Questions about care and fees

We bill Medicare Part B and many commercial plans. Medicare Advantage and supplement plans differ, so our front desk checks yours before the first visit and calls you with what they find. If we are not the right fit for your plan, we will say so and suggest where to look.

It is an itemized receipt with the date, the kind of visit and a diagnosis code. You send it to a plan that reimburses care outside its network. Your insurer sees the code, and your plan decides whether it pays anything, so ask it first.

If you pay without insurance, you have the right to a written estimate of your costs before you start. We send yours before the first visit. If a bill comes to $400 or more above it, you can dispute the bill. The estimate is not a contract.

Without insurance, your fee is set by the length of the visit, and you have it in writing before you start. A small number of reduced-fee visits are held each month. How fees work has the rest.

Yes. Both work for visits, and the itemized receipt shows what you paid.

It lasts 60 minutes. Your prescriber asks about your history, how you have been and every medicine you take now, explains how Crest works and the limits of confidentiality, and you decide the next step together. Nothing is prescribed until you have talked.

A first session is 60 minutes and a medication review is 30. Your prescriber sets the pace with you: often every few weeks at first, and less often once things are steady.

Yes, in the room, by video or by phone, if you say so. You choose who joins and can ask them to step out at any point. A written permission comes first, and your summary goes to them only if you say so.

We are licensed in Florida. A video visit needs you to be in Florida at the time of the visit, which is the months you are here if you spend part of the year elsewhere. Your family member can join from any state.

Not on a first video visit. Some medicines for sleep, anxiety and attention are controlled by federal and Florida law, and the rules for video change. We tell you what applies to you before the visit, and we never prescribe a controlled medicine from a message.

Sometimes. Some medicines need a blood test or an electrocardiogram first or from time to time. Your prescriber says which and why, and can use results from your primary care doctor.

The scheduling page shows the times that are open. If you need help sooner than that, call us, and if it cannot wait, call or text 988, or call 911.

What you tell us stays with us, and we share it only as the law allows. We explain the limits in writing before you start, and we do not share with a family member anything you have not said we may.

We ask for 24 hours' notice to change or cancel a visit, so the time can go to someone else. If you pay yourself, your estimate says what a late cancellation costs.

Call or text 988 at any time, or call 911 in an emergency. This site is not monitored around the clock, and our office is not a crisis service.