Technology has introduced numerous ways for patients to connect with medical providers without requiring an in-person visit. This digital shift includes virtual appointments, which have become a common way to access care. The e-visit represents a distinct and highly convenient method for receiving medical consultation. E-visits allow patients to obtain care for certain conditions from home, often without needing to schedule a specific time slot with a doctor.
Defining the Asynchronous E-Visit
An e-visit is an electronic, patient-initiated communication with a healthcare professional conducted through a secure patient portal. Its defining characteristic is its asynchronous nature, meaning the communication does not happen in real time, unlike a live video or phone call. This method is sometimes called “store-and-forward” telehealth.
The patient submits information at their convenience, and the provider reviews the data and responds when their schedule permits, typically within 24 hours. This format contrasts with synchronous telehealth, which requires simultaneous interaction. Since e-visits do not require a mutual appointment time, they remove many scheduling barriers. The provider reviews the detailed patient submission offline to formulate a diagnosis and treatment plan.
How the E-Visit Process Works
The process begins with the patient logging into a secure, HIPAA-compliant patient portal or application. The patient selects the e-visit option and completes a structured digital questionnaire about their symptoms. The intake form gathers necessary medical history and details, often allowing the patient to upload photos of visible symptoms.
After submission, the provider reviews the stored information when available. The provider analyzes the symptoms, images, and history to determine a diagnosis and course of action. The response, which may include a treatment plan, a prescription, or a request for a follow-up appointment, is sent back via the secure messaging system.
Appropriate Uses for E-Visits
E-visits are designed for low-acuity, non-urgent medical issues that do not require a physical examination for an accurate diagnosis. They are effective for straightforward conditions where symptoms are definable through a questionnaire or image submission.
Common conditions managed through e-visits include:
- Urinary tract infections (UTIs)
- Minor skin conditions like acne or mild rashes
- Certain types of seasonal allergies
- Medication refills for stable, chronic conditions (for established patients)
- Follow-up questions related to a previous diagnosis
E-visits are not appropriate for severe pain, complex chronic issues, mental health crises, or any situation requiring immediate medical attention or hands-on physical assessment. If the provider determines the concern is too complex, the patient will be directed toward an in-person, audio, or synchronous video appointment.
Costs and Coverage
The cost structure for e-visits differs from traditional office visits or live telehealth appointments. Without insurance, the price often ranges from $40 to $90 for a flat-fee consultation, though this varies by provider and service. The price is frequently lower than a synchronous video visit because the provider’s time is used more efficiently.
Insurance coverage varies significantly by payer, plan, and state regulations. Many private insurance companies cover telehealth services, but patients should confirm their specific plan’s benefits to understand any out-of-pocket costs. For Medicare beneficiaries, e-visits are generally covered, but the standard Part B deductible and a 20% coinsurance typically apply to the Medicare-approved amount.