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You can absolutely use your insurance for laboratory & imaging, medications, other specialty or hospitalization visits. The ONLY thing that your insurance can’t be used for is the cost of your consultation or, if you qualify, for your monthly subscription fee. We DON’T charge any co-payments or surprise bills. All costs are transparent.

If you have out-of-network benefits from your private insurance, we will facilitate the reimbursement process for you. Use the itemized bill provided by our office and FILE YOUR CLAIM on our website or download Reimbursify app here.


No problem! While we do recommend you carry health insurance, it certainly doesn’t mean you can’t have great access to specialist care. Dr. Girnita is a strong advocate of affordable and transparent healthcare. We offer very discounted prices for laboratory, imaging and many medications. You will never, ever be blindsided by a bill.


At this time, Dr. Girnita is not able to accept Medicare/ Medicaid patients in the states that she is licensed. Will update you when more information is available. If you are or become in any way affiliated with Medicare/Medicaid insurance, contact Dr. Girnita immediately to inform her about your decision. DO NOT try to submit any of your claims to Medicare/ Medicaid.

ONLINE/ Telemedicine visit is an affordable, secure way to take care of your rheumatic conditions. The visit can be done from the comfort of your home or office. You can use a smartphone, laptop, desktop or tablet to connect with a US board certified rheumatologist.

Yes, our telemedicine company is designed to provide private, secure, HIPAA-compliant visits to allow patients to have a safe and confidential consultation.

The average waiting time to be seen by a rheumatologist across the US is between 4 and 6 months. The company provides you with access to a top expert PHYSICIAN rheumatologist with many years of experience.

If you are a resident in the states covered by Rheumatologist OnCall your waiting time may be less than 1 week.

Your life is precious. Your time is precious. Your level of pain can be very high. Some autoimmune diseases can cause significant organ damage and some diseases can potentially end up with death.

Establishing a diagnosis and quickly starting treatment will lead you to a normal life.

New patient consultations will be typically 60 minutes. Second opinion consultations 60-90 minutes. Return patients consultation will be 30 minutes.

YES, patients from California may be seen in person. Dr. Girnita office is located in Sunnyvale, California. Please call/ email/ use the website to schedule your in-office visit.

Phone consultations will be allowed only for members of  the practice. We will make our best efforts to give you a video consultation with the physician as soon as possible to be able to make a proper evaluation and answer your questions in detail.

Yes, the doctor can prescribe labs and imaging studies if appropriate. If you become a patient of our practice and decide to pay cash for your laboratory and imaging test, we will share with you discounted prices.

The orders are placed ONLY during your visit time.

Lab results are not reviewed between appointments. If laboratory results show something critical/urgent, we will call you immediately after receiving. Otherwise, all lab results will be reviewed in detail during your appointment by the physician.

We do not provide interpretation of your lab results by phone or email as this will lead to many confusions and your questions can not be answered appropriately.

Yes, the prescriptions can be written at the end of the consultation or follow up visit if appropriate. If the consultation is for a second opinion, no medications are prescribed. Some medications require preauthorization from your insurance company and that could take more time to be approved and generate extra cost. If necessary, Dr. Girnita is here to guide you get financial support from pharmaceutical companies to be able to afford medication.

Please be advised, Dr. Girnita does not prescribe any narcotics, neurologic medications or medical marijuana.

Many rheumatologic medications require frequent monitoring by laboratory analysis. Without evidence of proof that these laboratory results are within normal range, these medications cannot be prescribed/refilled.

Your doctor is making sure that you are safe and able to tolerate these medications before a refill is done.

That will require a follow up visit with the physician.Please allow for about 48 hours until your refill is completed.

Medication refills:  There will be no prescription refills between appointments. The doctor will fill your prescription for the length of time you need before checking in about the efficacy of the medication.

Thus, medication refills are done at the time of the appointment only. This includes pharmacy refill requests. The patient must plan visits accordingly.

The choice is yours. You will receive a copy of your after-visit summary, that you can choose to share or not with your primary care provider. For a great continuity of your care, Dr. Girnita recommends that you share this information with your PCP. If you agree, we will fax all your office visits with your PCP.

No. Email communication is reserved for administrative purposes only, such as: confirming appointments, signing the contract with the practice. Emails will  not be used for consultations. We use ELATION passport for most of the communication that include sharing medical records, images, after visit recommendations etc. Please download the ELATION passport on your phone as soon as you receive the invitation.

Do you have more questions?

Are you a returning patient?