Medicare Advantage and Telehealth Services

April 9, 2020
Rick Gawenda

While we wait for the Centers for Medicare and Medicaid Services (CMS) to add physical therapists, occupational therapists, and speech-language pathologists as telehealth providers for outpatient therapy services, a question I am receiving is how does this relate to Medicare Advantage plans.

What you need to remember is that traditional Medicare and Medicare Advantages plans are not the same. Regarding Medicare Advantage plans and do they pay for telehealth services for outpatient physical, occupational and speech therapy services is Medicare Advantage plan specific. You must contact each insurance carrier to see if they have expanded telehealth services to include outpatient physical, occupational and speech therapy services and if yes, does this expansion also apply to their Medicare Advantage plans.

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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

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