Questions people ask

No. Mend is out of network with insurance plans and does not take Medicare or Medicaid. You pay for each visit yourself, and we give you a monthly receipt you can send to your plan.

A superbill is an itemized monthly receipt with the dates and kind of visit, which you can send to your plan. The plan may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see, and your plan decides whether it pays anything.

If you pay without insurance, you have the right to a written estimate of your costs before you start. We send you one before the first visit. If the final bill is $400 or more above it, you can dispute the bill. The estimate is not a contract.

The fee depends on the kind and length of the visit, and we send it in writing before the first visit. You pay at the end of each visit by card, and HSA and FSA cards work. Ask how to request a reduced-fee visit.

It lasts 60 minutes. Ghada asks about your history, how you have been feeling and any medicine you take now, explains how she works and the limits of confidentiality, and you decide the next step together. Nothing is prescribed before an evaluation.

After the first visit, follow-ups are 25 minutes, sometimes 45. Your nurse practitioner sets the pace with you, and many people come every few weeks at first, then less often.

Ghada holds a North Dakota license, listed at the foot of every page. Visits by video are for people who are in North Dakota at the time of the visit. If you live elsewhere, we will tell you so on the first call and help you look for someone nearer.

Call or text 988 (the Suicide and Crisis Lifeline), any time. In an emergency, call 911. Mend is not an emergency service, and messages are not read right away.

We keep your records private and share them only as the law allows. Before you start we explain the limits in writing, such as a risk of serious harm to you or someone else.

Mend does not prescribe controlled medications to anyone, however you meet, and no medicine is prescribed before an evaluation. Our prescribing policy explains what we do and do not prescribe, and why.

Sometimes. Whether you need labs depends on your history and the medicine we are discussing, and Ghada explains why before she asks for any. The lab bills you for the tests, not Mend.

It depends on the week. When you write or call, we tell you the first open time and what to expect before it, so you are not left waiting without an answer.