Pricing

Many medical concerns can be evaluated and treated safely through telehealth. However, some conditions require an in-person physical examination, testing, or a higher level of care.

If, during your telehealth appointment, your SWAT provider determines that an in-person evaluation at our clinic is medically necessary, you will not be charged an additional visit fee for that related in-person evaluation. Your provider will explain why an in-person examination is needed and help arrange the next step.

This policy applies to the same medical concern evaluated during the original telehealth visit. Additional or unrelated concerns, procedures, laboratory testing, imaging, medications, outside services, and future follow-up visits may involve separate charges.

Telehealth is not appropriate for medical emergencies. If you are experiencing a potentially life-threatening emergency, call 911 or go to the nearest emergency department.

Please bring all required forms with you to your scheduled appointment. We are happy to complete forms related to your examination during the visit whenever possible.

Forms submitted after the appointment or requiring completion outside scheduled visit time may be subject to an additional administrative fee. We hate extra paperwork too—but reviewing records and completing forms accurately takes time away from patient care and our already busy schedule.

You can usually avoid this fee by bringing all forms to your appointment and completing your portion beforehand. Forms requiring an additional examination, laboratory testing, immunization records, medical-record review, or services not performed during the original visit may require a separate appointment or additional charges.

Completion of a physical does not guarantee medical clearance, certification, or approval if the applicable health or safety requirements are not met.

Direct Primary Care membership is not health insurance and does not replace comprehensive medical coverage. Membership covers only the primary-care services specifically described in the SWAT DPC Membership Agreement.

Emergency care, hospitalizations, specialist services, surgery, medications, laboratory testing, imaging, vaccines, ambulance transportation, and services provided by outside facilities are not included unless expressly stated.

We strongly recommend that every member maintain health insurance—such as a major-medical or high-deductible health plan—to help cover catastrophic illnesses, serious injuries, emergency treatment, hospitalization, specialty care, and other services not included with membership. Members are financially responsible for all healthcare services not covered by their SWAT DPC membership.

SWAT’s Medical Weight Management program is intended for adults with obesity or excess weight that places their health at risk. Medication-based treatment is generally considered for patients with:

• A BMI of 30 or higher, or

• A BMI of 27 or higher with at least one weight-related medical condition, such as high blood pressure, high cholesterol, type 2 diabetes, obstructive sleep apnea, or cardiovascular disease.

This program is not intended for individuals seeking to lose only a few pounds, reverse the “freshman 15,” or slim down temporarily for a vacation or bikini season. It is designed for patients whose current weight is affecting—or is likely to affect—their long-term health.

Eligibility is determined through an individualized medical evaluation. Meeting a BMI threshold does not guarantee enrollment, medication, or any particular prescription. Treatment must be medically appropriate and safe for the individual patient.

SWAT follows evidence-based recommendations from the American Urological Association and the Endocrine Society. Testosterone replacement therapy is considered only when a patient has both:

• Symptoms or clinical findings consistent with testosterone deficiency, and

• Consistently low testosterone confirmed by laboratory testing.

The American Urological Association identifies a total testosterone below 300 ng/dL as a reasonable diagnostic cutoff. The Endocrine Society recommends diagnosing testosterone deficiency only when testosterone is unequivocally and consistently low; a harmonized reference range in healthy, non-obese young men places the lower limit at approximately 264 ng/dL.

These numbers are reference points—not automatic prescribing thresholds. A total testosterone of 299 ng/dL does not automatically qualify someone for TRT, and a result slightly above 300 ng/dL does not eliminate the need for further evaluation when significant symptoms or conditions affecting testosterone measurements are present.

SWAT provides individualized, evidence-based evaluation and treatment for symptoms associated with perimenopause and menopause. Hormone therapy may be considered for clinically significant symptoms such as hot flashes, night sweats, sleep disruption, and vaginal or urinary symptoms.

Treatment is not intended for cosmetic enhancement, weight loss, anti-aging claims, bodybuilding, or achieving a particular hormone level.

Who May Be an Appropriate Candidate?

For otherwise healthy women experiencing bothersome menopausal symptoms, the benefit-risk profile of systemic menopausal hormone therapy is generally most favorable when treatment begins:

• Before age 60, or

• Within 10 years of the onset of menopause

These are clinical guideposts—not automatic qualifications or absolute age limits. Every patient requires an individualized assessment of symptoms, treatment goals, personal history, and potential risks.