What will a visit cost you?

1. Welmivia bills Original Medicare directly for the visit codes and accepts Medicare's approved amount as payment in full. There are no excess charges.
2. Medicare pays 80% of the approved amount once your Part B deductible is met for the year ($283 in 2026).
3. You owe the deductible portion, if any, plus 20% coinsurance. A Medigap plan usually covers the 20%; Plans C and F also cover the deductible, Plan N can charge up to $20 per office visit, and Plans K and L cover part of the 20%.
4. Welmivia bills your Medigap plan before billing you, and never waives or discounts coinsurance.

Amounts: 2026 Medicare Physician Fee Schedule, Virginia, participating physician, video visit from home. Initial evaluation (99205, G2211, 96127 x3) $263.01; medication follow-up (99214, G2211, 96127 x2) $159.84; follow-up with psychotherapy (99214, 90833, 96127 x2) $223.20; extended follow-up with psychotherapy (99214, 90836, 96127 x2) $244.71. Welmivia bills every visit, for patients in Virginia and Florida, through Palmetto GBA at the Virginia rate, because Medicare pays video visits at the physician's location. Codes billed depend on the care provided at the visit.

1. Private patients pay Welmivia's fee at the visit and receive a superbill, an itemized receipt with the visit codes, to send to their insurer.
2. If the plan has out-of-network benefits, it applies its own "allowed amount" to each code, counts that against your out-of-network deductible, and then reimburses you a percentage of what is left. The allowed amount is set by the plan, not by Welmivia, which is why this is an estimate.
3. Four questions for the number on your card: Do I have out-of-network benefits for outpatient mental health? How much of my out-of-network deductible is left? What percentage do you pay after the deductible? How do you set the allowed amount for CPT 99205, 99214 and 90833 out of network: a percentage of Medicare (and which percentage), or a percentile of billed charges?
4. Insurers describe two methods in their own disclosures. UnitedHealthcare says its plans most often use the 80th percentile of FAIR Health billed charges, with a percentage of Medicare on some plans. Cigna offers employers a percentile of billed charges (often the 70th or 80th) or 110%, 150% or 200% of a Medicare-based schedule. Aetna's "recognized charge" is defined in each plan's documents.
5. Welmivia gives every private patient a Good Faith Estimate at scheduling. That document, not this page, is the estimate that counts. Reimbursement comes from your insurer, not from Welmivia, and Welmivia cannot guarantee any amount.

Medicare rates used for the percentage method: CMS Physician Fee Schedule 2026, Virginia, participating physician, home video visit (99205 $231.44, 99214 $133.10, 99215 $188.77, 90833 $80.44, 90836 $101.95, 96127 $4.83; 99417 is not paid by Medicare and is estimated at the G2212 rate, $33.37). Out-of-network methods: UnitedHealthcare out-of-network reimbursement disclosure, Cigna Maximum Reimbursable Charge description, Aetna plan documents, read October 2026. Plan types by market: Florida Office of Insurance Regulation and Virginia State Corporation Commission 2026 individual-market guides. No FAIR Health data is used on this page.