Societies Insurance

Telehealth Provider Quote Request

Applicant Information:

Business Structure (Optional - choose one)
Optional. If you pick Multiple States or Other, tell us where in "How can we help" below.

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Related coverage

Coverage details

What Telehealth Provider coverage includes

Telehealth adds multi-state licensing, cyber and technology risks to normal malpractice, so carriers look at where patients are located and how visits are delivered.

Good to know: carriers want a provider licensed in every state where patients are located, and many limit online prescribing of controlled substances.

Not covered: care to patients in states where the provider is not licensed, and controlled-substance prescribing without an in-person exam on many forms.

Insurance Application:

Telehealth Provider

Required forms

Telehealth Provider Supplemental Application (PDF)Want to save and finish later? Complete it online

Download, complete and email to info@societiesinsurance.com, or attach it with your quote request.

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