Rates for Services
- New Patient Consult $250
- Return Visit $150
- Peptide Therapy $200 – $600 IVP/IM
- Peptide Therapy Oral $150 – $300
- Weight Loss Program $500 every 4 weeks
- Injection Hormone Therapy Monthly $100 – $200
- Pellet Insertion every 3-6 months $400 – $800
- Lab Draw $150 – $300 *more for specialty labs
- Therapeutic Injections $250.00
- All clients require an annual intake/medical review with a Wholebody or Online Spa Kinect provider prior to any services being performed. $100 – $250
This office does require a reliable form of payment on file at all times in the event of no-show/late cancel appointments or balances.
Fees for additional services (phone visits, procedures, etc.) will be discussed at the time of service.
In addition, fees for completing forms will be provided as requested.
Any and all shipping from WholeBody Complete Wellness is the responsibility of the patient. This includes any additional expense for Overnight Shipping.
Payment in full is expected at the time of service. WholeBody Wellness Aesthetics is a “fee for service” or Direct Pay Practice. We accept cash, checks, and all Major Credit Cards.
We are considered “Out of Network” with ALL insurance companies, therefore we have “opted out” with ALL insurance companies, including Medicare. Any reimbursement allowed by your plan will either be applied to your deductible or sent directly to you from your insurance company. We cannot bill Medicare or Government-sponsored insurance plans and as a result you cannot request reimbursement from them for our services. Any disputes regarding unpaid reimbursement to you are your responsibility to handle between you and your insurance company.
Adult patients and/or guardians or parents accompanying a minor are responsible for payment at the time of service. For unaccompanied minors, non-emergency treatment will be denied unless prior financial arrangements have been made.
Missed Appointments
Unless canceled or rescheduled at least 24 hours in advance or if the appointment is deemed a No Show, our policy is to charge for missed consultation or appointment at the rate of $100. Help us serve you better by keeping scheduled appointments.
I will take full responsibility for payment of services in full at the time of service. I understand all services are non-refundable.
Practice Policies For Patients
Prescription refill requests: We ask that you contact your pharmacy and have them send a request to our office. It can take up to 48 hours to process a prescription refill request.
I agree to text messages or emails from Wholebody Wellness Aesthetics. I understand that all private or HIPPA compliant information will be emailed to the clinic. I understand I will have access to a patient portal for private messaging and access to my client information.
By signing this agreement, I (client/responsible party or guarantor), indicate that my treatment with WholeBody Wellness Aesthetics will not be covered by my insurance because it is out of network with all insurance companies. I am choosing not to use my insurance coverage for my treatment. In doing so, I understand that I may not get the benefit of any provider discounts, and that my provider is not obligated to bill the plan. I understand that in doing so, I waive any future right to bill insurance or be reimbursed by an insurance plan for sessions that have already taken place.
I authorize WholeBody Wellness Aesthetics to run my credit card for outstanding balances.
I understand that I have a right to a copy of this form. This consent is subject to revocation at any time except to the extent that action has been already taken in reliance thereon.
By signing this agreement, I am creating a binding contract that is legally enforceable against me by the provider. Thank you for your understanding of our financial policy. Please let us know if you have questions or concerns.
I have read the financial policy and understand and agree to this financial policy.
