Clarification on medication instructions shortly after visit
Will Require a Visit or Fee
New symptoms or health concerns
Medication changes, new prescriptions, or dose adjustments
Test results that require a change in care
Management of side effects
Counseling or discussions that take more than a few minutes (e.g., menopause therapy, sexual health
In-depth discussion of lab results
Portal Messages & Billing Policy
Because some messages sent through our patient portal require clinical decision-making, they may be covered by your insurance as a brief medical visit. Depending on the message, you will be charged and a bill will be submitted. Reimbursement will follow your plan’s coverage and will count towards your deductible.
Typical Charges: $35–$50 per message, depending on complexity and time spent
What Is Billable?
Messages that require clinical judgment, chart review, or treatment decisions will be billed. Examples include:
New or worsening symptoms requiring evaluation
Medical counseling or complex health questions
Medication changes, new prescriptions, or dose adjustments
Test results that require changes to your care plan
Multiple back-and-forth messages in a thread
What Is NOT Billable
Prescription refill requests
Appointment or scheduling questions
Responses to messages initiated by your provider
Simple informational updates or confirmations
Before You Send a Message
If your message is billable, we will notify you before submission. By sending a message requiring clinical evaluation, you acknowledge that a charge may apply.
Consider Your OptionsFor ongoing or complex concerns, scheduling an office or telehealth visit may be more efficient and cost-effective than multiple portal messages.
We strive to provide timely, high-quality care while keeping billing transparent. Thank you for your understanding and trust.
