Montana has no private-payer telehealth payment parity requirement
Summary
Montana law requires service parity (telehealth coverage equivalent to in-person) but explicitly does not require payment parity. Private payers may reimburse telehealth visits at lower rates than in-person care.
Montana requires that telehealth be covered equivalently to in-person services, but CCHP notes there is no explicit payment parity, meaning insurers are not required to reimburse telehealth at the in-person rate. This allows private payers to pay less for telehealth visits. The barrier affects clinicians providing telehealth to commercially insured Montana patients, including those serving the state's large rural population.
Source: Center for Connected Health Policy (CCHP), Montana state telehealth page (2026).
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