Your visit, made simpler
A little preparation.
A clearer path forward.
Find answers about payment, appointments, medical records, and your visit. Select a question below to see the answer.
Payment at a glance
We do not accept commercial or private insurance, Medicare, or Medicaid. Payment is due in full at the time of scheduling. HSA and CareCredit accepted.
Insurance & Payment
Do you accept medical insurance?
No. COVID Institute does not accept medical insurance, including commercial or private insurance, Medicare, or Medicaid. Patients are responsible for the full cost of their care.
Why don’t you accept commercial insurance, Medicare, or Medicaid?
Our evaluation and treatment model does not fit well within the structure of traditional insurance-based medicine.
Our visits are often substantially longer and more comprehensive than standard medical appointments. We evaluate complex medical histories, prior testing, symptom patterns, treatment responses, and multiple interacting physiologic mechanisms. Treatment plans are highly individualized and may include specialized or emerging approaches that do not fit neatly within conventional insurance coverage and authorization pathways.
Remaining outside of the insurance system allows us to structure visits around the time and clinical complexity required for each patient and to make treatment decisions based on the individual patient rather than insurance coverage requirements, predetermined treatment pathways, or reimbursement rules.
For these reasons, our practice is fully direct-pay and does not bill commercial insurance, Medicare, or Medicaid.
Why don’t you provide a superbill for me to submit to my insurance?
A superbill is not simply a receipt. It is a medical billing document that assigns standardized diagnosis and procedure codes, including CPT codes, to the services provided so that an insurance company can process a claim.
Our consultations do not fit neatly within standard CPT evaluation-and-management (E/M) coding. Conventional office-visit codes do not adequately describe the scope, structure, or complexity of the work we perform.
Our evaluations may involve extensive review of prior records and testing, detailed analysis of symptoms, triggers and treatment responses, assessment of multiple interacting physiologic mechanisms, development of an individualized treatment strategy, and ongoing reassessment of how those mechanisms and treatments interact.
Reducing this work to a conventional office-visit CPT code can misrepresent the nature and complexity of the service actually provided. Because we do not use standard CPT-based billing to define these services, we do not generate superbills for submission to commercial insurance, Medicare, or Medicaid.
Why are SGB and EAT procedures direct-pay?
Insurance reimbursement depends on both the procedure performed and the condition being treated. Having a billing code does not, by itself, establish insurance coverage.
Stellate ganglion block (SGB): CPT 64510 describes an anesthetic injection targeting the stellate ganglion (cervical sympathetic). The specialized procedure Dr. Groysman performs does not fit neatly within that standard description. Coverage for conventional SGB for certain pain conditions does not establish coverage for its use in long COVID, ME/CFS, or neuroinflammation.
Epipharyngeal abrasive therapy (EAT): EAT does not have a dedicated CPT code.
At our practice, both procedures are offered on a direct-pay basis for long COVID, ME/CFS, or neuroinflammation. Patients should not expect insurance reimbursement for these indications. Individual plan benefits and coverage decisions may vary; our office does not bill insurance for these procedures.
When is payment due?
Payment is due in full at the time of scheduling.
Do you accept HSA payments or CareCredit?
Yes. We accept Health Savings Account (HSA) payments and CareCredit.
Do you offer or arrange payment plans?
No. Our office does not offer or arrange payment plans. Any financing through CareCredit is handled directly by CareCredit.
How are refunds issued?
Refunds are processed at the end of each month. Refunds are issued only to the original payment method. We cannot issue refunds using a different payment method.
Consultations & Follow-up
What consultation lengths do you offer?
We offer 20-minute and 40-minute consultations. New consultations are always 40 minutes.
What if I need clarification after my consultation?
If you need clarification about something discussed during your consultation, please contact our office.
What if I have a new concern or topic to discuss?
New concerns or topics that were not discussed during your consultation require a new consultation. Please contact our office to schedule another appointment.
How often should I schedule a follow-up consultation?
We typically recommend scheduling follow-up consultations no more than three months apart.
I can’t afford a follow-up visit. Can’t I just email or call you to explain how my medication is working and get a refill?
We understand that medical care can be expensive, especially when managing a chronic illness.
However, we cannot routinely refill medications without an appropriate follow-up consultation. An email or informal phone call explaining how you feel or whether a medication is helping does not replace a medical evaluation.
Before continuing a prescription, we need to determine whether the medication remains appropriate, whether it is causing side effects, whether the dose needs adjustment, and whether continued treatment is safe. This is especially important because your condition, medications, and health needs may change over time.
What if I cannot afford another visit?
We want to help you find a practical solution. Depending on your medical situation, options may include:
- Less frequent follow-ups: If your condition is stable, we may be able to extend the time between appointments.
- Your primary care physician: Your regular physician may be willing to take over routine medication refills and monitoring.
- Prioritizing essential medications: We can focus on the treatments that provide the most benefit and discuss less expensive alternatives when appropriate.
- Planning ahead: Before your prescription runs out, contact our office to determine when your next evaluation is required so you can plan accordingly.
We do not require follow-up visits simply to charge for prescription refills. Follow-ups allow us to monitor your progress, reassess treatment, and ensure that continuing your medication remains medically appropriate.
If you cannot schedule a follow-up, please contact our office before running out of medication. Some medications should not be stopped abruptly, and we can advise you on how to obtain timely medical care.
Our goal is to make your treatment as accessible as possible without compromising your safety.
Can I send my history, medications, or summary by email or Messenger for an evaluation?
Clinical evaluation and medical decision-making require a scheduled consultation. We cannot evaluate your condition, recommend treatment, or adjust medications through email, Messenger, or informal phone calls.
Please do not send your medical history, medication list, or health summary by email or Messenger for review. Instead, upload these documents through the RootQ intake link sent to your email. Complete your intake and upload your documents more than 24 hours before your consultation, using the appropriate upload sections. Emailed records will not be processed.
You may contact our office with administrative questions or for clarification about instructions from a prior visit. New concerns, clinical reassessments, and treatment decisions require a scheduled consultation.
Preparing for Your Visit
How do I submit my lab results and medical records?
Complete your intake and upload all documents as PDFs through the RootQ intake link sent to your email more than 24 hours before your consultation. RootQ has separate upload sections for labs, supplements, medications, medical records, and your summary. Upload each document in the appropriate section.
Do not email your records to our office. Records sent by email will not be processed.
How do I prepare for my first consultation?
Upload only information relevant to the reason you are seeing Dr. Groysman. Please do not upload hundreds of pages of records; that volume cannot be meaningfully reviewed before a visit.
Please prepare:
- A two-page summary of your relevant medical history that you write yourself.
- Your current medication list.
- A list of your current supplements.
- Important test results or records directly related to the problem you want addressed.
All documents must be PDFs. Complete your intake and upload your information more than 24 hours before your consultation through the
RootQ intake link sent to your email. Use the appropriate upload sections for
labs, supplements, medications, medical records, and your summary. Emailed records will not be processed.
Write down your questions ahead of time. We understand that brain fog can make it difficult to remember your questions. Try to write them down before your consultation, with the most important questions first. Dr. Groysman usually prefers to begin by answering your questions before asking his own.
Decide what you want to accomplish. At the start of your visit, Dr. Groysman will ask, “What can I do for you today?” Tell him whether you want an evaluation and treatment plan or help with a specific concern, such as POTS, dysautonomia, MCAS, hormone imbalance, endothelial dysfunction, or mitochondrial dysfunction.
The questions he asks depend on the concern you want addressed. Keep the goal reasonably focused, and allow him time to ask questions and gather the information needed for your evaluation.
Make the most of your appointment time. We offer 20-minute and 40-minute consultations. You decide how to use your time, but spending most of it telling your story may leave less time for evaluation and treatment planning. The visit works best as a conversation: explain what you need help with, then give Dr. Groysman the opportunity to gather the details he needs.
When will I get my virtual consult link?
We send the virtual consult link email the day before your appointment. Use this link to enter the waiting room about 15 minutes before your scheduled time. Please check your microphone and speakers using the self-test provided in the link. If you cannot get either or both to work, please use another device. Our system is compatible with newer smartphones, tablets, and PCs. If you are experiencing any technical difficulties, contact our office right away.
What should I check before my appointment?
Review your appointment confirmation and any instructions provided by our office. Confirm the appointment time and whether your visit is in person or virtual. If you are unsure which forms or records are needed, please contact our office before your appointment. Payment is due in full at the time of scheduling.
Procedures
Procedure patient handouts
Download the patient information for your procedure:
Before your procedure: What if I need an oral sedative?
If you need an oral sedative, please contact our office at least 72 hours (Monday–Thursday) prior to your scheduled procedure. Monday sedation requests should be processed before 3pm CST on Thursdays. Oral sedative will be sent to a local pharmacy for you to pick up.
What should I expect during treatment?
Your procedure appointment is for the scheduled procedure and does not include a consultation. If you need an evaluation, a treatment plan, or a discussion of new concerns, please schedule a separate consultation.
During your procedure. What to expect depends on the procedure you are having, such as
stellate ganglion block (SGB) or
epipharyngeal abrasive therapy (EAT). Review the patient handout for your procedure above, and contact our office for preparation instructions specific to your appointment.
Comfort and recovery. Discomfort, temporary effects, recovery time, and the timing of any improvement vary by procedure and patient. The SGB and EAT handouts explain what to expect during and after treatment, potential risks, and when to seek medical attention. Please ask any questions about your procedure before treatment.
Follow-up consultations are separate appointments. These visits allow Dr. Groysman to review your progress and adjust your treatment plan. We typically recommend scheduling follow-up consultations no more than three months apart.
Am I a good candidate for treatment?
A consultation can help determine whether our approach fits your symptoms, medical history, and goals. Consider scheduling if persistent symptoms affect your daily activities or quality of life, or if previous treatments have provided limited benefit.
Common symptoms we evaluate include:
- Persistent fatigue or low energy.
- Headaches, head or facial pressure, ear fullness, and tinnitus.
- Brain fog or difficulty concentrating.
- Anxiety, mood changes, and emotional instability.
- Digestive problems, including bloating and irregularity.
- Chest discomfort, shortness of breath, or palpitations.
- Joint pain and muscle weakness.
Conditions we address include:
- Dysautonomia, including postural orthostatic tachycardia syndrome (POTS).
- Post-traumatic stress disorder (PTSD).
- Immune system overactivation, including mast cell activation syndrome (MCAS).
- Gut dysbiosis.
- Mitochondrial dysfunction and related cellular energy deficits.
- Chronic inflammation.
Our approach combines evaluation, diagnostic testing when appropriate, and individualized treatment planning. Your consultation is the opportunity to discuss which options may be appropriate for you.
How many EAT procedures are typically needed?
Typically, at least four EAT procedures are needed, scheduled one week apart. Some patients will need additional treatments.
How long should I plan to stay near the office for procedures?
We recommend spending two days near our office for procedures. Confirm your procedure schedule and recommended length of stay with our office before booking travel.
Getting to Our Office
Where is your office located?
COVID Institute is located at 6957 W. Plano Pkwy, Suite 2400, Plano, TX 75093.
How do I get to your office?
COVID Institute
6957 W. Plano Pkwy, Suite 2400
Plano, TX 75093
Call
(214) 390-7557 if you need help finding the office or have questions about building access.
Traveling from out of town? Our Plano clinic is conveniently located between Dallas Love Field Airport (DAL) and Dallas/Forth Worth International Airport (DFW, providing easy access for patients traveling to see us.
Planning your stay. We recommend spending two days near our office for procedures. Allow time to arrive and rest before your appointment. Depending on your treatment plan, you may need time afterward for recovery or a follow-up visit. Confirm the recommended length of stay with our office before booking return travel.
We have secured
discount rates available at select hotels located in close proximity to our clinic.
- Holiday Inn Express
- Hyatt Hotel
How do I contact the office or request an appointment?
Call
(214) 390-7557 or visit our
Contact Us page to request an appointment. Please do not send emails.
Please allow 72 business hours for a response to non-urgent messages. We do not respond to emails or calls on weekends (Saturday and Sunday) or holidays.
If you are experiencing an emergency, please call 911.