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Self-pay telemedicine · California · Massachusetts · Michigan

Book a Telemedicine Visit

Direct physician care with R. Bart Sangal, MD — board-certified in Sleep Medicine and Obesity Medicine. Every visit is with the doctor himself. No insurance maze, no handoff to a PA or NP.

Fees shown before you book · Secure online payment · Appointments start on time

New to the practice?

Choose the first visit that fits you.

New Patient Evaluation

$585

About 45 minutes. A comprehensive telemedicine visit with Dr. Sangal covering your sleep, weight, medications, and health history — ending with a personalized plan.

Introduction to Dr. Sangal

$195

A brief 15-minute meeting if you would like to meet Dr. Sangal before scheduling a New Patient Evaluation. No evaluation or treatment is provided, and no doctor-patient relationship is established.

Secure online booking · Payment collected at booking · Fees shown before you confirm

Already a patient?

Follow-up visits are scheduled through your patient portal, where Dr. Sangal can also see your records and messages.

Follow-up visit (about 15 min): $225, billed per visit.

Who this visit is for

Adults and adolescents in California, Massachusetts, or Michigan who want direct physician care for sleep apnea, excess weight, weight-related health risk, insomnia, or restless legs syndrome. Many patients come after trying CPAP, weight-loss advice, commercial telehealth programs, or rushed specialist visits, and want a more complete plan.

Telemedicine visits are available to anyone physically located in California, Massachusetts, or Michigan at the time of the visit. Sleep medicine is offered in California and Massachusetts; care in Michigan is limited to obesity medicine.

The practice is self-pay and does not bill insurance. Invoices can be provided for you to submit to your insurer for possible reimbursement. No controlled substances are prescribed, and the practice is not for medical emergencies, children younger than 10, or problems requiring an in-person exam.

Fees and what to expect

Visit fees are shown before you book, and payment is collected securely online at the time of booking. Outside labs, medications, and devices may be billed separately by the provider or pharmacy.

Visit
Fee
New Patient Evaluation

about 45 min

$585
Introduction to Dr. Sangal

15 min, no evaluation or management

$195
Follow-up visit

about 15 min

$225
Home sleep apnea test
$550
Weight-management membership

first 6 months, 14 visits

$3,000
Prior authorization

unless done during the visit

$150
Portal message review & response
$75 / 5 min

80% refund if cancelled at least 2 business weeks before the appointment; 50% refund if cancelled at least 2 business days before.

Your first visit includes a review of your sleep history, weight history, medical conditions, medications, prior sleep studies or CPAP data if available, and your goals. Dr. Sangal will discuss whether medications, sleep testing, CPAP changes, lifestyle treatment, or additional lab work are appropriate.

Book a Telemedicine Visit in four simple steps

From booking to follow-up, everything happens from the comfort of home.

Book online

Choose your visit and time, and pay securely. You see the fee before you confirm.

Meet with Dr. Sangal

Your visit is with the physician himself, by secure video, from home.

Get your personalized plan

Evaluation, testing if needed, and treatment options explained clearly.

Ongoing care

Follow-ups are scheduled from your patient portal, and Dr. Sangal remains your doctor throughout.

Before your first visit

Common questions

No. The practice is self-pay only, but can provide invoices you may submit to your insurer for possible reimbursement.

California, Massachusetts, and Michigan. You must be physically located in one of these states at the time of your telemedicine visit. Sleep medicine is available in California and Massachusetts; Michigan is limited to obesity medicine.

You can usually be seen within a week. The New Patient Evaluation is about 45 minutes.

Through your patient portal, using the link above. New-patient booking is only for first visits.

Ready when you are.

A telemedicine visit with Dr. Sangal is a practical first step toward answers and a plan.

Self-pay · Telemedicine for residents of California, Massachusetts & Michigan

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