Haris Ashley
Circle Medical is a legitimate healthcare provider that offers telemedicine and in-person services in 30 states and Washington, D.C. The platform offers video appointments with board-certified primary care providers trained in diagnosing and treating common mental health conditions. Circle Medical accepts a wide variety of Preferred Provider Organization (PPO) insurance plans but does not treat Medicaid or Medi-Cal patients. Without insurance, Circle Medical costs range from $120 to $179 per session, with additional costs for diagnostics and medications.
| Characteristics | Values |
|---|---|
| Cost per session without insurance | $120 - $179 |
| Cost per session with insurance | $40 on average |
| Initial appointment cost without insurance | $179 |
| Follow-up appointment cost without insurance | $100 |
| Accepted insurance plans | Most Preferred Provider Organization (PPO) insurance plans |
| Non-accepted insurance plans | Medicaid or Medi-Cal |
| Accepted insurance companies | Aetna, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net, and UnitedHealthcare |
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What You'll Learn
Initial appointment costs without insurance
The cost of an initial appointment with Circle Medical varies depending on whether or not you have insurance. Circle Medical accepts a wide variety of Preferred Provider Organization (PPO) insurance plans, including major insurance plans such as Aetna, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net, and UnitedHealthcare. However, it does not accept Medicaid or Medi-Cal (California's Medicaid program) and is not contracted with any Medicaid programs.
For those without insurance, the cost of an initial appointment with Circle Medical ranges from $120 to $179 per session. This price range is comparable to the out-of-network price for those with insurance. It is important to note that Circle Medical does not provide online therapy or counseling services.
There have been varying reports of the out-of-pocket costs for initial appointments. One source mentions a cost of $149 for the first visit, while another states that the initial appointment is $113, and subsequent appointments are $200. It is recommended that patients without insurance contact Circle Medical directly to obtain accurate and up-to-date information on the self-pay costs for initial appointments.
Additionally, it is worth noting that the cost of diagnostics and medications is not included in the appointment fee. Follow-up appointments for prescription renewals can cost up to $100 each, and these costs should be considered in addition to the initial appointment fee.
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Follow-up appointment costs without insurance
Circle Medical offers video appointments for those seeking affordable primary and psychiatric care, with in-person care available in select states. They offer services for a number of conditions, such as anxiety, depression, ADHD, and issues with sleep. The platform offers same- and next-day video appointments, primary care, and prescription services for various conditions.
Circle Medical accepts most Preferred Provider Organization (PPO) insurance plans but does not treat Medicaid or Medi-Cal (California's Medicaid program) patients. It is not contracted with any Medicaid programs and cannot treat patients on chronic daily opioids, benzodiazepines, or nightly sedatives/hypnotics.
The cost of a Circle Medical appointment without insurance ranges from $120 to $179 per session. Each follow-up appointment costs $100 without insurance, with the initial appointment costing $179.
One user on Reddit reported that their first appointment was $113, and subsequent appointments were $200, despite having insurance on file. Another user reported that their insurance quoted them $300 per appointment, whereas Circle Medical charged them $125 without insurance.
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Accepted insurance plans
Circle Medical accepts a wide variety of PPO insurance plans, including Aetna, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net, Humana, and UnitedHealthcare. They also accept select HMO plans from the San Francisco Bay Area where the medical home is Brown and Toland or Hill Physicians.
To see if your insurance plan is accepted, you can select a provider and time and create an account. You will be able to check if your plan is in-network without having to confirm your appointment or enter any payment information.
Some insurance providers may require you to select one of their providers as your primary care provider (PCP) to ensure that your charges are in-network. In this case, you can provide Circle Medical's chief medical officer, Dr. Nicole Tsang, DO, as your PCP. You can also scan your insurance card using the mobile app to see if you're in-network, the amount of office visit copays, and the status of your deductible.
It is recommended that you verify your network coverage, medical benefits, and deductible with your insurance provider before booking an appointment to avoid any misunderstandings or unexpected charges. You can reference Circle Medical's NPI number (1386855120) and Tax ID (474883537) for an eligibility check.
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Insurance coverage and costs
Circle Medical accepts a wide variety of Preferred Provider Organization (PPO) insurance plans, including major insurance plans such as Aetna, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net, and UnitedHealthcare. It does not, however, accept Medicaid or Medi-Cal (California's Medicaid program) patients, even if they pay out of pocket. Circle Medical is not contracted with any Medicaid programs and cannot treat patients on chronic daily opioids, benzodiazepines, or nightly sedatives/hypnotics.
The cost of Circle Medical services for those with insurance depends on the specific type of care received and the coverage of the insurance plan. On average, patients with insurance pay $40 per appointment, excluding diagnostics and medications. For those without insurance, the cost of Circle Medical services ranges from $120 to $179 per session. The initial assessment is $149, and each follow-up appointment costs $100.
Circle Medical offers video appointments for those seeking affordable primary and psychiatric care, with in-person care available in select states. They offer timely, same-day, and next-day appointments with world-class providers, allowing patients to access quality care from the comfort of their homes. The platform is especially useful for individuals with ADHD, anxiety, or depression who are seeking a convenient and flexible way to receive treatment.
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Self-pay costs
The self-pay costs for Circle Medical, i.e. the costs for those without insurance, range from $120 to $179 per session. The initial appointment is priced at $149 out of pocket, with each follow-up appointment costing $100.
Circle Medical accepts a wide variety of Preferred Provider Organization (PPO) insurance plans, including but not limited to Aetna, Anthem Blue Cross, Blue Shield of California, Cigna, Health Net and UnitedHealthcare. It does not, however, treat Medicaid or Medi-Cal patients, even if they pay out of pocket, because these plans assign providers to patients.
The platform offers same- and next-day video appointments, primary care, and prescription services for conditions like anxiety, depression, and ADHD. Circle Medical provides psychiatric care from primary care providers at an affordable price.
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Frequently asked questions
The cost of an initial appointment with Circle Medical without insurance is between $120 and $179.
Each follow-up appointment with Circle Medical without insurance costs $100.
Circle Medical accepts most Preferred Provider Organization (PPO) insurance plans but does not treat Medicaid or Medi-Cal patients.
With insurance, patients pay an average of $40 per appointment, but the cost depends on the specific type of care received and the coverage of the insurance plan.
