Due to the ongoing coronavirus pandemic, CDH is offering telehealth options.
Insurance coverage for telehealth for in-network is required by Illinois law, and for the most part, the co-pays are no longer required. If you have a high deductable, your costs will likely be less than an in-person visit, because of the difference in co-pays. This is Illinois law and might not apply to other states.
For televisits, we will bill your insurance using the telehealth codes. According to an update from our contracting organization, there is some telemedicine coverage through Medicare, Aetna, BCBS, but not for Cigna or for most Humana. United HealthCare has "expanded" telehealth coverage through June 18. It seems to us that coverage should be extended until the epidemic is over.
If you are high risk, we will do our best to use telehealth to take care of our patients. If your insurance does not cover telehealth, we will bill at the self-pay rate. We will discontinue telehealth after the pandemic is over, but for older and vulnerable patients, this may mean attempting telehealth rather than in-person visits for about a year.
We need your consent for telehealth. Here is a link to a google form that provides consent.
Audio/visual visits -- For those with a smartphone, the process is as follows. First we will have our staff call you to make sure we have your medications and a list of subjects that need to be discussed.
After this, hang up, and our office will send you a text message on your smart phone.
Within the text message is a link that starts up the "Doximity" app. This app is very similar to Facetime.
This method can assist us in diagnosing dizziness remotely. If you think you have BPPV or jumpy eyes, please be ready for this, and have an assistant who can hold the phone camera close to your eyes while we examine you for nystagmus remotely. We have a page on this process here.
If your internet connection is a lot better than your telephone connection, we can also do visits using zoom.Usually the smarphone is the better option however. If you have an android phone, and are having issues, see this PDF.
Telephone visits are usually not covered by insurance, although there are some exceptions. In other words, if you don't have a smartphone, most of the time, your insurance will not cover a televisit. Medicare in particular will not cover a televisit lacking a video connection. If you do not have a smartphone or similar device, we will ask you to arrange for a friend to be with you that has a smartphone, as insurance requires a video connection.
Blended visits: We prefer to see our patients in person and we can also do a better job with a full examination. A blended visit is a combination of talking about your symptoms using a telemed device, and a brief but full exam in the clinic. This reduces exposure, but also allows for a proper evaluation. These are intended for high-risk new patients.