Fees, Self-Pay Billing & Refund Policy

Effective date: October 25, 2026

Clear consultation fees

The fee pays for a professional evaluation and care recommendation, not a promised prescription, antibiotic, medication supply, or desired diagnosis. Related symptoms from one illness are generally one presenting concern, not separate automatic visits. A visit does not become $75 solely because a clinician orders testing, awaits results, or determines a prescription is unsafe. A more involved evaluation or separate unrelated concerns may qualify for In-Depth Care; the team will explain and obtain agreement to any increased fee before the additional nonurgent service.

Cash-pay means no consultation claims to insurance

MyTeleHealthPoint does not submit claims for consultations to commercial health insurance, Medicare, or Ohio Medicaid. You pay the agreed consultation fee directly, subject to applicable legal exceptions. Self-pay services may not count toward your insurance deductible or out-of-pocket maximum; reimbursement of an itemized receipt is not guaranteed. Pharmacies and laboratories may accept insurance under their separate policies.

Medicare and Ohio Medicaid: These programs have special rules. Before collecting payment for a potentially covered service, we verify the applicable clinician/practice status and follow legally required enrollment, private-contract, patient-election, or written-notice requirements. For Ohio Medicaid covered services, qualifying private-pay treatment requires specific advance written disclosure and a signed patient agreement for each date of service, including notice that another Medicaid provider may furnish the covered service without charge. We do not treat this general policy as a substitute for required program documentation. If lawful cash-pay requirements cannot be met, we may decline the transaction and direct you to other care options.

Additional costs and payment methods

Medications, laboratories, specimen collection, injections, and other outside services cost extra unless expressly included. Before you authorize testing, we will explain known prices, who bills you, and relevant collection arrangements. We do not invent or promise prices controlled by outside vendors. Prescriptions, when appropriate, are sent to a pharmacy you choose; you pay the pharmacy separately. Our standard refill evaluation does not offer controlled-substance refills.

We accept eligible HSA/FSA payment arrangements only through methods actually supported at the time of payment; eligibility and reimbursement are determined by your account administrator. Confirm the method with support before sending funds. Use only verified payment instructions, never include a diagnosis or medication in payment notes, and contact us if a transfer is pending or duplicated rather than paying twice. We provide appropriate payment and refund receipts.

Cancellation, eligibility, and refunds

• Before an individualized clinician evaluation begins: A cancellation or incomplete intake is eligible for a full consultation-fee refund. If screening establishes ineligibility before a billable evaluation starts, there is no consultation charge; prepaid fees are refunded.
• Practice-side system failure: If a clinic-side failure prevents a meaningful evaluation, you may continue when feasible or obtain a consultation-fee refund.
• After a completed clinical assessment: The consultation fee is generally earned once an individualized assessment or recommendation has been communicated, including when no prescription is appropriate or an in-person referral is recommended. If the evaluation began but no meaningful assessment or recommendation was completed, the practice reviews the circumstances fairly rather than automatically retaining the fee.
• Incorrect/duplicate charges: We correct verified errors. Approved refunds are initiated to the original payment method within five business days; the payment provider may take additional time to post the credit. We do not charge to review a billing concern. Applicable statutory refund rights remain unaffected.

Results and future visits

Clinically appropriate review and communication of results from tests ordered during the original care episode are included in that episode and do not automatically result in another consultation fee, even when results return later. A new unrelated issue, substantial clinical change, or separate reassessment may require another disclosed visit fee. There are no undisclosed automatic subscriptions or charges.

Estimates, promotional visits, and questions

Eligible patients may request a written Good Faith Estimate; see our separate Good Faith Estimate notice. Posted prices do not replace an individualized estimate when one is required.

Previously accepted promotional terms remain honored. Patients whose visits were accepted under the specifically approved $0 Online Urgent Care/refill pilot retain the published eligibility, one-per-patient limit, and duration for those visits. This paragraph does not reopen the pilot or offer a free visit to everyone.

For billing and refunds, use the website Contact page and select Billing for an email response. For confidential account information use secure Spruce at https://spruce.care/mytelehealthpoint. Telephone alternative: (216) 438-0004.

OWNER-APPROVED: Olumide B. Ogunwumi, PA-C | October 25, 2026 · Version October 25, 2026