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Frequently Asked Questions

Here are answers to many of the questions we frequently receive. If you don’t see an answer to your question, contact us.

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General

ClearMD’s Midtown East location is open Monday through Saturday from 8AM-7PM. Beginning in February, the Midtown East location will be open Monday-Friday from 8AM-7PM. ClearMD’s NoHo location is open every day – weekdays from 8AM-7PM and weekends from 9AM-5PM.

You can book an appointment online at any of our convenient locations in NYC or you can walk in for care… we are here to accommodate you!

Billing

We accept most forms of insurance including Aetna, BCBS, Cigna, Healthfirst, Humana, Magnacare, Medicaid, Medicare, Metroplus, Multiplan, 1199SEIU and Railroad – and the list is growing! Certain ClearMD providers are also in-network with other carriers, like Tricare and United – so just ask at the time of your visit or call ahead and we’ll ensure you get the maximum value of your coverage.

An in-network provider has an agreement with the insurance company resulting in fewer out-of-pocket expenses. An out-of-network provider does not have an agreement with the insurance company and fees are billed to the insurance company at full price.

You may be eligible to be seen out-of-network depending on your insurance plan. Some plans allow for out-of-network benefits. Please reach out to your carrier to determine if you are covered.

Because insurance policies can differ significantly, it’s important to check with your carrier for accurate information regarding your coverage. Before scheduling an appointment online, ask your carrier (or look online) to confirm the specifics of your coverage.

After your insurance carrier has processed your claim, ClearMD will send you a billing statement via email. Additionally, you have the option to monitor your billing information through the Healow portal. It’s important to note that you may receive an Explanation of Benefits (EOB) from your insurance provider before receiving your statement from ClearMD. However, it’s recommended to wait for your ClearMD statement before making any inquiries regarding your bill.

A deductible is the initial amount you are required to pay out-of-pocket before your insurance begins to cover costs. Once you have paid your deductible, coinsurance comes into play. Coinsurance refers to the percentage of the medical costs that you are responsible for paying after your deductible has been met.

Yes, ClearMD offers a flexible payment option through a buy now/pay later program. Click here for more information.

Payments can be made either by calling 844-MDCLEAR or by accessing your Healow portal, which can be found in the top right corner of our website.

Most insurance providers have expanded their coverage to include telehealth consultations, which are billed at the same rate as traditional in-office visits. This offers the convenience of not having to physically visit the office. It is advisable to contact your insurance carrier or check their website for specific coverage details before booking a telehealth appointment.

The balance owed for each visit varies based on the contracted rates agreed upon with your insurance plan and the type of services provided. While basic primary care office visits are generally covered, additional charges may arise from procedures, vaccinations, or lab work conducted at ClearMD. To ensure the efficient processing of your claim, it’s essential to verify that the insurance information provided at the time of your visit is up-to-date and accurate.

Don’t worry – ClearMD is proud to offer interest free payment plans. Please call our billing team at (646) 249-9333 or click here to find out more.

Insurance plans vary, and your coverage depends on your specific policy. While most tests are covered by insurance, you may want to contact your insurance carrier to ensure coverage before having your test done.

Yes. We accept cash and all major credit cards.

Weight Loss

 
 

There is basically no difference between semaglutide, Wegovy and Ozempic. While Ozempic and Wegovy are brand names of a specific distribution, semaglutide is the generic name. Both Wegovy and Ozempic are marketed products that contain the active ingredient semaglutide. While the dose or the way that the medication is administered may be different, they are both GLP-1 receptor agonists that are useful in treating obesity.

Semaglutide works by activating the body’s GLP-1 receptors. This helps the body to lower blood sugar levels and also helps to increase the production of insulin, which leads to reduced appetite and increased feelings of satiety (fullness).

Usually semaglutide is administered through subcutaneous (under the skin) injection that occurs weekly, but this can vary depending on a particular patient’s medical situation.

While taking semaglutide is generally safe, it may interact with certain medications, particularly diabetes drugs like insulin. Therefore it is important to discuss any medications you may be taking with your provider, especially if you are taking such medications.

The most common side effects include headache, fatigue, dizziness and injection site reactions. Other common side effects include constipation, diarrhea, nausea, vomiting and mild stomach pain. More serious side effects include kidney problems, allergic reaction and pancreatitis, but these side effects are generally rare.

Your insurance may cover your visits and medication. We’ll work with you to see if you qualify and make sure you are pre-authorized before your weight loss journey begins. We accept many types of insurance, including Cigna, Humana, Blue Cross Blue Shield, Aetna, Multiplan and more.

We accept insurance, but it isn’t required. If your insurance doesn’t cover your medication or visit, we’ll work with you to find the best path forward. If you need alternative medications or you prefer to purchase your medication directly from us, we’ll find the right plan for you.

Whether it’s Ozempic, Wegovy or other semaglutide-based medications, we’ll find the right one for you. If you’re not covered for one, we’ll explore every alternative. When you qualify, we’ll even find the best way to get it to your doorstep. Please remember, GLP-1 medication is not part of the program cost and is billed separately.

Vitamin Infusion Therapy

STI & STD Testing

We process our chlamydia, gonorrhea and trichomoniasis samples using molecular-based technique (polymerase chain reaction), and is the gold-standard for testing. Our HIV and syphilis tests are ran on highly sensitive (99% and 95% respectively), lateral-flow immunoassays. Herpes simplex virus samples are outsourced to a partner laboratory that detects antibodies to the virus at a rate that is more than 99% sensitive and specific. Should you test positive for HIV or syphilis on our rapid immunoassay, you may be required to return to the clinic for a venous blood draw for confirmatory testing.

 
 

COVID-19 Testing

When a healthcare provider orders a COVID-19 diagnostic test, the results of the test will be used to confirm or rule out an upper or lower respiratory tract disorder. For added safety, ClearMD uses a multiplex assay for the detection of multiple viruses:

The COVID-Flu Multiplex Assay is a real-time RT-PCR assay intended for the simultaneous detection and differentiation of nucleic acid from SARS-CoV-2, RSV, influenza A virus, and/or influenza B viruses.

Nucleic acid from influenza A, influenza B, RSV and SARS-CoV-2 viruses is generally detectable in anterior nasal swab specimens during the acute phase of infection.

This test uses anterior nasal swab specimens collected from individuals suspected of respiratory viral infection consistent with COVID-19.

Positive results are indicative of the presence of SARS-CoV-2, RSV, influenza A and/or influenza B nucleic acid but do not rule out bacterial infection or co-infection with other pathogens not detected by the test.

 

Our turnaround times begin when the sample is collected.

The federal government officially ended the COVID-19 Public Health Emergency on April 11, 2023. This means that both individual and group plans are no longer required to cover COVID-19 tests and testing-related services without cost sharing, prior authorization or other medical management requirements. As coverage may differ between insurance carriers and plans, ClearMD can no longer guarantee that your insurance will cover the cost of any COVID-related tests, including rapid antigen, PCR, or Multiplex 4-in-1 PCR tests. We suggest that you contact your insurance provider before your visit to confirm that they will cover the cost of both your test and your visit (the medical evaluation is a required part of the COVID-19 test).

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