Expert geriatric care, without the waiting room.
Medication conflicts. Memory concerns. Fall risk. Our geriatricians see the full picture — in a 45-minute video visit, from wherever you are.
Not ready to book? See how a visit works first →
What happens during a visit
No surprises. Here is the entire 45 minutes, beat by beat. You'll know exactly what to expect before you ever click "join."
Introductions & Setup
Your geriatrician joins the video call, confirms who is present (patient, family members, referring physician), and ensures the connection is clear.
History & Context
We listen first. You describe what's been happening in your own words — no checklist, no rushing. The doctor takes notes and asks clarifying questions.
Clinical Assessment
Depending on your concern, we conduct a guided cognitive screen, review your complete medication list, or walk through a mobility and fall-risk assessment via video.
Findings & Plain-Language Explanation
Your doctor explains what they observed, draws a simple diagram if helpful, and answers every question until the picture is clear.
Care Summary & Next Steps
You receive a written summary within 24 hours — shared with your primary care physician if you choose. Recommendations are specific and actionable.
What we look for
Geriatric medicine is different from general medicine. Aging bodies and aging minds require a different lens. Here are the six areas every Consult visit covers — tap any card to learn more.
Memory & Cognition
We distinguish normal age-related forgetfulness from early signs of MCI or dementia using validated screening tools.
Our geriatricians use the MoCA, MMSE, and clock-drawing tests alongside a detailed history. We look at the pattern, progression, and functional impact — not just a score.
Medication Review
The average Medicare patient takes 5–8 medications. Conflicts and inappropriate prescriptions are more common than most physicians realize.
We review every medication using the Beers Criteria and STOPP/START guidelines specifically designed for older adults. We look for drug-drug interactions, dosing issues, and medications that may be causing more harm than benefit.
Mobility & Fall Risk
Falls are the leading cause of injury in adults over 65. We identify treatable risk factors before the first fall happens.
We assess gait, balance, muscle strength, home environment hazards, and contributing medications. A structured fall prevention plan is included in every visit summary.
Chronic Condition Management
Heart disease, diabetes, and COPD behave differently in older adults. Generic guidelines often miss what matters most.
We review how chronic conditions interact with each other and with aging physiology. Treatment targets for a 78-year-old should not be identical to those for a 55-year-old.
Mood & Social Health
Depression in older adults is frequently missed and often looks different than in younger patients. Isolation compounds every other risk.
We screen using the Geriatric Depression Scale and ask about social connection, purpose, and daily routine. Mental health in aging is inseparable from physical health.
Care Planning & Goals
What does the patient actually want? Advance directives, living situation, and future planning deserve a dedicated conversation.
We discuss advance care planning, family communication, and what "living well" means for this specific person. We help families understand the difference between curative and comfort-focused goals.
The Family Caregiver's Guide to Geriatric Care
A plain-language PDF covering what to watch for, how to organize medications, and when to seek specialist care. Used by over 4,200 families.
How families stay informed
Managing a parent's care from another state means you're always waiting for the call after the appointment. We built a different system.
Written Care Summary Within 24 Hours
Every visit produces a plain-language summary — not a clinical note. What was discussed, what was found, and exactly what to do next.
Shared With Your Whole Care Team
With your permission, we send the summary directly to the primary care physician, any other specialists, and family members you designate.
Follow-Up Reminders for Recommended Actions
If we recommend a lab test or a medication change, you get a follow-up message 30 days later asking if it happened. We don't just close the chart.
Shared with: Dr. James Okafor (PCP) · Sarah Whitfield (daughter) · Patient portal
What it costs
No surprise bills. No hidden fees. We accept Medicare and most major insurance plans. If we can't confirm coverage before your visit, we'll tell you exactly what you'll pay.
Medicare
After standard Medicare cost-sharing. Most patients pay $0.
- Medicare Part B covers telehealth geriatric consultations
- Medicare Advantage plans typically $0 copay
- We verify your coverage before the visit
Most Insurance
Specialist copay, billed to your insurance. We handle the paperwork.
- BCBS, Aetna, UnitedHealthcare, Cigna
- In-network in 42 states
- Benefits check included before scheduling
Self-Pay
Flat rate. No insurance required. Superbill provided for HSA/FSA reimbursement.
- 45-minute consultation included
- Written care summary included
- Care coordination with PCP included
Referring a Patient?
Physicians can refer directly. We accept e-consult requests, communicate findings back to the referring provider, and bill insurance on behalf of the patient. No new patient forms, no portal setup required.
"My mother takes eleven medications from four different doctors. In forty-five minutes, Dr. Chen found two dangerous interactions nobody had caught in three years. I cried on the call — the good kind."
