📋 Medicare Telehealth Coverage Set to Expire March 31st (AARP Article)

@SummerOnTheWay1 

The CHANGE to the telehealth coverage is ONLY reverting back to where it was before the PHE (Public Health Emergency} - as many other things are.  This was in preplanned legislation and CMS based the new doc’s fee schedule on the new defined coverage.  This is for Traditional Medicare - 

Medicare.gov - Telehealth Coverage after March 31, 2025 

from the link:

Starting April 1, 2025, you must be in an office or medical facility located in a rural area (in the U.S.) for most telehealth services. If you aren't in a rural health care setting, you can still get certain Medicare telehealth services on or after April 1, including:

• Monthly End-Stage Renal Disease (ESRD) visits for home dialysis
• Services for diagnosis, evaluation, or treatment of symptoms of an acute stroke wherever you are, including in a mobile stroke unit
• Services for the diagnosis, evaluation, or treatment of a mental and/or behavioral health disorder (including a substance use disorder) in your home

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If you have a Medicare Advantage plan, read your explanation of benefits because some of them are continuing the telehealth coverage under a wider parameter - but it is up to the individual sponsor as to how they handle it.

There is a need for some telehealth but not for everything - docs don’t want the expanded liability of doing things this way when a face-to-face is necessary.  It had to be done while we were under pandemic rules - now that we no longer are under pandemic rules - it is back to normal.