Use this scorecard to track payers’ telehealth coverage in 2025

Why This Topic Matters

Telehealth coverage policies can vary widely by payer and can change during the year, so teams need a centralized way to monitor which plans recognize the new CPT telehealth visit code family and how they handle different telehealth visit types. The scorecard helps practices keep internal guidance current and coordinate payer-specific updates across staff.

Article Sections

1. Overview of the telehealth coverage scorecard

   Introduces the purpose of the scorecard and the need to track commercial payer telehealth policies in 2025. It also frames the article as a tool for comparing plan-level coverage differences.

2. Payer policy updates and coverage categories

   Summarizes which commercial payers are reported to accept the new telehealth visit code family, which cover only certain telehealth visit types, and which continue to use office/outpatient E/M codes for telehealth. The section also notes periodic updates to payer policies over the year.

3. Telehealth private payer coverage scorecard

   Presents the payer-by-payer scorecard used to compare telehealth coverage categories across commercial plans. The table organizes coverage status in a way that supports quick reference and internal tracking.