How Receiving Medical Advice Through Simple Practice is Billed to Your Insurance
Overview
When you have a medical question, sending your healthcare provider a message through Simple Practice is one of the most convenient ways to receive care. This approach streamlines your experience by ensuring inquiries are addressed without needing an in-person visit. It allows your provider to prioritize your concerns and deliver personalized guidance.
Important Updates
As of June 1, 2025, Simple Practice responses that require clinical time and expertise, also known as telehealth, may be billed to your insurance. Key points include:
- There may be a co-pay determined by your insurance company’s guidelines.
- The highest amount you could be responsible for is $50.
- Messages requiring less time or no clinical expertise remain free.
Billing Details
- Messages that require 5 minutes or more of medical expertise and record review may be billed.
- The billed amount depends on your insurance and the time spent on your case.
Examples by Insurance Type
- Medicare: No out-of-pocket costs for most patients. Some may have a small fee ranging from $3 to $8. If you have secondary insurance, you typically owe $0.
- Private Insurance: Most providers cover these messages at little to no cost. If you have a deductible or if this is not covered, you might owe $33 to $50.
Frequently Asked Questions
What messages will be billed to my insurance?
Messages requiring your provider’s expertise and taking five or more minutes to address, such as:
- Medication changes or prescriptions that require medical decision making
- New symptoms
- Updates or changes to long-term condition care
- Requests for completing medical forms These messages often involve in-depth review of medical history or treatment plans.
What messages will be free?
There are no charges for:
- Scheduling appointments
- Follow-up messages for care received in the last seven days
- Quick updates or non-clinical questions
How to Get Started
Begin using Simple Practice messaging today to stay connected and manage your healthcare with ease. For more information or assistance, contact your provider.