Your insurance coverage can typically be used for any expenses ordered for outside of the clinic (like lab work, bone density, imaging, and referrals). Direct Integrative Health of Hot Springs is not in-network with third-party payers.
Insurance companies do not reimburse for the amount of time (both in clinic and out) that is required for appropriate and personalized management of your health concerns. Insurance companies are actively attempting to reduce the time allowed and the “reimbursement” permitted for physician services. Both doctors and patients are realizing that insurance is extracting the finances from us all while offering little value in return. Third party payers are not compatible with the level of patient-physician relationship that Dr. Rice demands for her patients and that her patients expect of her.
Women’s midlife perimenopausal and menopausal health care is complex. Dr. Rice will make sure that you have the time with her that you need, as well as the time after the visit that she needs, to understand your health status, develop a personalized care plan, to coordinate your care, and to communicate with you and your other practitioners.
For our services you may use your HSA, FSA, cash, credit, ACH bank transfer or cryptocurrency.
Select either to Pay As You Go or to join the Membership track once you are an established patient.
Services
Pay As You Go
Initial Consultation of 60 to 90 minutes for a comprehensive woman’s health evaluation. $500. ($350 if by telehealth. $100 deposit**. Lab orders can be be placed through our third-party lab or through your primary physician.)
Follow-Up Visit of up to 60 minutes, $300. Personalized Care Plan development for hormones and health. Lab review with you. Initial prescription orders placed, if needed. Dr. Rice shares your plan with your PCP. Specialist referrals, as needed. ($200 if by telehealth.)
Telehealth Visit of up to 30 minutes for established patients in maintenance phase of care. $100
Membership
For some established patients that require more intense or frequent care with personalized coaching, a monthly membership may be more financially feasible. Once established, a $150/month fee will cover follow up and telehealth visits each month.
Cell and text communication with Dr. Rice
Enjoy all of the benefits of being a patient of Dr. Rice.
There is no minimum commitment. Cancel at any point.
All of Dr. Mandy Rice’s patients receive:
Access to Wholesale, Cash Lab Pricing (which has lowered a $1,200 bill to under $200).
Personal communication access to Dr Rice via app portal and email.
Monthly Group Meetings with Dr Rice via video chat re: relevant medical and lifestyle topics. Q&A session. Occasional specialist guests.
Monthly E-mailed Newsletter on relevant topics, learning points of the month from Dr. Rice, notice of upcoming events.
Resource Access to online links, education sources, and Dr Rice’s videos, writings.
*** Deposit of $100 will be charged at time of making the appointment for the Initial Consultation. $25 refundable if cancel or reschedule within 48 hours. See Terms of Service (TOS)

