What Telehealth Insurance Requirements Apply in Montana?

Montana treats remote medical care as a regulated practice, and physicians must be licensed before practicing in the state; the medical board must set telemedicine practice guidelines. Montana’s insurance code bars special telemedicine cost-sharing restrictions that do not generally apply to other covered medical services.

What Is Telehealth Insurance?

Telehealth liability can cover claims arising from remote health care, such as a video visit or remote monitoring. If you provide care online, match the quote to your clinicians, services and patient locations; cyber and in-person risks need separate review. Read the national Virtual care and telehealth guide.

What Should You Watch for With Telehealth Insurance in Montana?

  • A Montana Patient Can Trigger Montana Licensure

    Montana law prohibits unlicensed practice of medicine in the state and directs the Board of Medical Examiners to provide telemedicine guidelines. Check the patient’s location and the clinician’s Montana credential before the visit, then tell the broker how many Montana patients and specialties you serve. 1,2

  • Telemedicine Cannot Carry Unique Cost-Sharing Barriers

    Montana’s insurance code prohibits special deductibles, coinsurance, copayments, or other limitations for telemedicine that are not generally imposed on other covered medical services. Ask payers how they apply the rule to your modalities, and distinguish reimbursement obligations from your own professional liability coverage. 3

  • Some Audio-Only Care Has an In-Person Prerequisite

    Montana’s telemedicine definition excludes audio-only communication for a physician’s written certification of a debilitating condition unless an in-person relationship was established first. If your practice handles such certifications, describe the service and the required prior encounter to the carrier. 2

Which Telehealth Insurance Providers Have Montana License Records?

No provider in our research has both a state license record and a listing for this coverage line. This does not establish that providers are unlicensed. Check the regulator’s license lookup and confirm availability with a provider when requesting a quote.

Who Regulates Insurance in Montana?

Montana Commissioner of Securities and Insurance

The Commissioner of Securities and Insurance regulates Montana insurers and producers and acts as a consumer advocate. The office accepts written or online complaints about insurers and insurance professionals. 4,5,6

Surplus-Lines Tax and Stamping Office in Montana

Reported tax rate. 2.75% of total premium (0.75% for legal professional liability) + 2.50% fire tax on applicable fire premium + 0.175% SLIP+ transaction fee on total premium 7,8,10,11

Montana requires an eligible surplus-lines insurer and a statutory placement path when it is the insured’s home state. Before placement, the producing producer must advise you that the insurer is unauthorized in Montana and is not subject to the same supervision as an authorized insurer, and that if the surplus-lines insurer becomes insolvent, Montana’s property-and-casualty guaranty fund will not pay losses under the surplus-lines coverage. Confirm the applicable placement route and tax and fee bases with the producer.

  • Montana surplus-lines placement routes: When Montana is home state, §33-2-302 generally calls for an eligible insurer and evidence that the line or full amount is unavailable from authorized insurers (or, at renewal, has not become available). The evidence routes are a diligent search of at least three insurers actually writing that line in Montana (or the smaller actual market), the kind appearing on the current Approved Risk List, or natural-disaster multiperil coverage. The list names kinds and classes; it does not prove that a particular business or BOP qualifies. Section 302 separately waives search requirements for an authorized quote with a premium rate at least 10% above the eligible unauthorized quote, if commissioner-approved disclosure is provided; and for a qualifying exempt commercial purchaser (ECP), after disclosure that coverage may or may not be available from an authorized insurer that may provide greater protection with more regulatory oversight, followed by the purchaser’s later written request. Under §318, an ECP must employ or retain a qualified risk manager as defined in §319, have paid over $100,000 in nationwide commercial P&C premiums in the prior 12 months, and meet one additional §318(1)(c) criterion. Some financial thresholds adjust every five years. 10,11,9,13,16,17
  • Check the fire-tax allocation on a commercial package: Section 33-2-311 generally requires the surplus-lines producer to collect and pay the tax when Montana is home state, subject to §33-2-323. For a single-state risk with Montana as home state, §33-2-323(4) requires submission to the Commissioner, who collects the tax. Ask the producer which filing and payment route applies. CSI’s July 2026 guide lists code 1005, Commercial Package (Property & Casualty), with a 50% presumptively reasonable allocation and a 1.25% effective fire-tax rate. Treat this as an example: verify the code and allocation used for the policy; do not assume every BOP is classified as code 1005. CSI’s current schedule sets annual tax due dates (quarterly tax payments are accepted) and separate quarterly SLIP+ transaction-fee deadlines. 12,15,14,18

What Should You Ask Before Buying Telehealth Insurance in Montana?

  1. Which clinicians need a Montana license based on where the patient is located?
  2. Does the policy include written certifications for debilitating conditions and any prior in-person encounter requirement?
  3. How do our payer contracts treat telemedicine copays and other restrictions under Montana law?

Telehealth Insurance in Montana: Frequently Asked Questions

Do physicians need a Montana license to treat Montana patients remotely?

Generally, yes. Montana treats medicine as a licensed practice and directs the medical board to issue guidelines for telemedicine; verify any specific exemption before care. 1

Can a Montana plan impose a special telemedicine copay?

No special telemedicine cost-sharing restriction may be imposed if it is not generally applicable to other covered medical services. 3

Telehealth Insurance Guides for Other States

Other coverage in MontanaEvery coverage guide for Montana, plus the regulator and surplus-lines details.

Updated .

This guide is informational and does not determine whether a policy is available or meets your needs. Editorial policy. To suggest a correction, contact Spot with a supporting source.

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