What people ask before they write

We bill some commercial PPO plans directly and are out of network with other plans. We do not bill Medicare or Medicaid from this practice. Tell us your plan when you write, and before your first visit we check it and tell you what we find.

A superbill is an itemized receipt you can ask for, with the date, the kind of visit and a diagnosis code. If you pay yourself, you can send it to your plan and ask for reimbursement. Your plan decides whether it pays anything, so ask it before you start.

If you pay without insurance, you have the right to receive an estimate of what your care will cost before it starts. We send one in writing before your first visit. If a bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

The fee depends on the kind of visit and how long it runs. We give it to you in writing before you start, so you never learn it at the end. The How fees work page has the details.

Yes. Health savings and flexible spending cards work for visits here. Keep your receipt, or ask us for an itemized one.

A 50-minute video conversation with one prescriber about what has been happening, what you take now and what you want from care. You leave with a written plan. The first session page walks through before, during and after.

Our prescribers are licensed in West Virginia, Ohio and Kentucky, and which of us can see you depends on the state you are in during the visit. If you are in another state, we cannot see you, and we will help you find someone licensed there.

Call or text 988, any time, or call 911 in an emergency. We are not an emergency service, and we do not read messages or voicemail around the clock.

We keep your records private and share them only as the law allows or with your written permission. The limits are few: a serious risk of harm to you or someone else, a court order, and abuse that the law requires us to report.

We do not promise any controlled medicine, at the first visit or later. Whether a prescriber can prescribe one by video depends on federal and state rules, your history and the prescriber's judgment, and some people are asked to be seen in person first. The prescribing policy says more.

Sometimes. Some medicines call for blood work before or during treatment. If your prescriber asks for it, we send the order to a lab near you and go over the results with you.

We cannot promise a date. A person on our staff replies within a business day with the next times available, or tells you if there is a wait.