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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.

This article is for general education and is not medical advice. A licensed provider decides whether any treatment is appropriate for you, and not everyone is approved. Some treatments may be compounded; compounded medications are not FDA-approved.

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