What is Direct Care Dermatology?
More time with your provider. Transparent pricing. Care that’s focused entirely on you.
— Dr. Joni Sago
A Simpler Way to Access Dermatology
Direct care means we don’t bill insurance companies. You pay directly at the time of your visit—and in return, you get something that’s become rare in healthcare: time.
Without insurance paperwork dictating how long appointments can be or what treatments are “approved,” our skin experts can focus entirely on you. We can listen. Explain what we’re seeing. Answer your questions. And help you make a decision that actually makes sense for your life.
Patient-Centered Focus
Freed from insurance constraints, we focus solely on your health goals.
What This Means for You
Longer Appointments
At SkinWise, you're not rushed. Your visit is as long as it needs to be, with time for questions and real conversation.
Transparent Pricing
You'll know the cost before your treatment. No surprise bills, no confusing insurance statements weeks later.
A Provider Focused on You
When insurance isn't involved, there's no middleman. Our only responsibility is to the patient.
A Few Things to Know
It's not concierge medicine.
There's no membership fee or monthly subscription. You simply pay for each visit.
It's not just for the wealthy.
Many patients find direct care costs about the same—or less—than insurance-based visits once you factor in copays, deductibles, and surprise bills.
It's not cutting corners.
You're getting more time and attention, not less. Direct care lets us focus on quality, not volume.
How Insurance Still Works
We don’t bill insurance for office visits—but that doesn’t mean your insurance
is useless. Here’s how it works:
HSA/FSA Accepted
HSA/FSA cards are accepted for all non-cosmetic medical and surgical services.
Labs & Pathology
You can use our cost-effective in-office lab, or your insurance. Pathology can be billed through insurance, and we offer affordable rates for those without.
Prescriptions
Prescriptions go through your pharmacy and insurance as usual, or we will help you find an affordable cash option.
Insurance Documentation
If you're likely to meet your out-of-network deductible, we'll add insurance codes to your receipt upon request.
Is Direct Care Right for You?
You might be a good fit if...
You want to understand what's going on with your skin and how it affects your overall health
You have a high deductible and want care that's affordable out-of-pocket
You're tired of rushed appointments where there's no time to ask questions
You want a provider who's focused on you, not insurance paperwork
You value knowing exactly what something costs before you commit
You have unwanted spots you'd like removed at a fair, upfront price
Questions? We're Happy to Explain.
Direct care might be new to you—and that’s okay. If you’d like to learn more before booking, give us a call. We’re happy to walk you through how it works.