This study developed a telehealth model to improve elderly care in selected communities of Ogbia Local Government Area, Bayelsa State, Nigeria. The growing burden of chronic diseases, mobility challenges, and inadequate healthcare infrastructure necessitated an accessible and sustainable solution. Using a mixed-methods design with questionnaires and interviews, the study examined telehealth perceptions, usage, and barriers among elderly patients, nurses, and caregivers. Findings showed 73% of respondents had used telehealth, and 79% found tele-consultations effective. Over 70% reported improved medication adherence through remote monitoring and reminder systems. Major barriers included technological illiteracy, poor internet connectivity, socio-cultural resistance, and weak policy support. Guided by the Technology Acceptance Model, adoption was influenced by perceived usefulness and ease of use. The proposed hybrid model integrates mobile health tools, community education, and family involvement. It offers a culturally relevant framework to strengthen elderly healthcare in resource-limited rural settings.