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How An Online Doctor Visit Works: Going Virtual

Doctor performing a virtual visit.

An online doctor visit, also known as a telehealth or telemedicine appointment, works like this:

  1. Scheduling the Appointment: First, you choose a time for your appointment using a website or an app. You’ll provide some basic information about why you need to see the doctor.
  2. Setting Up: Before your appointment, you’ll need a computer, tablet, or smartphone with a camera and microphone. Make sure you have a good internet connection. You might need to download specific software or an app, depending on the service.
  3. Starting the Visit: At the appointment time, you’ll log in to the app or website. You’ll enter a virtual “waiting room” until the doctor is ready to see you.
  4. Consultation: You’ll talk to the doctor through video chat. You can explain your symptoms, ask questions, and show the doctor any physical signs of your condition, like a rash or swelling. The doctor might ask you to take your temperature or do other simple tests at home.
  5. Diagnosis and Treatment: Based on your symptoms and any information you provide, the doctor will diagnose your condition. Then, they’ll explain your treatment options. This might include prescribing medicine, which you can often pick up from your local pharmacy.
  6. Follow-Up: If needed, the doctor will schedule a follow-up visit. You might also receive instructions for any further tests or treatments.
  7. Payment and Insurance: You’ll either pay for the visit out-of-pocket or through your health insurance, depending on the service and your insurance coverage.

About Telehealth Services

The fairly new wave of telehealth / telemedicine is giving more people (especially older adults) greater opportunities to get help from a medical professional than ever before.

This is especially useful for the elderly who are bed bound or otherwise cannot leave the house for a number of reasons. It’s also very helpful for their caregivers.

In addition, a telemedicine appointment is very beneficial for providing medical care to those who live in remote locations or who are social distancing during the pandemic.


There are four main factors that are propelling the popularity of virtual consultations and telehealth services.

  1. The growing number of Baby Boomers – did you know that 10,000 seniors a day turn 65?
  2. The declining number of physicians – per the Association of American Medical Colleges – “The United States will see a shortage of up to nearly 122,000 physicians by 2032 as demand for physicians continues to grow faster than supply…
  3. As seniors get older and older, driving may no longer be an option for them. So traveling to a doctor’s office can become problematic.
  4. An increase in the number of older adults who are becoming more accustomed and familiar with using tech tools.

According to an AARP survey, those 50+ increased their use of technology since 2019 significantly, including video chatting (up 45%), texting (up 37%), emailing (26%) and use of cell phones (29%). In addition, seniors learned how to order groceries online, began using wearable devices to monitor their health, and employed apps and websites for their banking needs.

This combination of more patients and fewer physicians has fueled the increase in the number of Nurse Practitioners (NP) and Physician Assistants (PA) which is helping to alleviate the burden on the healthcare industry.

You may have noticed that that last few times you’ve visited a doctor’s office you most often have seen the NP or the PA instead of the doctor.

This is very common as the caseload for many physicians is overwhelming.

Using an online doctor visit via their office website will most likely also produce the same result – meaning that you may end up having a consultation with an NP or a PA versus a doctor.

But my point here is that I don’t want you to disqualify the medical professional online because he/she is not a doctor. They’ll still provide quality healthcare.

I personally opt for an NP or a PA when I go to a doctor’s office simply because they tend to spend more time with me. I find that they tend to listen better and I like the idea that both PA’s and NP’s have to re-take their national boards every few years – whereas physicians do not.

If you are caring for an elderly loved one – read our article on How To Communicate With Your Parent’s Doctor

What Can A Virtual Doctor Treat?

Virtual visits with physicians, NP’s and PA’s can treat a variety of medical conditions such as:

  • Sore throats and other cold like symptoms
  • Hypertension / high blood pressure
  • GI issues
  • Skin conditions
  • Prescription refills
  • Counseling for mental health issues
  • Follow up visits post surgery
  • Test results
  • Allergies
  • Asthma
  • Diarrhea
  • Insect bites
  • Vomiting
  • Sprains and Strains
  • and much more

These online healthcare professionals can also write prescriptions, as well (not just refill them).

But, it’s important to note that not ALL issues can be treated in a telemedicine visit.

For example – if you or your senior loved one is complaining of gastrointestinal problems that are resulting in some physical pain – it may be more prudent to visit a doctor face to face so that they can do a “hands on” physical examination.

Likewise, a medical issue, such as broken bone, urinary tract infections, or a medical emergency would require an in-person office visit, urgent care center, or emergency department.

Of course, if a telehealth provider is presented with issues that they feel need further examination, they will advise you to GO TO your primary care provider.

Telehealth And Hospice

Just a little side note here about telehealth services and hospice.

There are some hospice programs that are now providing telehealth services in addition to the in home visitations which can be a great benefit to not only the patient but the family caregivers as well.

“As an organization, we are committed to innovation, education, and excellence in everything we do. We’re honored to receive this important grant from the Alliance and are actively working to integrate Telehealth technology to better serve our community,” said Michael Milward, Hospice of Santa Cruz County CEO. “We believe adopting Telehealth technology will allow for enhanced communication and symptom management for patients being supported on our Palliative Care program.”

Here’s some more information about hospice care.

How Much Do Online Doctors Cost?

Each plan / provider is different but, generally speaking, it does seem that the costs of a virtual appointment are very similar to going to an in person appointment at a primary care doctor or a walk-in-clinic.

Some of the more popular companies that are providing video conference appointments with health care providers are:

Plush Care

Cost is $30 co-pay through your insurance or $129 without insurance.

Amwell (for women’s health)

Ranges from $79 to $269.


Cost starts at $29.

Better Help (counseling services)

Cost ranges from $60.00 to $80.00 per week.


Costs start at $15.00 per month.

Live Health Online

Cost is $55.00/visit.

Mission Health

Cost is $35.00 per visit.


Cost varies depending on your needs and your health plan.

MD Live

Cost can be $0 and ranges up to $284.

Specialists On Call

Cost varies

United Healthcare

Depends on the services rendered. (Check their prices here)


Varies depending on the services rendered.

Are Virtual Doctor Visits Good?

Some people may be very wary of seeing a doctor “online”.

It’s certainly not something that we’ve been used to (as a society) so I suspect that it will take some time to get used to the concept and the practice of it.

As I speak with others about this topic the questions I most often get are along the line of…

  1. How is your blood pressure taken?
  2. How do they take your temperature?
  3. How can they assess something if they can’t touch it?

The answer to these questions is that of course, they can’t assess your blood pressure or temperature but those are things that you can do at home and then provide them with that information.

They obviously won’t be able to touch you if the issue is muscular pain or a cyst, etc.

So, yes, there are going to be limitations to what a virtual doctor can do but generally speaking, for issues such as mentioned above in the list of what online doctors mostly treat – a virtual doctor can be a very good thing.

Especially for anyone who has difficult getting TO a doctor.

Here’s a news story on the topic of telemedicine by KARE 11 – a local news station in Minneapolis, MN

Can You Get A Doctor’s Note From A Virtual Visit?

The short answer is “Yes” – the online physician will be able to write you a doctor’s note for your employer or your school or other source that is asking for one.

Getting this from an online telehealth service clearly saves you a lot of time since you don’t have to make an appointment (usually weeks in advance), sit in the waiting room and then sit in the exam room waiting to see the doctor.

Does Medicare Cover Online Doctor Visits?

Seniors and their caregivers will most often ONLY see a physician if it’s covered by Medicare or Medicaid (whichever program they are on) or of course if their supplemental insurance will pay for it.

Generally speaking, Medicare Part B DOES cover telemedicine services.

You pay 20% of the Medicare-approved amount for your doctor or other health care provider’s services, and the Part B Deductible applies. For most telehealth services, you’ll pay the same amount that you would if you got the services in person.

I would recommend that you contact your supplemental insurance company for information about their coverage of telehealth / telemedicine services.

Does Medicaid Cover Online Doctor Visits?

Medicaid services differ from state to state so I would recommend that if you have a question about using a telemedicine service and you’re on Medicaid, to contact your local office. You can find your state Medicaid contact information here.

According to

9 states and the District of Columbia have laws specifically mandating coverage for live telemedicine services under their Medicaid programs:

Here is a map with links to information for every state in the USA.

You can read more about Medicaid and telehealth services on the evisit article by clicking here.

When Should I Use An Online Doctor?

There are many different reasons why you could opt for using an online doctor. These include any of the following:

  • if you don’t have access to travel (no car, no funds for rideshare, no one to take you, etc.)
  • if you feel too ill to go out to an urgent care or doctor’s office
  • if you are a caregiver for a housebound person and cannot leave them alone
  • you have no time and just need a quick exam, advice, etc.
  • you need help sooner than you can get it from your own physician / counselor / therapist
  • you live a long distance from your regular physician or an urgent care facility

The concept of “seeing” a physician online may seem very strange and odd for many of us, but like most anything else – the more you use it – the easier it becomes and the more comfortable you will get with it.

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