practice fees
First Visit
THIS IS A DIRECT CARE SPECIALTY PRACTICE. INSURANCE IS NO LONGER ACCEPTED FOR VISITS. FAQ
PRACTICE REGISTRATION FEE $50
Charged at time of booking the first appointment. Non-refundable.
A credit card is necessary to enroll in the practice and will be kept on file and used for all charges.
NEW PATIENT VISIT FEE
≤ 90 minute visit $330
90-120 minute visit $350
≥ 120 minute visit $410
Includes one 15 minute follow up call/televisit within 6 weeks of initial visit. Billed at the conclusion of the first visit.
Televisits/follow up calls/emails not completed within 4 weeks of the first visit are not included in the new patient visit fee and will be billed separately as outlined in the Fee for Service Follow Up Schedule.
Follow Up: “Monthly Fees” or “Fee for Service”
WHICH ONE IS RIGHT FOR ME?
If Dr. Bardsley prescribes any medications, choosing the Monthly Fees will be more convenient and cost effective than being billed for each visit, communication, and prescription refill. If you are not sure if follow up is needed or if there are no prescriptions, then the Fee for Service may be better.
Monthly Fees
Monthly fees are labeled as “Membership Fees” in the Patient Agreement. They begin 6 weeks after a new patient visit if monthly fees are chosen by the patient. The appropriate tier will be discussed with Dr. Bardsley. Extensive physician time spent on prior authorizations will be charged based on the hourly fees.
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1 Visit every 9-12 months
Prescription refills as appropriate, excluding subcutaneous injections, controlled substances, and diabetes supplies
Bloodwork and imaging interpretation as necessary
Unlimited texting/direct physician access
Patients who might be well suited to this tier are those who have been followed by Dr. Bardsley for years and are stable, need only 1 visit per year but still require prescriptions and would like to have the ability to email/text or call without being charged for an occasional check-in.
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Includes services for Tier 1 plus
1 Visit every 6 months (2 visits per year)
Up to 30 min per recommended follow up interval spent completing insurance/prescription prior authorizations/faxing
Prescription refills as appropriate, excluding subcutaneous injections, diabetes supplies, and controlled substances
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Includes services for Tier 2 plus
1 Visit every 4 months
Refills include controlled substances but exclude growth hormone and other subQ injections
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Includes services for Tier 3 plus
Unlimited Visits
In office hemoglobin A1c 4 times a year
Unlimited remote blood sugar interpretation
Refills include all medications (ex: diabetes, growth hormone, weight management injectable, lupron)
Fee for Service
Fees for services for patients who do not choose the monthly fee schedule and for services above and beyond what is included in the monthly fee schedule “membership” tier.
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0-30 minute visit $295
30-60 minute visit $395
60-90 minute visit $450
Injection + vitals $150
15 minute phone call $90
Hemoglobin A1c $25
Hourly Fee** $360/hr
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Prescription refills require follow-up visits and in some cases bloodwork or imaging as recommended.
Refills will be written for at the visit to cover the period between recommended visits.
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Hemoglobin A1c in office: $25/test
Injection: $100
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$360/hr
Telephone calls/texts/emails/blood sugar interpretation/insurance/Prior Authorizations/ or other tasks outside of face to face time exceeding 15 minutes time or more than 6 weeks after a visit.
Hourly fees are calculated using 1/10 of an hour (6 min), ⅙ of an hour (10 min), ¼ of an hour (15 min)
Submitting for Insurance Reimbursement
When asked, I will provide a claim form for submission to insurance. Your plan’s OUT OF NETWORK coverage and deductibles will determine whether or not you are reimbursed, and how much.