PRICING AND PROGRAM FAQs
We strive to make our guidelines and pricing as transparent as possible.
Please call us directly if you have further questions.
When will my initial enrollment and first month membership fees be charged?
New patient enrollment and first month membership fees will be charged at the time of your first visit.
What happens after I enroll into a wellness program?
Each new member will receive three separate emails, containing:
1) Instructions and links to completing their online medical history. This must be done before we can schedule your first appointment.
2) Invitation to connect with our patient portal, Elation Passport, for easy communication.
3) First appointment confirmation and important information to prepare for your first visit.
Why is there an initial enrollment fee?
The non-refundable enrollment fee serves to cover Dr. Caccopola’s time to review your comprehensive health questionnaire and previous medical records (if available), input your medical history into the EMR, and create your Functional Medicine Timeline/Matrix/Assessment. Such preparation for your initial visit generally takes 45 min and allows us to focus on your concerns, rather than data input.
When will I be billed for subsequent monthly membership fees?
Your bank account (or credit card) will be automatically charged through our secure billing software on a monthly basis, starting from the date of your first visit (called your enrollment date).
How long do I have to use the office visits included in my Wellness Program?
If you are enrolled in the Wellness Promotion Program, you have 12-months from the anniversary of your enrollment date in which to use your FOUR (4) visits, included with this program. After which time, your benefits will “reset”. If you do not use the office visits within those 12-months, they will not roll over to the next year.
If you are enrolled in the Wellness Transformation Program, you can use your unlimited visits anytime during the months in which are enrolled in this program.
If you switch between programs within the course of the 12-months from your initial enrollment, we still use the anniversary of your enrollment date to track your benefits.
What if I use up all of the office visits included in the Wellness Promotion Program and need additional visits?
There are two options:
1) A patient may elect to remain in the Wellness Promotion Program but pay for additional office visits as fee-for-service. These visits are charged in 15-min increments at a rate of $320/hr, depending on time and complexity.
2) If complex medical conditions require multiple follow-ups and/or Advanced Functional Lab tests, then upgrading to the Wellness Transformation program would be more cost-effective. This can be done at any time.
Is there a charge for phone/telehealth consultations in lieu of face-to-face visit?
If clinically appropriate, some visits can be done over the phone. Such visits must be coordinated with Dr. Caccopola and scheduled during regular office hours. If you are on the Wellness Promotion Program, then phone/telehealth consultations, in lieu of a face-to-face visit, are either deducted from your office visit allotment (if any remain) or charged in 15-min increments at a rate of $320/hr.
Is there a charge for portal correspondence?
The Patient Portal is intended for brief, non-urgent updates, questions, medication refill or appointment requests. It is not intended to be a replacement for an office visit or phone consultation. Generally, there is no additional charge for this benefit. However, should a given portal exchange become extensive, requiring more than 10 min of the doctor's time in research, assessment, and/or response(s), then Dr. Caccopola reserves the right to apply a charge to your account at rate of $320/hr at 15-min increments.
When will I be charged for other visits, labs, supplies or supplements outside of the monthly membership fee?
Payment for additional fee-for-service visits, labs, supplies, or supplements is due at the time of service and will be charged to the account on file.
How are visits for Advanced Functional Lab Consultations charged while on the Wellness Promotion Program?
Most patients on the Wellness Promotion Program do not require such tests.. However, there may be occasion when such tests are desired or recommended.
Advanced Functional Lab testing comprises of blood, urine, saliva or stool testing by various Specialty Labs, that goes beyond the scope of conventional lab work. These tests usually take several weeks to result and their extensive reports include multiple pages of in-depth analysis.
Because these tests require an extensive amount of time and expertise to review and interpret results prior to the face-to-face office visit, there is an additional charge for such visits for patients on the Wellness Promotion Program. Each test requires 15-45 min for review and personalized protocol formulation, in addition to 45 - 75 min office consultation, depending on the number of tests reviewed. Therefore, office consultations, specifically to review such reports, are charged at $400 for 1st test. If 2 tests are reviewed in a single visit, the charge is $560. If 3 tests are reviewed in a single visit, the charge is $640. An invoice with ICD-10 and CPT codes will be provided for such visits, if you wish to submit to your insurance.
If you are in the Wellness Transformation Program, any consultation for Advanced Functional Lab testing is included.
How do you track visits when in the Wellness Promotion Programs?
We track your visits through our EMR and practice management systems. We will do our best to alert you when you have used up your allotment of included visits in the Wellness Promotion Program and/or when additional visits will be charged. Please note that follow-up visits specifically for wound care, procedures, or lab draws are not deducted from your allotment.
How do I change between programs?
Please alert Dr. Caccopola if you wish to change your current membership program. Monthly membership fees will not be prorated if the change is mid-billing cycle.
If I am enrolled in the Wellness Transformation Program, how long must I remain on it?
Due to the complexity of treating chronic diseases and tracking membership benefits, we require that patients make a minimum 6-month commitment once enrolled in the Restoration Program. After 6-months, a patient may choose to remain in the Transformation program or downgrade to the Wellness Promotion program. Please note that the benefits of the Transformation programs are only active during the months in which you are enrolled.
Can I return to a Wellness Program if I have been in it previously?
Absolutely. Our Wellness Programs are meant to be flexible to meet your healthcare needs throughout your relationship with Heightened Health.