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Tennessee has no private-payer telehealth payment parity

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alleytill Medical Student
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Tennessee, US

Summary

Tennessee insurers must cover telehealth but are not required to reimburse it at the in-person rate. State law specifies payers need not pay telemedicine encounters above the amount paid for the same in-person service.

Tennessee requires private payers to cover provider-based telemedicine, but the law specifies insurers are not required to pay total reimbursement for a telemedicine encounter exceeding what would be paid for the same in-person service, and there is no parity mandate guaranteeing equal rates. This affects clinicians whose telehealth reimbursement can be set below in-person levels, undermining the financial sustainability of virtual care, especially for practices serving rural and underserved Tennessee patients.

Source: Center for Connected Health Policy (CCHP), Tennessee state telehealth page (2026).

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