telehealth May Still Be Covered

Medicare may still cover telehealth visits if:

1. You're physically located at an approved healthcare site during the visit AND you're in a defined rural area at the time of the visit. Approved healthcare sites can include:
   • Physician offices
   • Hospitals
   • Rural Health Clinics (RHCs)
   • Federally Qualified Health Centers (FQHCs)
   • Skilled Nursing Facilities (SNFs)
   • Community Mental Health Centers (CMHCs)
2. You're receiving treatment for:
   • Substance use disorder (SUD) and co-occurring mental health disorders
   • Home dialysis for end-stage renal disease (ESRD)
   • Mental health services with an established relationship with a mental health care provider
   • Acute stroke diagnosis and treatment (geographic restrictions waived, but must be at an approved facility)