Telemedicine on the Rise: How Health Insurance is Adapting to Virtual Care

Share this News:

Pune, 3rd May 2024: Communicating with healthcare professionals today via text or video call has become quite usual. It is a convenient and efficient method for individuals to access quality, timely care more easily. In many cases, it actually makes it easier for people to receive good care when they need it.

However, the shift to telehealth necessitates changes in healthcare facilities that are not currently designed for seamless integration. Designing with flexibility can facilitate a smoother transition for patients and providers alike.

Several individuals are concerned about whether their health insurance companies will cover telemedicine expenses. To find the answer, read on to learn how the health insurance sector is already adapting to virtual care.

What Must You Know About Telemedicine?

The medical sector has embraced telemedicine as a popular buzzword. This innovative invention is revolutionising the healthcare landscape by seamlessly integrating artificial intelligence to improve the efficiency of medical care providers.

The pandemic forced the introduction of extraordinary measures. This led healthcare professionals to develop and find innovative ways of providing care to patients remotely. Therefore, remote patient monitoring currently stands as an effective solution to bridge the gap between patients and healthcare providers.

The influence of telemedicine on the healthcare industry is evident and will continue to stay. As digitisation embraces the healthcare business, new ways of “seeing” patients have emerged – including mobile devices, computers, and IoT devices.

Overview of Telemedicine Coverage

Many health insurance packages are now including telemedicine as an essential component. This coverage includes a wide range of telehealth services. Insurance brokers need to comprehend this component and provide better guidance to their clients.

Health insurance brokers are playing a significant role in this transition. Their role in educating customers on the benefits and limits of telehealth coverage is critical. As telemedicine advances, brokers must adjust their strategy to suit new expectations.

Client Expectations for Telehealth Coverage

You already know telemedicine is gaining much popularity among individuals seeking treatment from the comfort of their homes. They are also expecting their health insurance providers to cover these expenses. Recently, India’s insurance authority IRDAI, changed their rules. They now want all health insurance companies to cover some telemedicine services. This means online doctor check-ups by video or phone have to be included in medical plans across India.

They must include this coverage in the claim settlement process of a health insurance plan. This decision provided peace of mind to many individuals opting for remote healthcare services but are worried about its expenses. You can now consult with medical practitioners online and remotely over the phone.

Does Your Insurance Pay For Online Medical Consultations?

Several insurance companies have taken the lead in providing comprehensive telehealth coverage. However, the extent of coverage can vary widely depending on the insurer and the specific health plan. Most modern health insurance policies now cover some form of telehealth service. These companies frequently provide a wide range of telehealth services.

IRDAI has issued new guidelines regarding telemedicine services to health insurance providers across the country. Basically, IRDAI instructs them to cover virtual medical care, such as online consultations, as part of regular policy coverage and claims settlement. This will make it much simpler for people to connect with doctors by phone or video without leaving home.

Final Thoughts

Brokers are required to stay abreast of these changes and understand how different insurers incorporate telehealth benefits. They need to be prepared to explain these changes to clients and assist them in navigating the new landscape of health insurance.

Insurance policies are incorporating telehealth. This incorporation includes changes in reimbursement policies, cost-sharing models, and the range of covered services. Insurers are also considering how telehealth can reduce overall healthcare costs, potentially leading to more affordable premiums.