Pricing & insurance
Whether you use insurance or prefer to pay out of pocket, Lyla Health makes it easier to understand your options before your visit. Explore your coverage and self-pay pricing so you can choose the path that works best for you.
$0
advertised cost for eligible consultations
Your consultation may cost $0 when covered by your insurance plan and applicable benefits.
Copays, deductibles, coinsurance, and other out-of-pocket costs may apply depending on your plan, eligibility, and the services received.
$89
Starting at $89 — self-pay
Know your self-pay price before your consultation.
With insurance
We work to make using your health insurance straightforward. Your actual out-of-pocket cost depends on your coverage, benefits, and the services provided.
Provide your insurance details so coverage and eligibility can be evaluated, where verification is available.
Coverage, telehealth benefits, network status, copays, deductibles, and cost-sharing should be checked before your visit whenever possible.
You receive the eligible clinical service. The services provided and your specific plan determine how the claim is processed.
The claim is processed according to your plan. Any copay, deductible, coinsurance, or other responsibility may be billed per your plan and applicable law.
Your cost depends on your plan.
$0 is possible for eligible consultations when your insurance benefits cover the service without patient cost-sharing. It is not a guarantee that every insured patient will pay $0.
The most common ways patients share costs with their insurance plan.
You may pay $0 if your plan covers the eligible consultation and no cost-sharing applies.
A fixed amount you pay for a covered service, depending on your plan.
Example: If your plan requires a $25 copay for the consultation, your cost may be $25. (Illustrative only — not a Lyla Health rate or a guarantee.)
The amount you may need to pay toward covered services before your insurance begins paying according to your plan's benefits.
Example: If you have not met your deductible, you may owe some or all of the plan's applicable allowed amount.
A percentage of the applicable allowed amount that you may owe after your deductible, depending on your plan.
Example: If your coinsurance is 20%, your share may be 20% of the allowed amount, subject to your plan's terms.
Examples are for illustration only. Your actual responsibility depends on your insurance benefits, network status, eligibility, negotiated rates, and the services provided. Verification of benefits does not guarantee payment by your insurer.
Without insurance
Choose the service that fits your needs, with clear upfront pricing.
$89 per consultation
Access a regular clinical consultation with a Lyla Health provider for your eligible healthcare needs.
$129 per service
A more comprehensive review of your health needs, paired with care coordination and a personalized care plan.
Self-pay prices apply to the services described above. Additional services, prescriptions, laboratory tests, procedures, or other third-party charges are not included unless explicitly stated.
| Feature | With Insurance | Self-Pay |
|---|---|---|
| Advertised consultation cost | $0 for eligible consultations, subject to plan benefits | $89 regular consultation |
| Comprehensive health review with care coordination and personalized care plan | Coverage and patient responsibility depend on the plan and service eligibility | $129 |
| Copays | May apply | No insurance copay |
| Deductibles | May apply | No insurance deductible |
| Coinsurance | May apply | No insurance coinsurance |
| Insurance claim submission | Subject to eligibility and billing arrangements | Not submitted for the selected self-pay service |
| Price certainty | Depends on coverage and applicable benefits | Published service price, subject to clearly disclosed exclusions |
Self-pay prices cover the specified service only; any additional services or charges will be disclosed. Not every plan is accepted, and not every service is covered by every plan.
Choose insurance-based billing or transparent self-pay pricing, and take the next step toward the care you need.