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Our practice is considered an "out-of-network" provider by most insurance companies. This means we do not have a direct contract with your specific insurance plan. While this allows us to focus solely on providing the highest quality, personalized care without the constraints often imposed by insurance networks, it also means your financial responsibility may differ from what you experience with in-network providers.
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Fees available upon request.
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We offer two distinct payment options for your initial consultation. This fee includes a one hour consultation with your provider as well as a dynamic ultrasound performed by the physician in the office:
Option 1: For Patients with No Out-of-Network Benefits or Choosing Not to Use Insurance
1. If your insurance plan does not offer out-of-network benefits, or if you prefer not to use your insurance for this visit fees will apply.
2. This full payment is due at the time of your appointment.
3. We will provide you with a detailed, itemized statement (often called a "superbill") that you can submit to your insurance company if you wish, and the cost of this appointment will still be applied towards your out-of-network deductible
Option 2: For Patients Using Out-of-Network Benefits
1. If you plan to use your out-of-network insurance benefits, you will be charged the full visit price at the time of your appointment.
2. Following your visit, our office will submit a bill directly to your insurance company on your behalf.
3. After your insurance processes the claim and applies your benefits (considering your deductible, co-insurance, etc.), your insurance company will send an Explanation of Benefits explaining whether and how much you will be reimbursed for your visit.
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We strongly encourage you to contact your insurance provider directly (using the member services number on the back of your insurance card) prior to your appointment to inquire about your specific out-of-network benefits, including:
1. Your out-of-network deductible amount and how much has been met.
2. Your out-of-network coinsurance percentage.
3. Whether pre-authorization is required for out-of-network consultations.
4. Any limitations or exclusions for the services you will be receiving.
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To ensure fair access for all our patients, we have a strict no-show and cancellation policy. Your credit card information will be collected when your visit is scheduled.
1. No-Show Policy: If a patient fails to show up for a scheduled appointment without contacting our office in advance, a $100 no-show fee will be charged to the credit card on file. Future appointments for patients who no-show will be at the discretion of the provider.
2. Cancellation Policy:
If your visit is cancelled due to unforeseen circumstances and is rescheduled at the time of cancellation, no fee will be applied.
If the visit is cancelled on the same day of the appointment without immediate rescheduling, or if this is the second time a patient has cancelled an appointment, it will be at the discretion of the practice to charge a $50 cancellation fee to the credit card on file.
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Our office does have a patient portal which is to be used for simple questions only. Messages will be reviewed by office staff each day and the clinician will respond in 48-72 hours.
If a clinician provides medical advice via email, there may be a fee based on the time required to review and respond. This helps ensure that we can continue offering thorough and thoughtful guidance outside of traditional appointment times.tion
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Telehealth Visits
Telehealth appointments, whether conducted during regular business hours or after hours, are billed in the same way as in-person visits.
After-Hours Medical Advice
Our clinicians are available after hours for urgent medical concerns. Please note the following:
Calls for urgent medical advice after regular business hours will be handled by our on-call clinician.
These calls are subject to billing.
In some cases, a minimum $25 fee will be billed for after-hours support, depending on the nature of the call.
PATIENT PORTAL FEES
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What kinds of messages will remain free?
There is no charge for basic, non-clinical requests such as:
Scheduling or changing appointments
Follow-up Clarifications: If our response to your clinical message raises additional questions about the same topic, you can follow up within 7 days at no additional charge.
Prescription refill requests
Billing questions
Clinician-initiated questions
Questions asking “Should I make an appointment?”
Emergency Override: If you're unsure whether your concern is urgent and send it as a clinical message, but we determine it needed immediate attention, we'll call you right away and won't charge for the message.
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Clinical Messages With $25 Fee
Menopause & Hormone Questions
"Can you adjust my hormone replacement dosage?"
"I'm bleeding after 2 years without periods - is this normal?"
"My mood swings are terrible - is this menopause?"
"What can help with my night sweats and sleep problems?"
Pelvic Pain & Discomfort
"I have sharp pain during my period - what could this be?"
"My pelvic pain is getting worse - should I be concerned?"
"The pain medication isn't working - what else can I try?"
"I have pain during sex - could this be endometriosis?"
Symptoms & Health Concerns
"I have unusual discharge - should I be worried?"
"My periods have changed - is this concerning?"
"I'm having breakthrough bleeding on birth control"
"I have itching and burning - is this an infection?"
"I found something during self-exam - what should I do?"
Test Results & Follow-up
"Can you explain my ultrasound findings?"
"My pap smear results are confusing"
Medication Questions
"I'm having side effects - should I stop my medication?"
"This prescription isn't helping - what are my options?"
"How long should I continue this treatment?"
Treatment & Care Planning
"Do I need to see a specialist?"
"What are my treatment options?"
"Should I have surgery for my condition?"
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Free messages are administrative tasks that don't require medical decision-making.
Fee-based messages require us to:
Review your medical history
Assess your symptoms or concerns
Make clinical recommendations
Document medical advice in your chart
Take responsibility for your care
This is the same level of medical expertise you receive during office visits.
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You can:
Send a portal message ($25)
Schedule an office visit
Call during business hours for urgent concerns
Have administrative needs? Use the free portal features anytime!
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Grace Period for Adjustment: During the first 30 days, if you send a clinical message thinking it was administrative, we'll waive the fee and help you understand the categories.
Misclassification Protection: If you believe your message was incorrectly categorized as clinical, please contact our office within 48 hours. We'll review and adjust charges if appropriate.
Complex Situation Consideration: We understand some situations don't fit neatly into categories. Our staff will use reasonable judgment, and we're always willing to discuss any charges you feel are unfair.
Financial Hardship Accommodation: If the fee creates financial difficulty, please speak with our billing coordinator about payment plans or sliding scale options. We never want cost to prevent you from getting needed medical advice.
Follow-up Clarifications: If our response to your clinical message raises additional questions about the same topic, you can follow up within 7 days at no additional charge.
Trial Period Consideration: We'll evaluate this policy after 6 months based on your feedback and adjust as needed to better serve our patients.
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Yes - you won’t be charged more than $50 a month unless the messaging turns into substantive medical advice.