The many constraints created by the current insurance model dictate that we will no longer be participating providers, additionally, health savings accounts can likely be used for our services in any insurance plans. Each of your health plans state how you will be reimbursed for seeing non-participating providers. Our introductory consultation fees, for new and existing patients, will be based on time spent together: $725 for a new patient visit with Monique Class, APRN and $900 with Joel Evans, MD. $275 for a 30 minute follow-up consultation. We will also offer our services remotely at the same cost. Annual exams, are scheduled for 30 minutes to include time for extended discussion of symptoms and general health promotion, will be $375.