Ohio § 3902.30

§ 3902.30.

(A) As used in this section: (1) “ Cost sharing ” means the cost to a covered individual under a health benefit plan according to

any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket expense

requirements imposed by the plan. (2) “Health benefit plan,” “health care services,” and “health plan issuer” have the

same meanings as in section 3922.01 of the Revised Code . (3) “Health care professional” has the same meaning as in section 4743.09 of the Revised Code . (4) “ In-person health care services ” means health care services delivered by a health care professional through the use

of any communication method where the professional and patient are simultaneously

present in the same geographic location. (5) “Telehealth services” has the same meaning as in section 4743.09 of the Revised Code . (B)(1) A health benefit plan shall provide coverage for telehealth services on the same

basis and to the same extent that the plan provides coverage for the provision of

in-person health care services. (2) A health benefit plan shall not exclude coverage for a service solely because it

is provided as a telehealth service. (3) A health plan issuer shall reimburse a health care professional for a telehealth

service that is covered under a patient's health benefit plan.  Division (B)(3) of this section shall not be construed to require a specific reimbursement

amount. (C) A health benefit plan shall not impose any annual or lifetime benefit maximum in

relation to telehealth services other than such a benefit maximum imposed on all benefits

offered under the plan. (D)(1) A health benefit plan shall not impose a cost-sharing requirement for telehealth

services that exceeds the cost-sharing requirement for comparable in-person health

care services. (2)(a) A health benefit plan shall not impose a cost-sharing requirement for a communication

when all of the following apply: (i) The communication was initiated by the health care professional. (ii) The patient consented to receive a telehealth service from that provider on any prior

occasion. (iii) The communication is conducted for the purposes of preventive health care services

only. (b) If a communication described in division (D)(2)(a) of this section is coded based

on time, then only the time the health care professional spends engaged in the communication

is billable. (E) This section shall not be construed as doing any of the following: (1)  Requiring a health plan issuer to reimburse a health care professional for any costs

or fees associated with the provision of telehealth services that would be in addition

to or greater than the standard reimbursement for comparable in-person health care

services; (2) Requiring a health plan issuer to reimburse a telehealth provider for telehealth

services at the same rate as in-person services; (3) Requiring a health plan issuer to provide coverage for asynchronous communication

that differs from the coverage described in the applicable health benefit plan. (F) The superintendent of insurance may adopt rules in accordance with Chapter 119. of

the Revised Code as necessary to carry out the requirements of this section.  Any such rules adopted by the superintendent are not subject to the requirements

of division (F) of section 121.95 of the Revised Code .