Telemedicine for Your Enrollees
Plug your enrollees into Lonia's network of MDCN-verified doctors and specialists — video consultations, prescriptions, and medication delivery. Send us your enrollee list and pick the reimbursement model that fits: capitation or fee-for-service. We handle eligibility, claims, and provider payouts.
Why HMOs Partner With Lonia
Extend your coverage into telemedicine without building the infrastructure
A ready provider network
Skip the panel-building. Your enrollees reach MDCN-verified doctors and specialists already on Lonia — nationwide, no new accreditation needed.
Real-time eligibility
We verify each enrollee against your list at booking — no eligibility calls, no after-the-fact disputes over who was covered.
Your model, your rates
Capitation or fee-for-service, set per contract. You define the GP / specialist / therapy rates; we enforce them automatically.
Care without travel
Cut avoidable in-person visits. Enrollees consult from anywhere — lowering your cost per encounter and widening reach.
24/7 access
Doctors set their own hours, including round-the-clock. Your enrollees aren't limited to clinic opening times.
Clean reconciliation
Every covered consult is a logged claim. Monthly invoices and provider payouts are handled by Lonia — one statement, full audit trail.
How the Partnership Works
From contract to claims, in four steps
Agree Terms
We set your reimbursement model (capitation or fee-for-service) and a per-tier rate schedule for GP, specialist, and therapy consultations.
Send Your Enrollees
Hand us your enrollee list. We provision tagged accounts and verify eligibility in real time at the point of booking.
Enrollees Get Care
Your enrollees book MDCN-verified doctors via the portal, app, or WhatsApp. Covered visits are free (capitation) or a small copay — detected automatically.
We Reconcile
Every consult is logged as a claim. We invoice you monthly and pay providers their agreed rate — you get one clean statement.
Partner With Lonia
Tell us about your HMO and we'll design a telemedicine partnership that fits your enrollees and your reimbursement model.
Frequently Asked Questions
Which reimbursement models do you support?
Both. Per contract, an HMO is set to capitation (you pre-pay a fixed amount per enrollee and consults are free at point of use) or fee-for-service (your enrollee pays a reduced copay and we bill you the remainder per consult). You can run different rates for GP, specialist, and therapy.
How do you confirm an enrollee is covered?
You give us your enrollee list (we can refresh it any time). When an enrollee books, we match them in real time — only active enrollees of an active contract are covered. We can also collect an ID upload as a secondary fraud check.
Do your doctors have to accept HMO patients?
Yes — participation is opt-in per doctor, and they see the reduced rate before agreeing. Enrollees still see every doctor; those outside your panel are simply marked as full-fee.
How are providers paid?
Lonia pays providers the agreed HMO rate from the claims ledger, settled monthly — independent of what (if anything) the enrollee paid. You receive one monthly invoice and a full claim-level audit trail.
Is telemedicine covered under NHIA rules?
The NHIA framework doesn't yet standardise telemedicine reimbursement, so partnerships are arranged bilaterally. We'll work with your team to structure terms that fit your scheme.