Making Access to Health Care Easier with Telemedicine

Telemedicine is a cost-effective, convenient alternative to visiting a retail clinic, urgent care or the emergency department (ED) for nonemergent reasons. Telemedicine doctors can treat a wide variety of nonemergent conditions, such as cold, flu, allergies, sore throats, vomiting and many more. This care is not meant to replace the patient’s primary care physician (PCP), but rather to supplement care. Please note that telemedicine services should not be used when patients are experiencing a medical emergency.

Telemedicine is available in most employer group plans, some administrative services only plans and select Medicare Advantage (MA) plans (link opens in new window). Humana-covered patients can call the number on the back of their Humana member ID cards to determine eligibility.

  • PCPs will receive visit notes if patients use this service and consent to alerting their physician. (PCP fax number is required.)
  • Telemedicine providers cannot provide referrals to anyone other than a patient’s PCP.
  • Telemedicine providers also are not able to prescribe Drug Enforcement Administration (DEA)-controlled substances. Individual states may have additional limitations on prescription services delivered by telemedicine.

Why does Humana want patients to use telemedicine?

Humana tries to streamline health care processes wherever possible. Instead of costly, time-consuming visits to an urgent care center or the emergency department for a nonemergent issue like a cold or sinus infection, members can call a telemedicine provider.

How do telemedicine providers coordinate with PCPs?

Patients can choose to release information to their PCP regarding their telemedicine appointments. Following the telemedicine visit, PCPs will receive information regarding the visit via secure fax or email if the member gives consent. PCP fax number is required.

When will Humana members be able to access this service?

Humana already has this service available in some areas, as stated above. For eligible 2018 Medicare plans, this benefit will begin on Jan. 1, 2018.

*Based on eligibility. Please note that Humana coverage does not include psychological or behavioral consultation. Your patient should contact his/her benefit administrator for questions on telemedicine benefit availability and coverage.

Limitations on health care and prescription services delivered via remote access technology and communications options vary by state. Remote access technology services are not a substitute for emergency care and not intended to replace your patient’s primary care provider or other providers in his/her network. The material provided to your patient is for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional.

Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Other physicians/providers are available in our network.