A wellness visit or annual physical covers preventive care only: screening and
counseling aimed at preventing infection, heart disease, high blood pressure, diabetes and
high cholesterol. Anything outside that is its own appointment.
A new problem or a new prescription is a separate visit. If you raise
something new during a preventive visit, it becomes a second service on the day and your plan
will usually charge for it separately — commonly in the region of $50 to $100, though
what you actually pay depends on your plan.
Follow-up visits are for one or two problems. That is what the time is
booked for, and trying to cover everything in one appointment is how visits end up rushed. If
you have a longer list, tell us when you book and we will find the time for it.
Chronic medications are prescribed for 90 days. Book your follow-up every
three months so a refill never runs out while you are waiting for an appointment. Going away
for 91 days or more — a long trip, a season abroad? Book an appointment
in the month before you leave, so your prescriptions cover the time you are gone.
Antibiotics usually need an exam or a rapid test first — prescribing
without one is how the wrong drug gets given. For established patients whose condition we
already know well — for example those in our
chronic care and remote monitoring program —
some decisions can safely be made by phone or tele-visit between appointments. Dr. Katari
decides case by case; new infections usually still need to be seen.
Controlled substances are case by case and are never guaranteed. Depending
on what you need, the right person to manage it may be a pain specialist or a psychiatrist,
and we will tell you honestly if that is so.