About this service
A physician reviews your health history and, if it is clinically appropriate, writes a letter documenting that a recommended treatment — such as a supervised exercise program — is medically necessary for a diagnosed condition.
Some health savings accounts (HSA), flexible spending accounts (FSA), insurers and employer wellness programs will reimburse costs such as a gym membership, weight-management program or specialised equipment only when a physician documents that it treats a specific medical condition. This service provides that physician review.
Whether your plan accepts the letter is decided by your plan administrator, not by the practice. Check your plan's requirements before booking.
How it works
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Book and create your secure account
Confirm where you are, review the practice's consents, and add a card.
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Answer the questions
Describe your situation so the clinician has what they need. You can upload supporting records.
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Clinician review
The clinician reviews your answers and may message you with questions. If a different kind of visit is needed, you will be told before anything further is charged.
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Your result
Everything is in your secure account, including anything the clinician sends you.
What's included
- Review of your questionnaire and any records you upload
- Secure messaging with the physician during the review
- A signed letter on practice letterhead, if clinically appropriate
- One revision if your plan asks for different wording
- A guaranteed letter — the physician decides based on your information
- Diagnosis or treatment of a new condition
- Prescriptions, lab orders or referrals
- Forms that require an in-person examination
Visit location
- Message
- No appointment to attend. You answer in writing, and the clinician replies in your secure account.
Eligibility
- This service is for adults 18 and older.
- You must be physically in Nevada and Virginia at the time of your visit.
- Non-emergency conditions only.
Visit information
This is a message visit. You provide your health information in writing, and the clinician reviews it asynchronously — in their own time, rather than meeting you live. There is no appointment to keep.
- Format
- You answer the practice's questions in writing, and a clinician reviews them with your history.
- Replies
- A message in your secure account with the decision and the reasoning behind it.
- Prescriptions
- Never guaranteed — sent only where the clinician judges it appropriate.
- Outcomes
- They may recommend a video, phone or in-person visit, testing, or urgent care instead.
Who you will see
A trade name of Tristan Cooper MD PLLC
- Location
- Las Vegas, Nevada
- Phone
- +1 (702) 960-1815
- Serving
- Patients physically in Nevada and Virginia
Charges
Your card is checked when you book and charged only after the clinician completes your visit. What you are paying for is the clinician's review and judgement, not a particular answer. For a message visit, the clinician's review of what you submit is the visit — so once they have completed that review the fee applies even where they conclude that the document you asked for should not be issued, or that no treatment is needed. If no clinician takes your request, or they determine it needs a scheduled visit, an in-person examination, or care beyond this service, you are not charged — any visit offered instead is quoted separately and charged only if you authorize it. You'll have 48 hours from booking to complete your check-in. If it isn't finished by then the visit is cancelled and you are not charged.
Questions
Will my HSA, FSA or insurer accept this letter?
Most plans that reimburse fitness or wellness costs ask for a letter like this, but each plan sets its own rules. The practice can't guarantee approval.
Do I need to be an existing patient?
No. You'll create a secure account as part of booking.
Can I use insurance to pay for this service?
No. This is a self-pay service. Patients covered by Medicaid, TRICARE, CHIP or VA Community Care can't book through the practice online.
How long is the letter valid?
Letters typically cover up to 12 months. Your plan may require a new letter each plan year.