What Does Telemedicine Actually Cost in 2026? An Honest Breakdown

What You Actually Pay For

A telemedicine bill has up to four components. Understanding each one lets you compare providers honestly.

• The consultation fee. The headline price — what you pay for the doctor’s time.
• The prescription fee. Some providers charge a separate fee to issue an electronic prescription; others include it.
• The follow-up fee. Free with some providers, charged with others.
• The repeat-prescription fee. For chronic conditions, the cost of each prescription refill.

A consultation advertised at 19 GBP can end up at 45 GBP once prescription and follow-up fees are added. Read the fee schedule, not the landing page.

UK Prices (2026 Market Ranges)

• Standard GP consultation. 20–60 GBP per visit.
• Specialist consultation. 60–180 GBP per visit.
• Mental health (therapist). 50–120 GBP per session.
• Subscription. 10–25 GBP per month for unlimited GP visits.
• Private prescription. Often 10–15 GBP from the provider, plus pharmacy medication cost.

NHS remains free at point of use for UK residents via the NHS app, but waiting times and appointment availability drive many patients to private telemedicine even when the NHS alternative exists.

United States

With insurance, telemedicine is often fully covered or has a copay of 10–40 USD. Without insurance, expect 60–120 USD for a standard consultation and 150–300 USD for a specialist. Mental health runs 80–180 USD per session in the private market.

India

A standard online GP consultation is typically 300–700 INR. Specialists run 800–2,500 INR. Subscriptions are less common than in the UK but growing. Payment via UPI is standard.

Nigeria

Online GP consultations typically run 2,000–6,000 NGN. Specialist consultations 5,000–15,000 NGN. Paystack and Flutterwave are the standard payment rails.

Kenya

Standard consultations range 500–2,000 KSh, with mental health sessions commonly 1,500–4,000 KSh. M-Pesa dominates payments.

Armenia

Online GP consultations range 5,000–12,000 AMD. Specialists 8,000–20,000 AMD. Idram is the dominant digital payment channel.

Georgia

Online GP consultations range 20–60 GEL. Specialists 40–120 GEL. TBC Pay and BoG Pay are the standard digital payment options; cards work universally.

Pay-Per-Visit vs Subscription

The break-even calculation is simple. If the monthly subscription is 18 GBP and a pay-per-visit is 30 GBP, the break-even is about eight visits per year. Below that, pay-per-visit is cheaper. Above it, the subscription wins. For chronic conditions where you need regular reviews and repeat prescriptions, the subscription almost always wins; for one-off acute problems, pay-per-visit is better.

Hidden Costs to Watch For

• Out-of-hours surcharges. Some providers charge 30–50% more evenings and weekends.
• Prescription delivery. If you use a partner pharmacy, the medication plus delivery may cost more than a local pharmacy.
• Specialist referral fees. Some providers charge for the referral letter separately.
• Medical record export fees. A small number still charge to email your own record. Avoid those providers.

How GeraClinic Is Priced

GeraClinic publishes all fees in the patient’s local currency before booking. Prescriptions, follow-ups within 7 days, and record exports are included in the consultation fee. Subscription includes unlimited GP consultations, included messaging, and repeat prescriptions for chronic conditions.