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: $260 for a 30 minute consultation, $600 for a new patient visit with Monique Class, APRN and $800 with Joel Evans, MD. We will also offer our services remotely at the same cost if you prefer to avoid traveling to the office. Annual exams, scheduled for 30 minutes to include time for extended discussion of symptoms and general health promotion, will be $375.