Her first customer, Hawaii Medical Services Association of Blue Cross-Blue Shield licensee to make the Internet version of the house call, for each state, the company said.

This service is for people who are looking for easier access to doctors, because they are uninsured or do not want to wait for appointments or to spend time driving to the clinic, said Roy Schoenberg, co-founder and chief executive of American Well system, which is based in Boston.

Dr. Schoenberg, a medical doctor, said American Well was piqued interest of politicians in Washington who want to expand access to health care. Insurers in other states, as soon as possible to offer the service, he said.

Patients using the service for e-health plans participating websites. Doctors conduct 10-minute meeting, which could be extended for a fee, and may also submit recipes and opinions of the medical histories of patients on the basis of this system. U.S. works well with HealthVault, Microsoft electronic medical records services, and ActiveHealth Management, a subsidiary of Aetna, which scans the patients’ medical history of the gaps in their previous service and to prevent doctors in the U.S. But his appointment.

Hawaiian health plan for 700,000 members pay $ 10 to use the service. The insurer also offers services for uninsured patients, for $ 45. Health plans pay American Well license fee for a member and transaction fee of about $ 2 every time a patient finds a doctor.

Hawaii is particularly well suited for medicine, because in the remote islands, it takes time to travel between them, and it is difficult for the government to employ doctors in rural areas, said Mike Stollar, vice president of marketing at the Hawaii Medical Services Association.

However, some critics of doctor visits via Webcam worry that doctors will be missed important signs, if they do not see patients in person. Others doubt that the poor and uninsured will be the broadband connection and a Web camera to use the service.

“It is a tool to help doctors make better, as the stethoscope is an instrument,” said Robert Sussman, a family practice doctor on Oahu. “You still have to use your common sense, your medical knowledge.”

Some diagnoses, such as whether the sore throat is a virus or strep infections, which are difficult to use a webcam, said Dr. Sussman, who has been testing the service over the next few weeks. It predicts the service will be useful for patients who need medication refills or follow-up consultation after the surgery, or who are elderly and homebound.

It can save valuable time when serious condition, he said, because in the doctor may recommend that patients visit the emergency room care or a specialist immediately and not wait a week, to general practitioners. The doctor can see, for example, as a baby with a fever and sleeping should visit a doctor, or just an active and needs rest.

“It’s better iteration to ‘Take Two Aspirin and call me in the morning,” said Dr. Sussman. “We can not lay hands on, but we can put on your eyes and feel better.”

Patients and physicians can use the U.S. So with one camera or text chat. Research in November last year, Forrester Consulting for the California Healthcare Foundation found that about two-thirds of uninsured patients using broadband at home, and that nearly all health care workers have made.