Cash-Pay Telehealth

Cash-pay telehealth removes insurance from the transaction entirely. Patients pay out of pocket for consultations, memberships, or prescription programs. This model is common in aesthetics, weight loss, hormone therapy, and peptide clinics where services or compounds are either not covered by insurance or where the administrative overhead of insurance billing would erode margins below viability.

For operators, cash-pay is attractive because it simplifies billing, eliminates claim denials, and gives you full control over pricing. There is no credentialing requirement with payers, which dramatically reduces launch timelines. The model does require patient acquisition investment because patients are not coming via insurance network referrals - your marketing and conversion infrastructure matters more than in traditional care settings.

Karpa is built specifically for cash-pay telehealth operators. The platform handles intake, provider workflows, payment processing, and pharmacy fulfillment in a single system. You focus on growth; Karpa handles the clinical and operational infrastructure.