One person coordinates your care. We use every $0 service in your membership first, and only when care has to happen in person do we quote a rate contracted in advance. You see the price before anything is scheduled.
Your care coordinator is a real person at OptimalMD, not a directory and not a call tree. Tell them what you need: bloodwork, a specialist, an MRI, an in person visit you would rather not wait three weeks for.
They start with what your membership already covers at $0. If the answer is a service we provide, that is the end of the cost conversation.
When care has to happen in person, they confirm the rate that is already contracted for that physician, that specialty or that facility, and then put it on your calendar. Because the rate is set in advance, the price is known before the appointment is made, not after the bill arrives.
Your coordinator is not trying to sell you a service. They are trying to get you cared for using what you already pay for, and to reach for a priced service only when there is no other way to do it.
Always start with OptimalMD. If OptimalMD provides the service, you use OptimalMD, every time. Only when we cannot provide it does anything else enter the conversation.
No visit fee, no per use charge, no limit on how often you ask.
Care that cannot happen through a screen, priced in advance.
Hospitalization, surgery and catastrophic care sit outside this process entirely. OptimalMD is not insurance and does not replace a major medical plan. Your coordinator will say so directly rather than let you find out at the hospital.
Three things account for most of what a member actually needs scheduled. Your coordinator handles all three, start to finish, and tells you which side of the $0 line each one falls on before you commit to anything.
More than 3,900 tests at $0 through LabCorp when ordered through OptimalMD. Quest testing is available at a discounted rate. Your coordinator places the order, routes you to the draw site nearest you, and follows the result back to your physician. Results are typically returned within 72 hours.
Virtual visits are unlimited and $0, so that is where we start. When you need to be seen in person, we schedule the visit at a rate set in advance for that physician and specialty, so the price is known before the appointment is made. Rate schedules are available on request.
MRI, CT, X-ray and ultrasound are arranged through contracted facilities. Your coordinator confirms the cash rate at the site closest to you and brings you the price and the available times together, before the study is booked.
Most of American healthcare quotes you a price after the service. We do it in the other order.
Message or call your coordinator. A physician order in hand, a referral, a symptom, or simply a question about where to start.
If your membership already covers it, we book it and there is nothing to quote. If it has to be hands on, we pull the contracted rate.
For anything not already included, you get the cash price and your appointment options together. Nothing is scheduled until you say yes to both.
Appointment confirmed, records routed, results returned to your physician. We stay with it until the loop is closed.
Why we can quote it in advance: OptimalMD contracts rates ahead of time with the physicians, specialists and facilities in the network, by specialty and by service. That is what makes a price quotable before the visit instead of negotiable after it. Rate schedules are furnished on request.
Many of our members still carry a major medical plan, and they should. OptimalMD is a private healthcare network membership, not insurance, and it is not a substitute for major medical coverage. What it adds is a second price for the same service.
Before you spend down a deductible, ask your coordinator for the OptimalMD rate. Sometimes your plan is the better route. Often it is not, and you would never know without both numbers side by side.
We quote the OptimalMD contracted rate so you can weigh it against what your plan would leave you to pay out of pocket. You decide which one to use, service by service.
For care that happens outside our network, we read the bill line by line, flag the errors and duplicate charges, and handle the appeal when a claim is denied.
When a balance is already in your hands, we negotiate on your behalf, and we tell you plainly what outcome is realistic before we start.
Your coordinator finds the care you need, uses every service your membership already includes at $0 before anything is priced, confirms what the rest costs before you commit, schedules it, and follows the results back to your physician. That covers diagnostic labs, in person physician and specialist visits, and imaging studies such as MRI, CT, X-ray and ultrasound.
Yes, and that is the rule we work by. Always start with OptimalMD. If OptimalMD provides the service, you use OptimalMD, every time. Unlimited virtual physician visits, 3,900+ LabCorp tests and 1,100+ generic medications are already included at $0, so there is nothing to quote. A price only enters the conversation when the care has to happen in person, such as a hands on exam or an imaging study.
OptimalMD contracts rates in advance by physician, by specialty and by facility. Your coordinator looks up the rate that already applies to the service you need and gives it to you along with your appointment options. Nothing gets booked until you approve both the price and the time.
More than 3,900 diagnostic tests are $0 at LabCorp when they are ordered through OptimalMD. Quest testing is available at a discounted rate rather than $0. Results are typically returned within 72 hours.
Yes. OptimalMD is not insurance and does not replace a major medical plan. Your coordinator gives you the OptimalMD cash rate so you can compare it against what your plan would leave you to pay. For care that happens outside our network, we also review bills, dispute errors, handle appeals and negotiate balances.
No. Care coordination is included in your OptimalMD membership at $0. There is no separate fee, no per call charge and no limit on how often you use it.
OptimalMD is telehealth first, not telehealth only. When an in person visit is the right answer, we schedule it at a rate established in advance for that physician and specialty, so the price is known before the appointment is made. Rate schedules are available on request.
Every service below is part of the OptimalMD membership. Your coordinator connects them.
OptimalMD is a private healthcare network membership. It is not insurance and it is not a substitute for major medical coverage.
Toll Free: (855) 378-7700
15002 Lakefair Drive
Suite 103
Richmond, TX 77406
Phone: (855) 378-7700