What Telehealth Insurance Requirements Apply in Ohio?

Ohio requires licensing boards to hold telehealth to the in-person standard of care, while allowing synchronous or asynchronous technology for an initial visit when that standard is met. The statute also prohibits facility, origination, and provider-site equipment fees and requires patient consent before billing for telehealth costs.

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 Ohio?

Initial Visits May Be Remote Only When the Standard Is Met
Ohio allows a synchronous or asynchronous initial telehealth visit if the appropriate standard of care is satisfied, and its licensing boards must generally set the same standard as in-person care. Ask the broker to list initial evaluations, modalities, and services that may require an in-person visit. ¹
Ohio Bars Several Telehealth Site Fees
A health professional may not bill patients or the health plan for a facility fee, origination fee, or provider-site equipment fee for telehealth. The provider must obtain patient consent before billing for telehealth costs; discuss how the policy treats disputes involving these prohibited charges. ¹
Boards May Require an Initial Visit Before Some Schedule II Prescriptions
Ohio boards may require a first in-person visit before prescribing Schedule II controlled substances to a new patient, but the statute prohibits that requirement for hospice or palliative care, opioid-use-disorder medication, mental-health patients, and clinical emergencies. Confirm the applicable profession’s rule before scheduling remote prescribing. ¹
Ohio Medicaid Uses the Patient’s Physical Location
Ohio Medicaid defines the patient site as the physical location of the patient at the time of telehealth and its 2026 rule recognizes real-time video plus specified telephone, monitoring, and secure-portal modalities. Tell the carrier where patients are located and which modalities are used. ²

Which Telehealth Insurance Providers Have Ohio 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 Ohio?

Ohio Department of Insurance

ODI licenses insurance agents and agencies and provides a public agent and company locator. Its consumer complaint form accepts insurance complaints and lets you identify an agent or company. ^3,^4,⁵

Website: Regulator website
License lookup: Search licensed producers
Complaints: File a complaint

Surplus-Lines Tax and Stamping Office in Ohio

Reported tax rate. 5% of gross premium, net of return premiums ^6,^7,⁸

For Ohio-home-state surplus-lines placements, Ohio sets a 5% tax on gross premiums after returned premiums and requires the surplus-lines broker to collect it when the policy is delivered. A diligent search usually applies; a qualifying exempt commercial purchaser may request nonadmitted placement in writing after disclosure that authorized-market coverage may offer greater protection, and the policy requires a signed notice of no Ohio guaranty-association benefits.

What Should You Ask Before Buying Telehealth Insurance in Ohio?

Does the applicable Ohio licensing board require an in-person visit before our remote Schedule II prescribing?
How do we document patient consent before billing any telehealth-related cost?
Does our 2026 Ohio Medicaid workflow record patient location and use an allowed telehealth modality?

Telehealth Insurance in Ohio: Frequently Asked Questions

Can an Ohio clinician conduct the first visit by telehealth?

Yes, if synchronous or asynchronous technology is appropriate and the clinician meets the applicable standard of care; a board may require an in-person visit for some Schedule II prescribing. ¹

Can an Ohio provider charge a telehealth facility or origination fee?

No. Ohio law bars facility, origination, and provider-site equipment fees for telehealth and requires patient consent before billing for telehealth costs. ¹

Sources for Telehealth Insurance in Ohio

1
Ohio Revised Code, Chapter 4743. Ohio Legislative Service Commission; § 4743.09(B)-(E): standard of care, initial visit, controlled substances, prohibited fees and consent. Accessed 2026-09-29.
2
Ohio Administrative Code Rule 5160-1-18. Ohio Department of Medicaid / Ohio Laws; Effective January 1, 2026; patient-site definition and telehealth modalities. Accessed 2026-09-29.
3
ohio insurance regulator. State insurance regulator; Official regulator home page and consumer/industry navigation. Accessed 2026-09-28.
4
Ohio Department of Insurance Agent / Agency Locator. State insurance regulator; Public search fields for agent and agency name, NPN, license number, city, ZIP, residency, and license type. Accessed 2026-09-28.
5
Ohio Department of Insurance Consumer Complaints Form. State insurance regulator; Online complaint form collects insurer, coverage, agent, issue, and supporting documents; page warns submissions may be public records. Accessed 2026-09-28.
6
Ohio Revised Code §3905.36. Ohio Laws; Division (B): 5% of gross premiums after return premiums; surplus-lines broker collects from insured at policy delivery. Accessed 2026-09-28.
7
Ohio Revised Code §3905.38. Ohio Laws; Division A: Chapter 3905 rules do not apply when Ohio is not insured's home state. Accessed 2026-09-28.
8
Ohio Revised Code §3905.33. Ohio Laws; Divisions (B)(1), (B)(4): five-market diligence and ECP disclosure/written request; division (C): signed notice of no Ohio Insurance Guaranty Association benefits. Accessed 2026-09-28.
9
Licenses. At-Bay; Current producer introduction and state table; At-Bay Insurance Services LLC; P&C and surplus-lines identifiers. Accessed 2026-09-21.
10
Licenses and Carriers. Coalition; Licenses and Carriers, re-read 22 September 2026: Insurance Licenses table for Coalition Insurance Solutions, Inc., national producer number 18419475, with producer and surplus-lines numbers for all 50 states and DC including California 0L76155, Georgia 196479, Texas 2199630 and 2205589, Pennsylvania 815731 and 817452, Colorado 539028 and Wisconsin 3000108852. Insurance Carriers table naming, with NAIC numbers, Allianz Underwriters Insurance Company 36420, Arch Specialty Insurance Company 21199, Ascot Specialty Insurance Company 45055, Ascot Insurance Company 23752, Aspen Specialty Insurance Company 10717, Chaucer Insurance Company DAC, Coalition Insurance Company 29530, Fireman's Fund Indemnity Corporation 11380, Fortegra Specialty Insurance Company 16823, Lloyd's of London, MSIG Specialty Insurance USA Inc. 34886, MS Transverse Specialty Insurance Company 41807, Steadfast Insurance Company 26387, Vantage Risk Specialty Insurance Company 16275 and Zurich American Insurance Company 16535. Accessed 2026-09-22.
11
Insurance Producer Licenses. Corgi Insurance; Current complete Insurance Producer Licenses table for Corgi Insurance Services, Inc.; 50 rows covering 49 states and DC (DC 3003091619); no New Mexico row; no NPN or as-of date shown. Accessed 2026-09-28.
12
About Hiscox US Insurance. Hiscox; Hiscox Insurance Company Inc. NAIC 10200 as Chicago, IL domiciled insurer admitted or licensed in all 50 states and D.C.; Hiscox Inc. as general agent and Lloyd’s coverholder for Syndicates 33 and 3624; surplus-lines placements through licensed surplus-lines brokers; A.M. Best rating statement. Accessed 2026-09-16.
13
Licenses. ERGO NEXT Insurance; Current entity-by-state license table reopened 28 September 2026: 50 rows under Next First Insurance Agency, Inc., including Washington, DC; New York rows instead list Next Insurance Services PC-1423070 and AP Intego BR-1198885. Accessed 2026-09-28.
14
About Risklytics. Risklytics; What we do; Who we insure; Licensing; Agency licenses table dated 2026-09-10. Accessed 2026-09-16.
15
Insurance Licenses by State. TechInsurance; Current state table; identifies TechInsurance as a division of Specialty Program Group LLC d/b/a SPG Insurance Solutions; lists DC 3000041536 and labels Rhode Island “Individual licenses,” without an agency license number. Accessed 2026-09-28.
16
Licenses. Vouch; Effective 16 January 2025: Vouch Specialty Insurance Services, LLC, NPN 19926463; P&C table (50 states and DC); surplus-lines table includes Idaho 870820; footnote says Georgia and Idaho do not issue agency-level surplus-lines licenses; Idaho retained as producer-only due to conflict. Accessed 2026-09-15.

What Telehealth Insurance Requirements Apply in Ohio?

What Is Telehealth Insurance?

What Should You Watch for With Telehealth Insurance in Ohio?

Initial Visits May Be Remote Only When the Standard Is Met

Ohio Bars Several Telehealth Site Fees

Boards May Require an Initial Visit Before Some Schedule II Prescriptions

Ohio Medicaid Uses the Patient’s Physical Location