Medical Advice Through MyUCDavisHealth Messages | MyUCDavisHealth | UC Davis Health

Medical Advice Through MyUCDavisHealth Messages

How It Works and What It Costs

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What is an E-Visit message in MyUCDavisHealth?

Messaging your doctor or health care provider through MyUCDavisHealth is one of the many ways we make care convenient. For example, you can send us a request to renew your prescription medications whenever you have time – day or night – and your provider’s office will typically reply in one to three business days.

However, some MyUCDavisHealth messages may be complex or take more time for your health care provider to answer. In the past, these complex messages were often handled by asking patients to schedule a formal, billable in-person, video or telephone appointment at a set date and time.

Now your regular provider may be able to respond to many types of complex requests (if medically appropriate) without requesting that you schedule that appointment. Instead, they can provide medical advice through MyUCDavisHealth messages that you can read and reply to at your convenience. 

This is called an E-Visit. It’s an online “visit” that does not require an appointment, and can involve back-and-forth communication with your provider through MyUCDavisHealth messages over the span of one week.

Most messages to your provider and your provider’s office are free. However, some messages may be billed to your insurance as an E-Visit.

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What messages are billed as E-Visits?

Your health care provider (doctor, nurse practitioner, physician assistant, or optometrist) may bill your message to your insurance as an E-Visit if:

  • It cannot be answered in a simple way, or
  • It is not related to a recent prior visit, or
  • It takes 5 or more minutes of their time to respond, or
  • In order to respond to your message, they need to make a clinical assessment or medical decision, and review your medical history

Your message should not cost you anything if:

  • It does not require clinical evaluation or medical advice from a doctor, nurse practitioner, physician assistant, or optometrist, or
  • It can be answered quickly and easily

In the section below, there are some common examples of types of MyUCDavisHealth messages that might be billed or that are usually not billed. These examples are meant to help you get a feel for many types of situations.

Please keep in mind that these are common examples that might not apply to your specific situation. We cannot provide examples for every type of message or situation, because there are so many different kinds.

Some examples:

Messages that might be billed to insurance

A new issue, concern or symptom that requires your provider to make a medical assessment, a diagnosis, and/or recommendations for further evaluation or treatment.

This may include:

  • Ordering tests, such as imaging/scans or laboratory work
  • Providing treatment recommendations
  • Placing or pursuing a referral to another health care provider (such as a surgeon, cardiologist or endocrinologist)

A check-in about a chronic disease or condition (such as diabetes or coronary artery disease) that happens through online messages, instead of a set appointment.

Note: This can include situations when your condition has not changed, and you are now requesting information on your options, or a referral to another health care provider (such as a surgeon, cardiologist or endocrinologist).

A change in a chronic disease or condition (such as diabetes or coronary artery disease) that requires actions such as:

  • Research
  • Diagnosis
  • Additional testing to help with diagnosis
  • A change in your treatment recommendations
  • A referral to another health care provider

Messaging about side effects from a prescription medication, if the messaging leads to new treatment recommendations or more testing or evaluation.

Here is one example of this: Let’s say that your blood pressure medication was changed at a provider visit a month ago. Today you send a message saying you cannot stand the side effects. In their response, your provider recommends a different medication, or more testing.

Messaging about test results, if the provider response is complex, takes more than 5 minutes, and/or leads to recommendations for things like more tests.

Here is one example of this: Let’s say that you send a message asking if a new lab test result is something to be concerned about. You have not yet talked about the new result during a past visit with your provider, and you do not have a future visit scheduled to talk about the results. In their response, your provider explains how the test result is medically important to your personal health. They order more blood or imaging tests to learn more, or recommend a new treatment approach or medication.

A request to complete a form (such as for work, school, assisted living, or life insurance).

Messages usually not billed to insurance

Standard requests for refills of existing medications.

A request for an in-person, telephone or video appointment.

A message that leads your provider to recommend an in-person, video or telephone appointment in order to talk more, instead of talking more through MyUCDavisHealth messages.

Follow-up care for a surgery that took place in the past 90 days (with exceptions for some surgeries).

An update for your provider that does not need a response from them.

For example, you are not asking questions, bringing up new symptoms or concerns, or sharing new information.

Follow-up questions about symptoms, diagnosis, issues or concerns that were evaluated in the context of an in-person or video visit that took place within the past week.

A message that takes less than 5 minutes of total time to answer.

Questions about side effects from a prescription medication, if the messaging does not lead to new treatment recommendations or more testing or evaluation.

Here is one example of this: Let’s say that your blood pressure medication was changed at a provider visit a month ago. Today you send a message saying you cannot stand the side effects and have stopped taking the medication for now. In their response, your health care provider agrees with this approach until you can both follow up at your next regular visit.

Questions about test results, if your provider’s response is not complex, does not take more than 5 minutes, or does not require a long or complicated explanation.

Here is one example of this: Let’s say that you send a message asking if a new lab test result is something to be concerned about, because it is at the high end of normal range. Your provider sends a quick response saying the test result is not medically important to your health, and that no follow up is needed.

If you already talked about test results in a recent visit and you have more questions about them, your new questions are also not usually likely to be billed to insurance.

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What could I be charged?

Your health care provider will decide if a message exchange with you should be billed to insurance (as an E-Visit). If so, UC Davis Health will handle the billing for you.

Most insurance companies now provide coverage for medical advice messaging, such as E-Visits in MyUCDavisHealth. Even if a message is billed to insurance, some patients won’t have to pay anything. For those patients who do need to pay, out-of-pocket costs for this type of care vary by insurance plan, and are often low.

Here are some general guidelines about what to expect:

Cost of a Medical Advice Message

  • For most patients, no out-of-pocket costs.
  • For a small number of patients, the cost could be $3 to $6.
  • For patients with Medicare Advantage, co-payment of $20 (the cost of an in-person visit or video visit).

Cost of a Medical Advice Message

  • No out-of-pocket costs.

Cost of a Medical Advice Message

  • Some patients will have co-payments similar to those for in-person visits or video visits. Common co-pays are $10 and $20.
  • If a deductible applies, the full amount will be charged. The average amount is around $75.

If you want to verify your out-of-pocket costs for a medical advice message (E-Visit), contact your health insurance company. (If they ask for a “CPT code,” these are listed in the “Show sources” link below).

If your insurance company asks for a “CPT code” to help identify this type of visit, the relevant codes for Medicare and private insurance are 99421, 99422 and 99423. These three codes reflect different amounts of time your provider may spend handling a message.

Medi-Cal uses its own code: G2012.

If a message takes more than a few minutes of a provider’s time, the amount of time will decide the charge. Things that take more time will cost more. Below is an outline of medical advice message (E-Visit) charges at UC Davis Health.

CPT Billed Charge
Description
99421 $55.00 Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days is 5-10 minutes.
99422 $107.00   Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days is 11-20 minutes.
99423 $171.00 Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days is 21 or more minutes.

Important note: Whether you get your care from UC Davis Health or another health system or health care provider, many types of medical care are billed based on the time that your doctor or provider spends on your care. This is not something that is unique to UC Davis Health, or to our medical advice messaging (E-Visits) services.

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Why are E-Visits billed?

Messaging health care providers has become a popular way to seek medical advice – especially since MyUCDavisHealth makes it easy to do so.

The majority of messages sent through MyUCDavisHealth can be handled quickly and are never billed to insurance.

But in some cases, these messages require steps that take lots of time, such as research, reviewing medical records, making a diagnosis, and talking with other care providers. These things are a form of virtual care, and it makes sense to treat them and bill them that way.

Insurance companies recognize that virtual care is an important way for patients to get medical advice, and that in some cases it can replace the need for an in-person appointment. In addition to in-person visits, insurance companies now cover:

  • Video visits
  • Telephone visits
  • Medical advice messaging through online portals (such as E-Visits through MyUCDavisHealth)

We’re pleased to offer you all of these choices for getting medical care from UC Davis Health. We’ll continue to do everything we can to provide our patients with timely, top-tier care.

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How do I message my provider?

1.    Log in to MyUCDavisHealth in a web browser or in the MyUCDavisHealth app.

2.    Select “Messages.”

3.    Follow the instruction prompts.

4.    You’ll see a list of providers that you can message. (These will be providers who currently have you as a patient).

If you don’t have a MyUCDavisHealth account, go to the MyUCDavisHealth web page and look under “Create an Account.” You’ll see the option to sign up, with or without an activation code.

The MyUCDavisHealth app is available on the Apple App Store and Google Play.