October 1st, 2025
On September 30th, 2025 the Medicare telehealth flexibilities expired. These flexibilities waived telehealth restrictions and enabled Medicare patients to receive healthcare from home using audio/visual telehealth technologies. With the expiration of these provisions, and without further extension, Medicare will no longer pay for telehealth visits.
Congress has the ability to extend, or to make permanent, this ability for Medicare patients to see their doctor using telehealth. At MyCatholicDoctor, we were hopeful for a continuation or a permanent change to have been put in place before October 1st. However, with the government shutdown this has not happened.
How MyCatholicDoctor Will Handle Your Medicare Claim
We will be closely monitoring the situation in hopes of a swift re-instatement. Coverage for medical claims can be granted retroactively once government operations resume and policies are restored, however at this point we do not know what Congress will do, nor when it will act on this issue, nor if appointments October 1st onward will be retroactively covered.
Consequently, your Medicare visits may be uncovered and subject to our discounted self-pay rates.
According to current rules, physical in-person visits should still be covered.
Our plan for the next few weeks is to hold all Medicare claims while we wait, and expect, for Congress to extend or make permanent the current Medicare telehealth reimbursement policies. We will process your claims once the provisions are extended or made permanent.
Should Congress not act in a timely manner, or if the Medicare telehealth provisions are not restored, your claims will likely be denied, and you will be subject to our discounted self-pay rates.
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Additional Resources
Below are some useful links for further information on this topic:
