Telehealth doesn't always require video. "Telehealth" covers any remote care: video visits, phone (audio-only) visits, secure messaging and remote monitoring. Most telehealth appointments are video calls using the camera on a phone, tablet or computer, but many providers also offer phone visits when video isn't possible or isn't needed. Your provider decides which type fits the visit.
Types of telehealth
| Type | How it works | Camera needed? |
|---|---|---|
| Video visit (synchronous) | Live two-way video call with your clinician | Yes |
| Audio-only visit | Regular phone call | No |
| Asynchronous ("store and forward") | You send photos, forms or messages; the provider reviews later | Sometimes, for photos |
| Remote patient monitoring | Devices like blood pressure cuffs send readings | No |
| Patient portal messaging | Secure written messages | No |
Is telehealth the same as a video visit?
Not exactly. A video visit is one kind of telehealth. When a clinic says "telehealth appointment," it usually means a video visit, but check your confirmation. It will say whether you'll get a link to join or a phone call.
Does telehealth use your camera?
For a video visit, yes. The clinician needs to see you for many assessments: skin issues, wounds, movement, how you look and speak. You can usually turn the camera off, but the provider may then switch the visit to audio-only or ask you to reschedule if they need to see you.
Does Medicare telehealth require video?
Not always. Medicare's rules have changed several times since 2020. Under the law passed in early 2026, Medicare's broader telehealth flexibilities run through December 31, 2027. During that period:
- Patients can receive telehealth at home, not only at a rural clinic.
- Audio-only visits are allowed for many services when clinically appropriate and the patient can't use or doesn't want video.
- For mental and behavioral health, telehealth at home and audio-only (when the patient can't use or doesn't consent to video) are permanent parts of Medicare policy.
Unless Congress acts again, many non-behavioral flexibilities are set to end after 2027, and an in-person visit requirement for new mental health telehealth patients is delayed to January 1, 2028. These rules affect what providers can bill. Ask your provider or check medicare.gov for the latest. Private insurance and Medicaid rules vary by plan and state.
Can you use telehealth on your phone?
Yes. Smartphones are the most common telehealth device. Their front cameras and mics work well for one-on-one visits. Tips:
- Prop the phone at eye level instead of holding it.
- Use Wi-Fi if your cellular signal is weak.
- Sit facing a window or lamp so your face is lit.
- Use earbuds for privacy.
A computer or tablet gives a bigger view of the clinician and is easier for longer visits or when you need to show something.
Do I need an app for telehealth?
It depends on the provider's system. Common setups:
- A browser link: many platforms (for example Doxy.me and many EHR video tools) open in Chrome or Safari with no download.
- The provider's patient app: health systems often use their patient portal app, such as Epic's MyChart, for video visits.
- A general meeting app: some practices use HIPAA-configured versions of Zoom or Microsoft Teams.
Your appointment email or text will say exactly which app or link to use. Install or test it the day before.
What you need for a good video visit
| Item | Patient | Provider |
|---|---|---|
| Camera | Phone, tablet or laptop camera is fine | A quality webcam like the Jabra PanaCast 20 |
| Audio | Earbuds or phone speaker | A speakerphone like the Jabra Speak2 55 or a headset |
| Internet | Stable Wi-Fi or strong LTE/5G | Wired connection preferred |
| Space | Private, quiet, well lit | Private room, neutral background, front lighting |
Providers equipping exam rooms or telehealth carts should see our telehealth equipment guide and healthcare video conferencing. If the camera won't connect, see telehealth camera not working.
Setting up telehealth rooms for a practice? Tell us how many rooms and we'll recommend cameras and audio.
Related guides
- Telehealth Camera Not Working? Epic & SimplePractice Fixes
- Telehealth equipment: camera, mic and setup for providers
- HIPAA and Telehealth Hardware: What Actually Matters
- Veterinary Telehealth Setup: Equipment for Video Consults
- What Is a Lens Privacy Shutter on a Conference Camera?
- Hot Desking vs Meeting Rooms: What's the Difference?
Outfitting several rooms, or reselling? Get a volume quote or apply for wholesale pricing →
