The three ways services charge
Pay for each consult
One fee for a diagnosis and plan, often with a follow-up window. Medicine is paid separately at the pharmacy.
Pay monthly
A recurring fee that usually bundles a prescription formula, shipping and check-ins.
Billed to your plan
Practice-run video visits and some plan-provided services are billed like an office visit, with your copay or coinsurance.
Employer or plan benefit
Some employers and plans include a telehealth service at little or no cost per consult; check your benefits.
Prices services list
As stated on each service's own site when we read it in November 2026. Prices change; confirm before paying.
| Service | How it charges | Listed price | Not included / check |
|---|---|---|---|
| Nolla Derm | Monthly subscription with a personalized prescription | From $9.99/month[4] | The price of your own formula; cancellation and insurance in its FAQ |
| DermatologistOnCall | Per visit, FSA/HSA accepted | $95 or less per visit[1] | Medication at your pharmacy |
| First Derm | Per question, priced by response time | From $34.95[2] | No prescription; advice only |
| Teladoc Health | Depends on your plan | “As low as $0” with insurance[3] | Your welcome letter, or call to confirm |
| Curology | Subscription | Varies by product and bundle[6] | The renewal price after any trial |
| Your dermatology practice | Billed to insurance like a visit | Not published | Ask the office how telehealth is billed under your plan |
Subscription or per-visit?
| Per visit | Subscription | |
|---|---|---|
| Suits | A one-off problem: a new rash, a second opinion, a quick diagnosis | A long-running condition such as acne, rosacea or melasma, treated and adjusted over months |
| Medicine | Usually paid separately; insurance may cover it at the pharmacy | Often included as a compounded formula; check whether it is |
| Follow-up | A fixed window, then a new visit | Ongoing while you subscribe |
| Watch for | Paying again for each adjustment | Introductory prices, auto-renewal, and how to cancel |
For a condition you'll treat for months, a subscription that includes the prescription and monthly adjustments can be the simpler choice. Nolla Derm, for example, bundles a personalized prescription, monthly delivery and ongoing adjustments.[5]
Insurance and Medicare
Medicare. Part B covers certain telehealth services, and you usually pay 20% of the Medicare-approved amount after the deductible. Medicare.gov says that through December 31, 2027 you can get covered telehealth from anywhere in the U.S., including home, and that Medicare Advantage plans may offer more.[7] CMS updates the list of covered telehealth services each year.[8]
Private insurance and Medicaid. Coverage depends on your plan and your state. Some states reimburse store-and-forward care and some don't; the Center for Connected Health Policy tracks which.[9] Call the number on your card and ask the questions below.
Surprise bills. If a bill doesn't match what you were told, the federal No Surprises Act sets out your rights, including a good-faith estimate if you are uninsured or paying yourself.[12]
HSA and FSA
Health savings accounts and flexible spending accounts pay for qualified medical expenses.[11] The IRS lists what counts as a medical expense in Publication 502; treatment of a medical condition generally qualifies, while purely cosmetic care generally doesn't.[10] Some services say they accept HSA or FSA cards[1]; ask your plan administrator if you are unsure.
Working out the real cost
Fill this in with each service's own numbers, for three months:
Three-month cost worksheet
- Visit or plan
- Per-visit fee × visits you expect, or monthly price × 3 (use the renewal price, not the first month).
- Medicine
- Included? If not, the pharmacy price, after insurance if it applies.
- Shipping
- Included, or per order?
- Follow-ups
- Included, or a new visit each time?
- Total
- The figure to compare between services.
What to ask before paying
- What is the total for the first three months, including medicine and shipping?
- Is the first-month price an introductory rate? What does it renew at?
- How do I cancel, and is there a minimum term?
- Do you bill my insurance or Medicare, or give a receipt I can submit?
- Can I pay with an HSA or FSA card?
- If I need to be seen in person, who arranges it and what does it cost?
- If the plan doesn't work, is the adjustment included?
For clinics: reimbursement
Billing rules for teledermatology change often, and differ by payer, by modality (live versus store-and-forward) and by state. The AAD keeps a reimbursement and policy page with coding guidance and updates for members.[13] The AAD's standards also argue that payers should not offer virtual access alone without an in-person option.[14]
Ready to compare? Use the six-point checklist.
Questions
How much does a teledermatology visit cost?
Does Medicare cover online dermatology?
Part B covers certain telehealth services, including e-visits through a patient portal; after the deductible you usually pay 20% of the Medicare-approved amount. Medicare.gov says that through December 31, 2027 you can get covered telehealth from anywhere in the U.S., including your home.[7] Many direct-to-consumer apps are cash-pay, so ask whether a service bills Medicare at all.
Sources
Every numbered claim on this page points here. Providers' own pages were read in November 2026; prices and terms change, so check them again before you pay.
- DermatologistOnCall · DermatologistOnCall
- First Derm online dermatology · First Derm
- Teladoc Health online dermatology · Teladoc Health
- Nolla Derm · Nolla
- Nolla frequently asked questions · Nolla
- Why Curology · Curology
- Telehealth coverage · Medicare.gov
- Telehealth · Centers for Medicare & Medicaid Services
- States that reimburse for telehealth store-and-forward · Center for Connected Health Policy
- Publication 502, Medical and Dental Expenses · Internal Revenue Service
- Health Savings Account (HSA) · HealthCare.gov
- No Surprises Act: your rights and protections · Centers for Medicare & Medicaid Services
- Telehealth reimbursement and policy updates · American Academy of Dermatology
- AAD Teledermatology Standards · American Academy of Dermatology