Telehealth savings calculator: does a telehealth benefit pay for itself?
Enter covered members, how many use telehealth, the cost avoided per visit and the monthly fee to see the net result and the break-even point. Built for HR and finance teams weighing a telehealth benefit.
Estimate the net savings from telehealth.
The usage and savings figures are your assumptions. The result updates as you type.
Employees and covered family members.
Your assumption. The cost of the alternative setting minus the telehealth visit.
Your estimate
An illustration from your own assumptions, not a prediction. Many telehealth benefits are built into the medical plan at no added fee.
When does telehealth save money?
Telehealth saves money when a virtual visit replaces a more expensive visit, such as urgent care or the emergency room. It can also save employees time. It does not save money when it adds visits that would not have happened. The result depends on usage and substitution, which is why the calculator asks you to set both.
What should an employer check?
First check whether telehealth is already included in your medical plan, since many plans offer it at no added fee or for a low copay. Then compare standalone vendors on fee, access, hours and reporting. Ask how the vendor measures savings, and ask for utilization reports so you can see what employees actually use.
Common questions
Does our medical plan already include telehealth?
Many do. Check your plan before paying for a separate vendor, and ask the carrier about cost sharing for virtual visits.
What is a reasonable usage rate?
It varies widely by group and by how well the benefit is promoted. Test a range of rates rather than relying on one number.
Can telehealth be offered with an HSA plan?
Rules on telehealth and high deductible plans have changed over time. Confirm the current rules with your advisor before relying on them.
How do we raise usage?
Clear communication at enrollment and through the year helps. We can help with employee messaging.
Talk to us about plan design
Book a 30-minute call and we will look at your plan, your claims and the virtual care options that fit. Visit us at 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304, or call 248.370.8853.
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