Tick Bite & Lyme Telehealth Services
Focused online care for recent tick bites, early Lyme concerns, testing, and chronic tick-borne or vector-borne infections.
Visits may include exposure review, rash/photo review, symptom assessment, testing guidance, prevention planning, and treatment when clinically appropriate. Care is available only in states where our physicians are licensed to provide Telehealth, currently Vermont and Washington State with Arizona, Oregon and Hawaii coming soon.
Severe or rapidly worsening symptoms may require in-person urgent or emergency care.
Post-Bite Lyme Prevention Visit
For recent tick bites with no rash or symptoms, ideally within 72 hours of tick removal. Early evaluation matters because timely prevention may reduce the risk of Lyme disease and lower the chance of persistent or long-term symptoms.
Appointments are generally available within 24–48 hours, including evenings and weekends. Save the tick for testing if possible by placing it in a sealed ziplock bag. If the tick is still attached, follow these tick removal instructions.
This visit includes exposure review, timing assessment, risk evaluation, prevention guidance, and antibiotics when clinically appropriate.
Cash-pay price: $250
Insurance accepted for eligible patients. Coverage and benefits vary by plan and will be verified before your visit whenever possible. For more info see our Insurance and Billing page.
Early Lyme Care
For a new or recent rash, or early Lyme-like symptoms after a known or suspected tick bite. This visit is best for concerns within 30 days of rash or symptom onset.
Early Lyme disease is often diagnosed clinically. Testing may be discussed or ordered when appropriate, but early testing can be negative, especially soon after exposure. Treatment decisions may depend on rash appearance, symptoms, exposure history, timing, medical history, and clinical judgment, not testing alone.
This visit may include rash or photo review, symptom assessment, individualized treatment planning when clinically appropriate including antibiotics, herbs and support protocols, and guidance on testing or lab ordering when needed.
This visit is not intended for severe, rapidly worsening, or complex symptoms such as facial weakness, severe headache, neck stiffness, chest pain, fainting, shortness of breath, irregular heartbeat, high fever, pregnancy, immune suppression, symptoms lasting more than 30 days, or suspected co-infections. These situations may require urgent in-person care or more comprehensive Lyme and co-infection evaluation.
Cash-pay price: $400
Insurance accepted for eligible patients. Coverage and benefits vary by plan and will be verified before your visit whenever possible. For more info see our Insurance and Billing page.
Tick-Borne & Vector-Borne Testing Visit
For people with chronic, relapsing, or unexplained symptoms who want help deciding whether Lyme disease, co-infections, alpha-gal syndrome, or other tick-borne/vector-borne conditions should be evaluated. This appointment is for testing only and does not include treatment recommendations. A follow-up appointment will be needed if you want to discuss results and treatment options in detail.
This visit may include symptom history, exposure review, prior lab review, and discussion of testing options such as conventional labs, alpha-gal IgE testing, or specialty labs when clinically appropriate.
Testing can be difficult to interpret, especially in complex or chronic cases. This visit helps determine which tests make sense and how results should be understood in context. Learn more bout testing option here.
Cash-pay price: $300
Insurance accepted for eligible patients. Coverage and benefits vary by plan and will be verified before your visit whenever possible. For more info see our Insurance and Billing page.
For people with known, suspected, or previously treated chronic tick-borne/vector-borne illness, or persistent relapsing symptoms where Lyme disease, Bartonella, Babesia, tick-borne relapsing fever Borrelia, Anaplasma, Ehrlichia, Rickettsia, or other vector-borne infections may be contributing.
This consultation may be appropriate for people with symptoms such as fatigue, brain fog, joint or nerve pain, dysautonomia/POTS, MCAS-like symptoms, chronic inflammation, sweats, air hunger, palpitations, mood changes, sleep disruption, post-infectious flares, or Long COVID overlap.
The initial visit includes review of symptom history, exposure risk, prior testing, prior treatment, current medications and supplements, and development of an initial assessment and care plan. This may include testing strategy, treatment options when clinically appropriate, supportive care recommendations, and referral planning.
This visit is best suited for non-urgent chronic or complex cases. It does not replace urgent evaluation for new, severe, or rapidly worsening symptoms. Complex cases may require ongoing care, additional follow-up, care coordination, or referral through DoctorJade.com or another appropriate specialist.
Not appropriate for emergency symptoms such as chest pain, fainting, severe headache, neck stiffness, facial weakness, shortness of breath, irregular heartbeat, high fever, severe neurologic symptoms, or rapidly worsening illness. These symptoms may require urgent in-person care or emergency evaluation
Cash-pay price: $600, first visit, Ongoing care: $400/hour
Insurance accepted for eligible patients. Coverage and benefits vary by plan and will be verified before your visit whenever possible. For more info see our Insurance and Billing page.
Chronic Tick-Borne & Vector-Borne Disease Consultation
For people with possible alpha-gal syndrome after tick exposure, especially delayed reactions after eating mammalian meat such as beef, pork, lamb, or venison, or reactions to dairy, gelatin, medications, supplements, or other mammalian-derived products.
Alpha-gal symptoms can vary widely. Some people experience hives, itching, swelling, flushing, breathing symptoms, or even severe allergic reactions. Others may have primarily digestive symptoms such as abdominal pain, nausea, diarrhea, bloating, cramping, or IBS-like symptoms without obvious skin or breathing symptoms.
This visit may include review of tick exposure history, food reaction patterns, timing of symptoms, prior allergy testing, relevant medications and supplements, and discussion of appropriate lab testing such as alpha-gal specific IgE and related allergy markers when clinically appropriate.
This visit helps determine whether alpha-gal testing makes sense and how results should be interpreted in context. It does not replace emergency care for severe allergic reactions or anaphylaxis.
Cash-pay price: $300
Insurance accepted for eligible patients. Coverage and benefits vary by plan and will be verified before your visit whenever possible. For more info see our Insurance and Billing page.