Frequently Asked Questions

At Present Future Health, we practice physician-led, Internal Medicine–forward care. Rather than focusing on isolated visits or single problems, we serve as your central medical strategist—integrating history, trends, labs, and medications over time.

Care is grounded in thoughtful use of data, longitudinal trend tracking, and medication stewardship, with the goal of preserving strength, function, and independence as you age.

Even for healthy adults, traditional care often waits for disease to declare itself before intervening. We offer comprehensive prevention consults to evaluate cardiovascular, metabolic, and functional risk using family history, lifestyle, and relevant biomarkers.

The goal is to identify modifiable risk early and provide a clear, personalized roadmap to slow or prevent disease trajectories long before they become life-altering.

No. Present Future Health does not prescribe controlled substances. This includes, but is not limited to, opioid pain medications, benzodiazepines (e.g., Xanax, Valium), and stimulant medications for ADHD (e.g., Adderall, Ritalin). These medications require in-person evaluation and monitoring that fall outside our current practice model. We are happy to coordinate with your local primary care physician or specialists for these specific needs.

For patient safety, refills for chronic medications require a scheduled follow-up visit. This ensures adequate time to review symptoms, labs, side effects and response to treatment.

Medication refills are not addressed during brief acute visits, which are reserved for single, non-complex concerns.

All prescriptions are sent electronically to the pharmacy of your choice. Because we focus on longitudinal management, we prioritize medication stewardship—ensuring you are on the minimum effective dose and deprescribing medications that no longer serve your health goals.

For many Internal Medicine concerns, a detailed medical history and observed examination provide reliable clinical information. When appropriate, your physician may guide you through checking vitals or performing simple movements. Laboratory and imaging orders are sent electronically to local facilities of your choice.

We are currently licensed and seeing patients in Wisconsin. Currently all visits are virtual with future plans for in office visits when feasible.

Present Future Health is a cash-pay practice and does not participate in any insurance networks, Medicare, or Medicaid. However, you can still utilize your health insurance for external medical costs.

While our professional fees are paid directly, you can use your insurance coverage for:

• Prescription Medications: Sent to the pharmacy of your choice.

• Laboratory Tests & Imaging: Ordered by the physician and performed at the facility of your choice (e.g., Quest, LabCorp, or local hospitals).

• Durable Medical Equipment (DME): Such as glucose monitors, ambulatory devices or catheters.

We also provide Superbills upon request, which you may submit to your insurance for potential out-of-network reimbursement. Our services generally qualify for HSA/FSA spending.

Visit fees are listed on the booking page at the time of scheduling.

To preserve care quality and responsiveness, membership enrollment is limited. A Founding Member rate (10% off the standard monthly fee) is available to the first 10 enrolled members.

Acute visits are reserved for single, straightforward concerns. If additional issues arise that require chronic disease management or more extensive clinical decision-making, the visit may be converted to a standard follow-up appointment.

We understand that life is unpredictable. If you need to make changes, we kindly ask for at least 24 hours' notice. This allows us to offer that time to another patient who may be waiting for care.

Yes. Because we reserve a significant block of time specifically for you, the following flat fees apply to appointments changed or missed with less than 24 hours' notice:

• 90-Minute Sessions: $262

• 60-Minute Sessions: $175

• 30-Minute Sessions: $100

• 15-Minute Sessions: $55

Our Guarantee: Unlike high-volume clinics, we do not double-book. When you schedule, that time is reserved exclusively for you.

The Policy: Because we provide dedicated one-on-one care, a late cancellation or no-show leaves a gap that cannot be filled on short notice. To maintain this model of personalized service and ensure fairness to patients on our waitlist, a flat fee is applied to any appointment changed with less than 24 hours' notice.

We value our relationship with you and understand that emergencies happen. Please contact us as soon as possible to discuss your situation; one-time exceptions may be made at the physician's discretion.

The easiest way is to use the link found in your confirmation text or email, or you can email our office directly.