At this time, Longevity+MD™ does not contract with any insurance provider, including Medicare or Medicaid. We deeply regret this, but it is not sustainable for our small practice. We do not submit medical claims on your behalf; however, we will (upon request) provide you with a superbill that you may submit to your insurance company or HSA for possible reimbursement. At least partial reimbursement may be possible if you have out-of-network coverage.

Dr. Gibson no longer participates in the Medicare or Medicaid programs. If you are a Medicare or Medicaid member and wish to become a patient of the Longevity+MD™, PLLC, you are required to accept the terms and conditions set forth in a private contract between you and Longevity+MD™, PLLC. This private contract outlines that no Medicare or Medicaid payment will be made to you or to Longevity+MD™, PLLC for the services provided by Dr. Gibson, even if such services are covered by Medicare or Medicaid. Under this private contract, you acknowledge that you accept full responsibility for all charges for services provided by Longevity+MD™, PLLC and that payment is due in full at the time care is provided.

Laboratory, imaging and other testing as well as medications and infusion therapies ordered by out-of-network providers are covered by most insurance companies, but it is your responsibility to verify whether this is the case for your specific plan.

We understand chronic illnesses take time, patience, and trial and error to achieve improvement. Please note that our practice is small and is designed to provide chronic disease management, not acute care.

If you have a new symptom(s), you should be evaluated by your primary care provider to be sure that you do not have a new, unrelated problem.

If you have worsening and/or acute symptoms you are concerned about, you should call 911 or be evaluated by the nearest urgent care facility or emergency department.

If you are having an exacerbation of your illness that cannot wait until your next scheduled appointment, we will schedule you for the next available appointment and/or add you to the cancellation list.

Most medication changes and initiation of any new medication will be made during office visits after an appropriate evaluation and not over the phone, the portal or by asking our office staff to ask Dr. Gibson if she can prescribe a medication.

If you need advocacy services in the outpatient or inpatient setting to communicate with your healthcare team, please let us know via portal messaging or the phone. Advocacy services are offered only to established patients at Longevity+MD™, who have been seen by Dr. Gibson within the last 6 months.

From time to time, Dr. Gibson can take short-term personal time. There will be no additional coverage offered during that time. We will notify our patients at least 2 weeks in advance, unless it’s a personal emergency.

For all visits, payment is due in full at the time of service. We do not require a retainer, but scheduling an appointment requires an active credit card be placed on file so that you may be billed for the services provided, including any cancellation fees if applicable.

We cannot guarantee your health will improve because of our care. We have a very high success rate in making diagnoses and finding treatments that lead to an improvement in quality of life. This is always our goal, but as with everything in medicine (and life), nothing is 100% successful.

Telemedicine consultations are billed at the same rate as in-person evaluations. We are unable to guarantee that there will not be a data breach during telemedicine visits.

By scheduling a teleconsultation, you understand and accept the small risk of a data breach. You also understand and accept that there may be some limitations to care due to the inability to perform a physical examination or complete vital signs.

If you plan to take advantage of our telemedicine services, please ensure you have given your preferred number and email address to our office to avoid any delays.

We try to keep on schedule, but there is always a potential for Dr. Gibson to be running late for remote visits and we ask that you allow a 30-minute window after your scheduled time in case there is a delay.

Dr. Gibson is able to see and evaluate patients from out-of-state and out-of-country in person at her office in Scottsdale, Arizona, and telemedicine services for patients from California and Georgia only.

For patients who maintain yearly in-person follow-up, she can communicate by portal, telephone, or video appointments; however, you are asked to have a local provider maintain prescriptions for medications that are found to be effective.

Dr. Gibson will communicate with your local provider by telephone or email at no cost to help coordinate your care after you return home if you do come for an in-person consultation. This communication, however, must be initiated by your request by your local provider.

Due to long appointment times, no-shows and late cancellations are particularly problematic and we ask for your help in avoiding missed appointments.

For new patient initial consultation and post-consultation visits, any no-show or cancellation less than 48 business hours of the scheduled appointment time will be charged 50% of the visit fee.

For follow-up visits, any no-show or cancellation less than 24 business hours of the scheduled appointment time will be charged 50% of the visit fee.

For visits canceled after the cancellation window, we will attempt to reschedule another patient into your time slot. If we can successfully reschedule another patient, then you will not be charged.

This is not always possible with such short notice. If the reason for cancellation is your inability to get to the clinic, your visit can be conducted by telephone or using a surrogate if informed consent is provided.

If you are late for your scheduled appointment time, you will be seen for the remainder of your scheduled appointment time and billed for the entire appointment.

Our priority is to provide the best care we can to patients in our office or patients participating in telemedicine appointments.

Portal and other messages are intended for non-urgent, non-complex, and logistical matters.

If you have an urgent or emergent matter, please go to the closest emergency department or urgent care.

If you have a complex situation or question, please schedule a telephone or in-person appointment.

Simple and brief questions that can be answered by administrative staff will not be charged. Questions that need to be addressed by a provider will be billed at the current provider rate in 1-minute increments of provider time required to address your question or concern.

Diagnoses will not be made over the portal and new medications will not be started over the portal.

If you have new symptoms, you must be evaluated in person by your primary care physician or an emergency provider to be sure there is not a new condition unrelated to the condition(s) we are managing.

If you have increasing symptoms, we will make every effort to try to fit you into the schedule, but this is not always possible, and you may need to see your primary care physician who can contact Dr. Gibson if needed.

We do attempt to address portal messages as soon as possible, but given our small office, there may be times when we cannot get to your message for 48 hours or even longer, especially over weekends or holidays or if there is a staff or provider absence.

Due to confidentiality concerns, direct communication via unsecured email accounts is not considered a HIPAA-compliant method of communicating about your personal health and messages to personal email accounts of our staff or providers will not be answered. Longevity+MD™ EMR Patient Portal messages are encrypted and are HIPAA-compliant; we prefer that all communication go through the patient portal so that all conversations are documented in your medical record and there is access to your record when reviewing the message.

Some patients may choose to carry out 5–10-minute portal-based "visits" which will cost about the same as a co-pay and allow for discussion of concerns or review of medication trials in "real-time" rather than waiting for an appointment. This kind of visit has several advantages, but also has some limitations and may work great for some patients, but not for others.Periodic in-person visits are still recommended.

Keep in mind that provider time involved in portal "visits" includes time to review your chart in the context of the questions or concerns raised and not just the time spent typing. If you communicate often, time spent reviewing your chart will be minimal due to regular involvement in your care and familiarity with your case.

Insurance companies often request extensive and time-consuming documentation to consider the approval of many treatments. We will send the recommendations to your primary care provider, but It's up to your insurance company to issue the approval. There is no guarantee that your insurance company will decide in our favor because of our actions, but we will make every effort to get the care you need approved.

Medical Providers or Staff:

Dr. Gibson will discuss your case by telephone or email if needed with an outside medical provider free of charge if this consultation is initiated by the outside provider and they provide a convenient way to access them (i.e. cell phone or email), rather than a generic clinic, urgent care of ED phone number.

By signing this document, you consent to Dr. Gibson’s reply to any outside provider’s email or phone call on your behalf and understand and accept that email is not 100% secure and there is some risk of a data breach. If you do not wish for Dr. Gibson to respond to outside provider’s emails or telephone calls about you, please let us know in person and we will make note of this in your electronic chart.

Non-Medical Personnel:

If you request Dr. Gibson perform a consultation with an attorney, school staff, or other non-medical personnel, you will be charged the current provider rate. These consultations must be approved and initiated by the patient or legal guardian. By signing this document, you consent to Dr. Gibson’s reply to any outside provider’s email or phone call on your behalf and understand and accept that email and telephone communication are not 100% secure and there is some risk of a data breach.

Dr. Gibson does not charge for time spent researching the medical literature or other resources to improve your quality of care or answer your questions. Established patients have access to newsletters and resources

Routine monitoring labs (CBC and CMP) for patients on infusion therapy or certain oral medications do not require an appointment if they are normal.

If there are important laboratory abnormalities, however, a follow up appointment must be scheduled, even if a brief telephone appointment, so that these results and their potential implications may be properly communicated with you.

It is your responsibility to schedule results and review follow-up appointments. Dr. Gibson will review your labs when they are provided to her for urgent issues and you will be contacted if she has any urgent concerns, but she will reserve discussion of all other results for your follow-up appointment.

If there is a test result that you are worried about and do not want to wait until your scheduled follow up appointment, you may send a portal message, but you will be charged at the provider rate for the time spent reviewing your concerns.

Please be sure to schedule your results review follow-up telemedicine appointment at an appropriate time interval that will allow all ordered tests to be resulted prior to your appointment. For some specialty tests, results can take as long as 6 weeks to be finalized.

We do not guarantee that recommended laboratory studies or procedures will be reimbursed by your insurance company your insurance company

It is your responsibility to ensure that laboratory tests, procedures or other tests ordered by Longevity+MD™ are covered by your insurance policy prior to these studies being completed. If your insurance company requires a different diagnosis code, we are happy to change the submitted codes if appropriate, to improve the insurance company reimbursement.

If the laboratory tests are sent to the private labs, the payment is due before the blood draw

Routine Prescription Refills:

Prescriptions are best ordered during your scheduled office visit. We will order enough refills to last until your next recommended follow-up visit. The frequency of recommended follow-up visits depends on the stability of your condition and the medication(s) prescribed.

No medications will be prescribed for more than 6 months. Anticoagulants and antiplatelet therapy require follow up at least every 3 months for the first 6 months, every 4 months for the next 8 months and then every 6 months thereafter if stable during the first year.

Prescriptions initiated by another provider should be refilled by that provider unless Dr. Gibson agrees to take over the prescription. It is your responsibility to be sure you do not run out of your medication by scheduling office visits at appropriate intervals.

New Prescriptions:

A new prescription or one recommended by another physician requires an office visit or telemedicine visit.

Controlled Substances:

We do not prescribe narcotics or benzodiazepines. Prescriptions for other controlled substances (tranquilizers, non-opioid analgesics, testosterone, and stimulants) require an office visit at least every three months.

You are responsible for obtaining your medical records from other health care providers/facilities.

Medical records from another physician or office can only be released to us with your authorization by completing a HIPAA authorization form that we can send you electronically to sign.

Please contact your other health care provider to obtain the records that you believe are pertinent to your Longevity+MD™ evaluation.

Your records are available on our patient portal. Laboratory and other study results can be obtained from the testing facility. We follow the National Organization of Social Security Claimants’ Representatives (NOSSCR) guidelines for the state of Arizona for fees charged if you request we copy your medical records.