Healthcare is challenged by providing high-quality, equitable and timely access to care for older adults. Telehealth can address these challenges, however, a level of eHealth literacy is required. This integrative literature review sought to understand the experiences of older adult patients with poor eHealth literacy who use telehealth. Results include that older adults with less eHealth literacy have many concerns engaging with telehealth and irrespective of their eHealth literacy, most need support to use telehealth.