In November 2018, Butte County, California was devastated by the deadliest fire on record. Blue Shield California (BSC), already an experienced implementer of telehealth with more than 38,000 unique users and +90% member satisfaction, responded. Collaborating with Teladoc Health, BSC helped Paradise Medical Group (whose practice was destroyed in the fire) set up a virtual practice that not only restored care for residents, regardless of their current location, but it served as a trusted, valued source for patients and physicians alike. Based on BSC’s 6 years of experience with virtual care, PMG was able to define virtual care clinical use cases; establish a plan for education building and utilization driving that took into account age and demographic; and launch a virtual practice that was secure and integrated so that all Paradise patients, regardless of health plan, can benefit. From go live, patients were directly connect with physicians, no matter where either is located, and trusted physician-patient relationships were restored.