Mostly they were using a 3rd party solution like webx/zoom/etc but one doctor (automated in an online form) noticed his number was tied to iMessage and offered to just FaceTime him at his appointment time. Super easy for him (at 94) to self-manage vs any other solution where we (my mother or myself) need to be around to set things up for him.
Not sure how they are doing this exactly, if this is something Apple specifically enabled for healthcare or whatever, but its a fantastic experience.
Whatever solution they were using did have an "no I have an android and a 'use my computer' option" not sure what path they led down.
Apple could easily open up Facetime and iMessage, and they've evaluated doing exactly this, but they ultimately determined that keeping these pieces of communication software exclusive to Apple devices is a big part of why the devices themselves are so sticky.
Apple is probably doing more harm than good at this point for themselves by keeping iMessage/FaceTime so locked down to their hardware since their revenue stream is trending more towards services and less weighted in hardware.
I can call my doctor using any phone I like, and E-mail her using any E-mail client I like. It is beyond unreasonable to require a patient to install specific client software in order to access care.
I'm not concerned about Zoom monopoly at all.