HR, Payroll and Benefits News

What You Need to Know About Telemedicine

Would you like the ability to seek basic medical care from the comfort of your own home?

If so, the telemedicine services in the State Group Health Insurance Program may allow you to do so. With the arrival of flu season, now may be a good time to learn about telemedicine. Watch the Get Medical Care When You Need It Fast video to help you determine if telemedicine may meet your needs.

What is telemedicine/telehealth (used interchangeably)?

The remote diagnosis and treatment of patients by means of electronic communication. This means that for non-urgent medical care, you may be able to access care through video chat or a virtual house call. Through telemedicine, a doctor may be able to recommend treatment, prescribe medication, refer you to a specialist or tell you, based on your symptoms, if you should see a doctor in-person.

Note: These services vary among insurance carriers in the State Group Health Insurance Program.

Why should you consider telemedicine services?

You may receive care quicker and it may be more convenient than going to your doctor’s office or to urgent care. They are also typically less expensive than an office visit or urgent care visit.

How will your telemedicine service be covered by your State Group Health Insurance?

This will depend on which plan design you are enrolled in.

    • Health Plan: Telemedicine services are covered at 100%.
    • High Deductible Health Plan (HDHP): Telemedicine services are covered at 100% after you meet your deductible. This is necessary to comply with Health Savings Account (HSA) eligibility requirements as well as coverage mandates per the Affordable Care Act (ACA).

How can you obtain additional information regarding telemedicine services?

Generally, health plans offer telemedicine services through their online portals. If you’re unable to find telemedicine information through your health insurance plans online portal, contact your health insurance plan directly by calling the toll-free number on your health insurance ID card.

Source: UW System Human Resources