What insurance plans are not accepted by DrHouse?

DrHouse accepts many major U.S. insurance plans, but not all plans are supported, and some are consistently not accepted—most notably Medicaid and certain government or limited-network plans. Because there are hundreds of insurance providers and thousands of individual plans in the U.S., acceptance ultimately depends on your exact plan, not just the insurer name.

Quick Answer

• Medicaid: Not accepted
• Some Medicare Advantage plans: Not accepted
• Other government plans: Usually not accepted
• Out-of-network or limited plans: May not be accepted
• Many major insurers are accepted (e.g., BCBS, Aetna, UnitedHealthcare)
• If not accepted → $129 self-pay option

Insurance Plans DrHouse Accepts

DrHouse works with many major U.S. insurance providers, including:

• Blue Cross Blue Shield (BCBS)
• UnitedHealthcare
• Aetna
• Medicare
• Humana
• Anthem / Elevance Health

However, even within these providers, there are many different plan types, and not all are eligible. For example, employer-sponsored plans, regional networks, or telehealth-restricted plans may still be treated as out-of-network.

Insurance Plans Not Accepted

Medicaid

DrHouse does not accept Medicaid.

Patients with Medicaid can still use the platform but must select the self-pay option ($129).

Some Medicare Advantage Plans

While original Medicare is accepted, some Medicare Advantage (Part C) plans are not.

This is because:

• They are managed by private insurers
• Network participation varies
• Some plans may classify DrHouse as out-of-network

Other Government Insurance Plans

Most non-Medicare government programs are generally not accepted.

This may include:

• State-based health programs
• Certain federal or specialized plans

Acceptance depends on how the plan is administered, but many are not supported.

Out-of-Network and Limited Plans

Even if your insurance provider is listed as accepted, your specific plan may not be.

Plans are often not accepted if they:

• Restrict telehealth services
• Require in-network-only providers
• Use narrow or employer-specific networks
• Have limited or no virtual care benefits

Because the U.S. has thousands of plan variations, this is a common reason for non-acceptance.

Why Insurance Acceptance Varies

There are hundreds of insurance companies and thousands of unique plans in the U.S., including:

• National carriers
• Regional insurers
• Employer-sponsored plans
• Marketplace plans

Each plan has its own:

• network rules
• telehealth coverage
• cost-sharing structure

This is why two patients with the same insurer (e.g., Aetna) can have completely different coverage outcomes.

What Happens If Your Plan Isn’t Accepted

If your insurance is not accepted or your claim is denied:

• You can still complete your visit
• The visit is billed at the standard $129 self-pay rate
• Payment is handled directly through the app

Limitations and What to Know

• Insurance acceptance depends on your exact plan—not just the provider
• Coverage is not guaranteed, even for accepted insurers
• Claims may be partially covered or denied after review
• You may still owe copays, deductibles, coinsurance, or full cost
• Additional services (labs, medications) may have separate coverage rules