Serving patients in Florida via telehealth
Keep Your Insurance

Why Patients Choose Direct Pay

A physician who listens, gets to know you, and builds a plan with you. Keep your insurance and decide whether Thrive Rx's pay-per-visit approach fits your needs and budget.

Clear visit fees. No required membership.

A Balanced Take

We're Not Anti-Insurance

Insurance can help pay for routine, preventive, and major medical care. An in-network physician may be the more affordable choice for you. Our direct-pay practice is another option, not a replacement for coverage.

We have chosen a model that supports how we practice medicine. Here is what you can expect when you choose Thrive Rx:

Time to listen

Discuss your symptoms, history, and goals with your physician, then agree on priorities together.

A continuing relationship

See Dr. Kiswani-Barley for follow-up so your care builds on what she already knows about you.

Clear care decisions

Discuss the reasons for tests and treatment. Your insurer's rules still apply when using coverage for outside services.

A plan that can evolve

Review progress and adjust care when appropriate. Some concerns need follow-up, in-person evaluation, or a specialist.

We provide a superbill so you can seek potential out-of-network reimbursement. Eligibility, reimbursement, and deductible credit depend on your plan and are not guaranteed. Please confirm benefits with your insurer before relying on them.

Make an Informed Choice

Compare costs and the care relationship that matters to you.

What to check with your insurance

  • Your in-network primary care options and their availability
  • Your copay, deductible, and covered preventive services
  • Whether you can see the same physician for follow-ups
  • Out-of-network benefits, claim requirements, and exclusions
  • Coverage and prior authorization for labs, imaging, and medications
  • Whether a direct-pay visit is eligible for reimbursement or deductible credit

Thrive RX Direct Pay Experience

  • Visits built around your questions and history
  • $250 initial physician visit; established follow-ups $100-$250
  • Same physician every time (Dr. Kiswani-Barley)
  • Evening and weekend appointments by request and confirmation
  • Priorities set together, with follow-ups for what remains
  • No insurance prior authorization for Thrive RX visits
  • Published cash-pay lab prices through Access Labs; compare with your plan
  • Prefer insurance for labs? We provide the requisition for a lab covered by your plan
  • Fill prescriptions at your pharmacy using insurance, or compare savings options such as GoodRx
  • Insurance-billed labs and medications remain subject to your plan's coverage and authorization rules

How Direct Pay Works With Your Insurance

It's not either/or. Here's how patients use both.

Use Your Insurance For

  • Hospitalizations and surgeries
  • Emergency room visits
  • Lab work at a covered lab, if you prefer; we provide the requisition
  • Prescription medications at your pharmacy, subject to your coverage
  • Specialist referrals and imaging
  • Dental, vision, and mental health

Use Thrive RX For

  • Physician visits with time to talk
  • Investigation of possible underlying causes of symptoms
  • Same physician every visit, Dr. Kiswani-Barley
  • Cash-priced labs as an option to compare
  • Medical weight management, with medication when appropriate
  • Hormone evaluation and treatment when appropriate
  • Preventive care and chronic disease management

Lab costs vary by test, deductible, and coverage. You can choose cash pay or use our requisition at a lab covered by your plan. Compare our cash-pay lab prices with your expected insurance responsibility before choosing.

Transparent Pricing, No Surprises

Physician visit fees are listed below. Labs, imaging, and medications are separate.

Initial Consultation
For new patients starting physician care
$250

Established-patient follow-ups. Complexity is determined clinically, not by condition count alone.

$100
Acute Care
Single focused concern
$200
Primary Care
Up to 3 chronic conditions
$250
Complex Care
Medically complex care
No subscriptions or memberships
Labs, imaging, and medications separate
HSA/FSA subject to plan rules
Itemized insurance invoice provided for possible reimbursement
Insurance for medications subject to your coverage
Fees are due at the time of service. Your saved payment method is typically charged after the visit.

Common Questions About Direct Pay

Ready for Care That Puts You First?

Start with a comprehensive physician visit, or ask us about pricing and registration. You must be physically in Florida for your telehealth appointment.