In this survey study of 4,691 Medicare beneficiaries, 17 percent receiving care from practices offering both video and telephone visits reported that they were personally offered telephone visits only; 43 percent of those who were personally offered both video and telephone visits chose telephone visits. Being offered and choosing telephone visits were associated with less technology access and lack of video experience; those with Hispanic ethnicity or limited English proficiency were more likely to be offered telephone visits but not more likely to choose them.