Simple, stated up front: a 60-minute intake appointment, 30-minute follow-ups, and fees you know before you ever sit down — whether you use insurance or self-pay.
60 minutes
30 minutes
All appointments are by secure video telehealth — no waiting rooms, no commute. Telehealth in 34 states + DC.
Sign the treatment intention agreement and share your preferred days and times.
Complete the intake forms and consents online — about 10 minutes.
Choose an open appointment slot and you’re booked. Your insurance is verified before the first visit, so your exact copay is known up front.
Self-pay: $350 for the 60-minute new patient evaluation and $250 for 30-minute follow-ups — all-inclusive, with no facility fees and no surprise balance bills.
Insurance: in network with Aetna, Cigna/Evernorth, UnitedHealthcare and Optum, the Blue Cross Blue Shield family, Oscar, Oxford, Carelon, Providence, and more. With insurance, the typical copay is $0–$40 for the majority of plans, and every plan is verified before your first visit so you know your exact copay up front.
Also accepting Medicare in AZ, CA, CO, TX, and UT, and Medicaid in OR and WY.
| Monday | 7:00 am – 7:00 pm |
|---|---|
| Tuesday | 7:00 am – 7:00 pm |
| Wednesday | Closed |
| Thursday | 7:00 am – 7:00 pm |
| Friday | 7:00 am – 7:00 pm |
| Saturday | 7:00 am – 1:00 pm |
| Sunday | Closed |
If you are prescribed a controlled substance, most states require one in-person visit each year. We’ll plan that together, well in advance.
Book a 60-minute intake appointment with Karel Winner, DNP, PMHNP-BC. Follow-ups are a full 30 minutes — real visits, not refill stops.