Memberships & Pricing

• When is payment due?
  • GI appointments with Dr. Spiritos must be paid in full 7 days before your visit due to our waitlist.
  • Dietitian & Weight Management visits: payment is due prior to your appointment.
  • Membership visits: if your membership is current, you’re all set.
• How do I pay?
  You’ll receive a secure prepayment link by email or text within 48 business hours of booking. Payments must be made through this link. Didn’t get it? Contact us at support@everbettermedicine.health or 919-820-8469. Membership payments are collected through our membership platform, Hint.
• What if I book last minute?
  GI visits scheduled within 1 week must be paid at the time of booking (by phone or follow-up call).
• Can I set up a payment plan?
  Yes! Contact us to arrange one. As long as you stay current on your plan, your visit will proceed as scheduled.
• Need to cancel or reschedule?
  Use your patient portal or contact us. Already paid? We’ll work with you to move your payment to your rescheduled appointment date. GI appointments cancelled within 1 week of service are not eligible for refund. For Weight management or Dietitian visits, please provide at least 24 hours advance notice of cancellation to be eligible for a refund. 
• Trouble with your payment link?
  Try using Chrome, updating your browser, and clearing your cache. Still stuck? Call or email us for help.

We understand that life happens and plans can change. Our cancellation policy ensures your spot stays reserved for you, while also giving patients on our waitlist the chance to be seen in a timely manner.

For GI visits:

• More than 1 week in advance: You may choose a full refund or apply your deposit toward a future appointment.
• Less than 1 week before your appointment: Your deposit will be applied toward a rescheduled visit (no refunds).

For all other provider visits:

• Provide at least 24 hours advance notice of cancellation to receive a refund. 

After your initial consultation, you are welcome to select individual follow-up visits, as needed, or purchase a membership for ongoing support.  Membership sign up is through our partner platform, Hint Health. Sign up details will be provided after your initial visit. 

We have designed our offerings to suit our common patient needs. If you desire additional touch points, we are happy to discuss additional options or we may recommend working with our dietitian for complimentary support. 

Yes. You can sign up for a membership at any time following your initial visit. Membership start dates can also be customized or delayed at the time of enrollment. 

Memberships are non-refundable during their term. After each membership period, your membership will not automatically renew. Patients may choose to renew for ongoing care or transition to individual follow up visits on an as-needed basis. 

We accept major credit cards, HSA / FSA cards backed by major brands, and direct deposits. All payments will be made through and processed electronically through our electronic medical record or membership platform Hint, which prioritizes data security.

We will not bill insurance for our care, but all of our services carry the potential to be reimbursed by insurance as out-of-network care. Labs and imaging are likely to be covered when the lab or imaging center is in-network for your insurance. Medication coverage and cost will be dictated by your plan’s formulary; medication cost may also vary by pharmacy (and whether it is in-network for your insurance). We ask you to verify all these details, as needed, before our initial visit.

At your request, we are happy to provide a superbill that includes all services rendered. You can then take this bill to your commercial insurance provider. We also partner with Sheer Health, a company who specializes in supporting our patients through the insurance reimbursement process.

We regret that we cannot guarantee or predict a reimbursement level, which will depend on the specifics of your insurance policy. Government programs like Medicare and Medicaid will not reimburse out-of-network services. Superbills should not be submitted to these entities. 

For background information here: Traditionally, health insurance companies set the rules for provider reimbursement, which then dictates how much time we get to spend with you. By shifting to out-of-network care and keeping our patient panels smaller, our model allows us to spend more time with you at each visit, see you more frequently, and respond quickly to your questions or concerns through our inbox messaging.

Of course. If you are looking for a second opinion or a one-time, in-depth evaluation, a single comprehensive visit may be enough to review your history, symptoms and prior testing to create a personalized care plan for you. 

Working with our expert dietitian on GI or weight-related goals is a great opportunity to enhance your health journey – but it is not required! We recognize that not everyone needs a dietitian or you may have an outside nutrition guide. In some cases, our doctors will recommend that you consider working with our dietitian, though any decision will be yours to make.