Telepsychiatry in Virginia and Florida · Private pay, per visit · Physician led
Every fee, in writing, before you book.
Private patients are seen out of network by Sonia Mia Diaz, MD, and pay per visit, with a superbill after each visit to send to their plan. Their plan decides any reimbursement. No membership is required. Welmivia Access, our Medicare line, bills Original Medicare directly.
Visits
Visit fees
Initial evaluation, 60 minutes by video
Where most new patients start. Your history, current medications, what has and has not worked, and a plan. Every patient gets a written visit summary after each visit.
Extended evaluation, 90 minutes by video
For histories that need more room.
Follow-up with psychotherapy, 30 minutes by video
Medication management plus supportive psychotherapy. Established patients.
Medication follow-up, 15 minutes by video
Medication review, brief symptom check, prescription management. Established patients.
Fit call
A short phone call with the Care Team to check fit and coverage before you book. Not a clinical visit.
A $150 deposit holds your first appointment and is applied to your evaluation. You receive a Good Faith Estimate of expected charges when you schedule.
Out-of-network estimate
What your plan may pay back
You pay Welmivia's fee at the visit and get a superbill to send to your plan. If your plan has out-of-network benefits, it may reimburse part of the fee. Enter what you know about your plan for a rough estimate. It is not a quote and not a bill; your Good Faith Estimate from Welmivia and your plan's own answer are what count.
Picking your carrier fills in what is known about how it sets out-of-network allowed amounts and whether its plans tend to cover out-of-network care. Your own plan documents decide.
Every 2026 individual-market plan sold in Florida is an HMO or EPO, and most sold in Virginia are too. Those plans pay nothing out of network. Employer PPO and POS plans usually do.
On your insurer's site or app, or ask them. Enter 0 if it is met.
Of the plan's "allowed amount", not of Welmivia's fee.
The two methods insurers describe in their disclosures. Ask your carrier which one your plan uses.
Cigna's disclosure lists 110%, 150% and 200% as the choices an employer can make. Your plan documents say which percentage applies to yours.
Plans never allow more than the billed charge: the plan compares its percentile figure for your area with Welmivia's charge and uses the lower one. This estimate uses Welmivia's fee. To check your own area, look up each code at fairhealthconsumer.org (free, for your personal use). If the total for your codes comes out lower than the fee, choose "I know my plan's allowed amount" and enter it.
What you pay at the visit
$350.00
Estimated net cost after reimbursement
$350.00
How this estimate works, and what to ask your plan
- Private patients pay Welmivia's fee at the visit and receive a superbill, an itemized receipt with the visit codes, to send to their insurer.
- If the plan has out-of-network benefits, it applies its own "allowed amount" to each code, counts that against your out-of-network deductible, and then reimburses you a percentage of what is left. The allowed amount is set by the plan, not by Welmivia, which is why this is an estimate.
- Four questions for the number on your card: Do I have out-of-network benefits for outpatient mental health? How much of my out-of-network deductible is left? What percentage do you pay after the deductible? How do you set the allowed amount for CPT 99205, 99214 and 90833 out of network: a percentage of Medicare (and which percentage), or a percentile of billed charges?
- Insurers describe two methods in their own disclosures. UnitedHealthcare says its plans most often use the 80th percentile of FAIR Health billed charges, with a percentage of Medicare on some plans. Cigna offers employers a percentile of billed charges (often the 70th or 80th) or 110%, 150% or 200% of a Medicare-based schedule. Aetna's "recognized charge" is defined in each plan's documents.
- Welmivia gives every private patient a Good Faith Estimate at scheduling. That document, not this page, is the estimate that counts. Reimbursement comes from your insurer, not from Welmivia, and Welmivia cannot guarantee any amount.
Medicare rates used for the percentage method: CMS Physician Fee Schedule 2026, Virginia, participating physician, home video visit (99205 $231.44, 99214 $133.10, 99215 $188.77, 90833 $80.44, 90836 $101.95, 96127 $4.83; 99417 is not paid by Medicare and is estimated at the G2212 rate, $33.37). Out-of-network methods: UnitedHealthcare out-of-network reimbursement disclosure, Cigna Maximum Reimbursable Charge description, Aetna plan documents, read October 2026. Plan types by market: Florida Office of Insurance Regulation and Virginia State Corporation Commission 2026 individual-market guides. No FAIR Health data is used on this page.
Three visits, billed per visit
Adult ADHD evaluation
Visit one: initial evaluation, 60 minutes
Identifies and rules out other explanations before any ADHD testing.
Visit two: ADHD diagnostic interview, 90 minutes
A structured diagnostic interview (DIVA-5) with collateral history where available.
Visit three: results and treatment plan, 30 minutes
Diagnosis, written report, and medication management if indicated.
All three visits
Labs and a urine drug screen are required and billed by the lab.
Already diagnosed elsewhere? Book an initial evaluation; Dr. Diaz reviews your records and tells you whether the full pathway is needed. More about the ADHD evaluation.
Good to know
Deposits, cancellations, labs and extras
Deposit and cancellations
A $150 deposit holds your first appointment and is applied to your evaluation. Please cancel or reschedule at least 24 hours ahead. A $75 fee applies to a late cancellation (less than 24 hours notice) or a missed appointment; the first one may be waived. If you cancel your first appointment in time, the deposit stays on your account as a credit, or is refunded on request.
Labs and testing
Dr. Diaz orders labs when they matter for your care, through Quest or Fullscript depending on how you pay for labs. You deal with the lab directly; Welmivia does not bill for labs. When pharmacogenomic testing may help with medication choice, she can order it; the testing lab bills you directly.
Letters, forms and messages
Letters, forms and reports carry a separate fee, quoted before we start. Portal messages are for scheduling and brief questions. If a message needs a clinical decision, you can choose a short e-visit by message or a scheduled follow-up; we tell you before anything is billed.
Superbills and HSA/FSA
After each visit you get a superbill with the visit and diagnosis codes, the physician's NPI, the date and the fee paid, to submit to your plan yourself. Plans vary; many pay nothing until an out-of-network deductible is met. Visit fees are generally HSA and FSA eligible; confirm with your plan.
Optional
Signature membership
$125 a month or $1,250 a year
For private patients who have completed an evaluation and want easier access between visits: priority scheduling, evening appointments 5 to 8 pm as available, messages answered within one business day, no e-visit charges, and your written Blueprint care plan. It is not insurance and does not include visits, which are billed per visit. Not available with Medicare. Never required for any prescription. About Signature.
Welmivia Access
Medicare patients
Original Medicare, billed directly
Welmivia Access sees adults in Virginia and Florida with Original Medicare Part B, with or without a Medigap supplement. There is no membership fee and no cash pay on this line. You may owe the Part B deductible ($283 in 2026) and 20% coinsurance; Medigap usually covers the 20%. We can't see Medicare Advantage or Medicaid plans. Book a Medicare appointment.
Separate pathway
Virginia medical cannabis certification
New evaluation
First-time certification. Booked on its own page.
Annual renewal
Existing cannabis patients only.
Prices are for care with Sonia Mia Diaz, MD, by video, for patients located in Virginia or Florida at the time of the visit. Uninsured and self-pay patients receive a Good Faith Estimate before scheduled care. Full terms: Policies, terms and privacy.
Welmivia is not a crisis service. In an emergency, call 911 or 988.
Get in touch
Contact Welmivia
Questions about services, scheduling, or what to expect? We respond within one business day.
Existing patients: log into the patient portal for clinical messages.
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