Pricing
Virtual doctor visit cost in Puerto Rico: three visit types
The virtual doctor visit cost in Puerto Rico depends on the visit type: a doctor visit, a follow-up and a forms visit each have a fixed published price, the same for every age. You pay by card when you request it, with no membership or insurance needed, and a doctor's note is included. If the clinic can’t see you, you get a full refund. Prices from The Health Initiative · Dr. Diana Nieves Castro, MD.
Visit type
- Not sure which? Choose this one
Doctor visit
$79
For a new problem, urgent care (non-emergencies), primary care, children, birth control, STIs, skin and acne, and visitors. Includes a doctor's note if you need one.
A doctor's note after your visit is included at no extra charge.
Follow-up visit
$49
A refill of a medicine you already take (non-controlled) and a review of lab results from a previous visit.
School and university forms
$35
School or university forms, and a medical certificate of an illness or condition the doctor evaluated, if her evaluation supports it. Does not include forms that need a vision exam, such as the DTOP driver's license form.
You’re charged when you request the visit.
Full refund if the clinic can't see you, including if your location or guardian check fails or no doctor is available.
Credit or debit card, with secure online payment
We don’t bill insurance. Itemized receipt (superbill) on request.
Pay by credit or debit card on our secure payment page (and Apple Pay, Google Pay or Link if they appear on the payment page). We do not bill insurance. Itemized receipt (superbill) on request.
We see adults and children of all ages.
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Virtual doctor visit cost in Puerto Rico by visit type
Each visit type has a fixed price, the same for every age, and you pay only for the visit you request. If you're not sure which to choose, pick the doctor visit: the doctor will assess your situation and tell you if it turns out to be something simpler.
Doctor visit
For a new problem in an online doctor visit, virtual urgent care (non-emergencies), primary care, children of all ages, chronic care, birth control, STIs, skin and acne, weight loss, and visitors. Depending on what the doctor considers appropriate for you, it includes, with no extra charge:
- Evaluation, diagnosis and a treatment plan in a real-time video visit.
- If appropriate, the doctor prescribes and we send your prescription to your pharmacy.
- A lab order for a lab near you, if needed.
- Your doctor's note for work or school, if you need one.
- If your situation needs it, advice on where to be seen in person or whether to go to the ER.
Follow-up visit
A shorter visit for two things:
- A refill of a medicine you already take (non-controlled). Anyone can book this, even if you have never been our patient. A controlled medicine needs a doctor visit, where the doctor decides what is appropriate. See prescription refills.
- A review of lab results from a previous visit with us. This part is for existing patients only. See the follow-up visit.
School and university forms
For school or university forms, and a medical certificate of an illness or condition the doctor evaluated. The doctor completes a form only when the video evaluation supports it. It does not cover forms that need a vision exam. See the online medical certificate.
Which visit to book for weight loss, low testosterone and other services
Every service uses one of these three visit types; no service has a separate price.
- Weight loss: the first evaluation is a doctor visit. Visits to go over your labs or to refill a medicine you already take (non-controlled) are follow-up visits. See weight loss.
- Low testosterone: the evaluation of your symptoms, with a lab order if needed, is a doctor visit; going over your results is a follow-up visit. See low testosterone.
- Urgent care, children, birth control, STIs, skin and visitors: doctor visit. See urgent care by video.
- A refill of a medicine you already take (non-controlled): follow-up visit.
If your visit needs more, you pay the difference only if you agree
If a follow-up or forms visit turns out to need a full doctor visit, for example because a new problem comes up, the doctor explains why and, with your consent, you pay only the difference up to the price of the doctor visit. We never charge you more without asking first.
A doctor's note is included
If you need a doctor's note for work or school after your visit, it is included at no extra charge. See doctor's notes.
What the virtual doctor visit cost doesn't include
The lab bills for lab tests, the pharmacy for medications, and whoever sees you in person for an in-person visit. We will not charge you anything more for the visit. The cost of a medicine, such as a weight loss medicine, is set by the pharmacy and the manufacturer and depends on the dose and your insurance.
No membership and no insurance needed
There is no membership, subscription or monthly fee: you pay only for the visit you request.
We do not bill insurance. On request we give you an itemized receipt (superbill) so you can file a claim with your plan yourself; whether it pays anything back depends on your plan. If your HSA or FSA card works like a debit card, you can usually use it on the payment page; whether the expense is eligible is up to your plan.
If your health plan includes telehealth, you can use it: telehealth through your plan and our self-pay visits are not either-or. If you have no insurance, read our guide to seeing a doctor without insurance in Puerto Rico.
When and how you pay
You pay when you request the visit, on Stripe's secure payment page, by credit or debit card (and Apple Pay, Google Pay or Link if they appear on that page). Payments are received by The Health Initiative, the nonprofit that runs the service. The payment page does not ask for any health information.
Cancellations and refunds
We refund you in full if the clinic can’t see you, for example if we can't confirm you are in Puerto Rico, if a patient under 21 doesn't have a parent or legal guardian present, or if no doctor is available. If you cancel 24 hours or more before your visit, you also get a full refund; within 24 hours you can't cancel and there's no refund. Details in the cancellation and refund policy.
Your right to a Good Faith Estimate
Because you pay without using insurance, you have the right to receive a Good Faith Estimate of the cost of your visit under the federal No Surprises Act. See the Good Faith Estimate.
Frequently asked questions
Does a visit for a child cost the same?
What if I booked a follow-up and need a full doctor visit?
Do I have to pay for a membership?
Does the price include medicines or lab tests?
Which payment methods do you accept?
Can I get a receipt to claim from my insurance?
My health plan includes telehealth. Why pay for a visit?
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About this page
Author: The Health Initiative
Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)
Disclosure: Founding Executive Director of The Health Initiative
Published: 2026-09-30 · Updated: 2026-10-11
Sources (1)
- No Surprises Act: your rights about medical costs (CMS) (opens in a new tab) (accessed 2026-09-30)
