FAQs

What is Skinsage?
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Skinsage is an online telemedicine practice of board-certified dermatologists and supervised dermatology physician assistants. We offer store and forward and chat based care. Live video visits can also be made upon request.

Dr. Mikkilineni and her colleagues believe in an integrative approach to the management of chronic skin conditions. What is integrative dermatology?
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A practice of dermatology that includes the best approach to treating skin conditions utilizing the paradigms of eastern, western and complementary medicine, in partnership with the patient. The core tenets of practice are as follows:

  1. Patient and practitioner are partners in the healing process.
  2. Factors that influence health, wellness, and disease are taken into consideration, including mind, spirit, and community, as well as the body.
  3. Appropriate use of both conventional and alternative methods facilitates the body’s innate healing response.
  4. Effective interventions that are natural and less invasive should be used whenever possible.
  5. Integrative medicine neither rejects conventional medicine nor accepts alternative therapies uncritically.
  6. Good medicine is based on sound science, is inquiry-driven, and is open to new paradigms.
  7. Alongside the concept of treatment, the broader concepts of health promotion and illness prevention are paramount.
  8. Practitioners of integrative medicine should exemplify its principles and commit themselves to self-exploration and self-development. Our store and forward visits will include supplement recommendations by patient request, or if one of our physician's believes it will optimize care.
Do you offer home testing kits as part of the integrative dermatology focus?
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At this time we do not offer home testing kits.

Do you take insurance?
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FSA and HSA credit cards and accounts may be used to pay for medical services. At this time, we are unable to see Medicare or Medicaid patients and unable to accept commercial insurance.

Are prescriptions covered or are they an additional cost?
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This depends on your insurance coverage. Whenever possible we attempt to prescribe medications to our network of trusted pharmacies who want to get you the recommended treatment to you at the best price. We also work directly with compounding pharmacies to create customized prescriptions for you.

Will I need to pay for follow up visits?
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Yes, medical care and advice may seem like it ought to be free, but every time a doctor provides a medical opinion or prescription there are accrued administrative and legal responsibilities towards you as their patient. Our pricing for follow up visits are in line or in many cases, less expensive than in office copays (starting at $45 for simple refills and $150 for a visit that involves treatment modification, photo review or chat).

Visit Type Cost Notes
Photo Only Visit
(new or follow up)
$150 per visit Includes photo upload and access to the chat feature
30 minute video visit
(new or follow up)
$375 per visit Includes a video visit of up to 30 minutes and access to the chat feature
15 minute video visit
(new or follow up)
$225 per visit Includes a video visit of up to 15 minutes and access to the chat feature
Topical Prescription Refills $45 per refill Prescriptions are valid for 6 months
Oral, Injectable, and Phototherapy refills $59 per refill Prescriptions are valid for 3 to 6 months depending upon safety and insurance requirements
What states are Skinsage doctors able to do online visits?
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Currently we are active in Arizona, Connecticut, Delaware Florida, New York, New Jersey, Maryland, Massachusetts, Hawaii, Kentucky.

How do I know it's really a doctor looking at the photos?
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Once you start the questionnaire you enter a secure portal where only you have access. Similarly, each of our doctors goes through a verification process and can only access your data using their unique security access.

How do I pay?
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Payment is via credit card processed via Stripe and is secure.

Visit Type Cost Notes
Photo Only Visit
(new or follow up)
$150 per visit Includes photo upload and access to the chat feature
30 minute video visit
(new or follow up)
$375 per visit Includes a video visit of up to 30 minutes and access to the chat feature
15 minute video visit
(new or follow up)
$225 per visit Includes a video visit of up to 15 minutes and access to the chat feature
Topical Prescription Refills $45 per refill Prescriptions are valid for 6 months
Oral, Injectable, and Phototherapy refills $59 per refill Prescriptions are valid for 3 to 6 months depending upon safety and insurance requirements
What happens if the photos I send in are poor quality?
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We will review the photos and request additional ones along with our advice on how to take the best photos.

Will I get a prescription?
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Yes, if the doctor believes you need prescription medicine, this will be prescribed.

When will I see results?
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This depends on the diagnosis. Generally, improvement can be seen as soon as two weeks, but typically 8 to 12 weeks is when significant improvements are noted.

Where will my prescription be filled?
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Your prescription will be filled at the pharmacy you provide for us. If you do not provide a pharmacy we will send the prescription to one of our pharmacy partners in your area.

How old do I have to be to use Skinsage?
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You must be 18 years of age to access Skinsage without a parent or guardian. If you are under 18, your parent or legal guardian must set up the visit on your behalf and will be involved with all communication.

Will any treatments require lab work?
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Some diagnoses and treatment protocols will need laboratory work. We can send these orders to you directly via fax, email or digitally and you may obtain blood-work at a laboratory of your choice.