Healthy Skin Starts with Understanding
Timely access, thorough care, clear options, and guidance so you can make informed choices about your skin health.
- Monday - Friday: 8:00 am to 5:00 pm
- Telehealth available for certain conditions
Why SkinWise
Dermatology Done Differently
At SkinWise, we practice direct care on purpose. Dr. Sago founded this practice to remove the barriers that get in the way of good care: rushed appointments, insurance checklists, and not enough time to actually talk. Here, the focus is entirely on you.
- Commitment to Excellence in Skin HealthServing the Tri-Cities community for over 22 years
- Empowering Patient-Centered CareFreed from insurance constraints, we focus solely on your health goals
- Uninterrupted Time with Your ProviderAppointments long enough to address concerns and answer questions
- Service in Spanish AvailableDiana Ramirez, PA-C, provides appointments in English or Spanish, making expert dermatology accessible to more families in our community
Our Services
Find the Care You Need
No insurance approvals. No referrals. Just the care that makes sense for you, in person or via telehealth.
Medical Dermatology
Acute Rashes & Skin Infections
Lesions, Moles & Warts
Chronic Skin Diseases (Eczema, Psoriasis & Lupus, etc.)
Skin Cancer Screening
Careful Skin Checks Based on Risk
Cancer Prevention Strategists
Referrals to Surgeons When Needed
Cosmetic Treatments
Chemical Peels & LaseMD Ultra®
Neuromodulators
Fillers & Biostimulators
Microneedling
SKINVIVE® & VAMP
HydraFacial®
Hair Loss Center of Excellence
Diagnostic Exams & In-Office Labs
PRP & Red Light Therapy
Prescription Medications
Diagnostic Biopsies
What to Expect
Schedule
Book your appointment online or give us a call. No referral needed—we make getting started as easy as possible.
Your Visit
We take time to listen, examine thoroughly, and explain what we see—in terms that make sense to you.
Your Plan
Together, we'll discuss your options and create a plan that fits your health, life, and budget.
Transparent Pricing
You'll know the cost upfront. No insurance claims, just simple, transparent care.
Common Questions
Direct Care, explained:
Direct care might be new to you. Here are the questions we hear most often.
Many patients spend $200 or more on copays, deductibles, and coinsurance for a single insurance-based dermatology visit. At SkinWise, you’ll know the exact cost upfront, often comparable or less. Have questions about cost? Just ask us.
We don’t bill insurance companies for our services. However:
- HSA/FSA cards are accepted for all non-cosmetic medical & surgical services.
- Pathology services will go through your insurance or you can access our excellent cash prices.
- Labs can be billed through insurance or we have great prices for in-office labs.
- Prescriptions go through insurance.
- Upon request, we can provide a superbill for you to submit to your insurance. Please note that, in our experience, our visits typically do not apply toward your deductible or result in reimbursement.
We can submit claims for patients with Traditional Medicare as “non-participating” providers. We’re held to a different fee schedule, so your reimbursement may be slightly less than if you saw a participating provider. You pay us at check-out, and Medicare then reimburses you directly. Medicare also forwards any remaining charges to your supplement, if you have one, which then issues a second check. The whole process takes about six weeks.
Please note: this is NOT the process for Medicare Advantage, and many patients aren’t sure whether they have a Medicare Advantage plan or a Medicare Supplement. If you’re unsure, call the number on the back of your supplement (secondary) card and ask.
If you have a Medicare Advantage plan, we cannot submit claims on your behalf. On request, we can provide a document you can use to file a claim yourself. In our experience, most Medicare Advantage plans do not reimburse patients, since they keep costs down by limiting choice.
Direct care means we don’t have a contract with any insurance company. Our relationship is purely with the patient. You pay directly at the time of your visit, similar to how you’d pay your hairstylist or accountant. This allows us to focus 100% on you, not insurance requirements. You can learn more about our approach here.
No referral needed, even if your insurance plan typically requires one. Insurance companies use referral requirements to control access to specialists, but in direct care there’s nothing standing between you and the appointment you need.
Patient Stories:
The SkinWise Difference
“I had such a wonderful experience at SkinWise Dermatology! Dr. Sago is incredibly knowledgeable, friendly, and truly takes her time to listen and answer every question without making you feel rushed. You can tell she genuinely cares about her patients and wants the best outcome for them. The office staff is also amazing — everyone is kind, welcoming, and professional.”
Jena Rhodes
Medical Dermatology Patient