Guides · 4 min read
What weight and longevity care costs without insurance
How cash-pay telehealth pricing is structured, what's included, and what you actually pay and when.
By the WellaraMD team · Updated October 27, 2026
One of the most common questions about online care is the simplest: what does it actually cost? Cash-pay telehealth is priced differently from an insurance-based clinic, and the structure is usually clearer. Here's how it works.
You pay a small fee to be reviewed
When you submit your intake, a $20 consultation fee is charged so a licensed provider can review your health and decide whether a treatment is appropriate. That fee covers the review itself and is not refundable, because the provider does the work regardless of the outcome.
You're only charged for treatment if you're approved
At the time you submit, a hold is placed on your card for the treatment amount, but it is only a hold. If a provider decides a treatment isn't right for you, that hold is released and you are not charged for medication. You pay the full treatment price only once a provider approves it.
What's included in the price
- The online visit with a provider licensed in your state
- Medication from a US-licensed pharmacy, if approved
- Shipping to your door
- Messaging with your care team and follow-ups as your provider directs
What changes the cost
The treatment price depends on what's prescribed and the dosing a provider recommends, so it varies by person. The important part is that you see the price before you commit to anything, there are no membership fees layered on top, and you can cancel at any time.
Why cash-pay, not insurance
Cash-pay pricing trades insurance paperwork for transparency. You know the number up front instead of waiting on claims, prior authorizations, and surprise bills. For many people that predictability is the point.
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Weight, metabolic, and longevity care for women, reviewed online by licensed, US-based providers.
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