Pricing
Virtual doctor visit cost in Puerto Rico: three visit types
The virtual doctor visit cost in Puerto Rico depends on the visit type: a doctor visit is US$79, a follow-up visit US$49 and school and work forms US$35, each the same price for every age. You pay by card when you request it. A doctor's note is included, there is no membership and no insurance needed. If the visit can't take place, you get a full refund.
Visit type
- Not sure which? Choose this one
Doctor visit
US$79
For a new problem, urgent care (non-emergencies), primary care, children, birth control, STIs, skin and acne, and visitors. Includes a doctor's note if you need one.
A doctor's note after your visit is included at no extra charge.
Follow-up visit
US$49
Refills of medicines you already take (non-controlled) and a review of lab results from a previous visit.
School and work forms
US$35
School, university and job forms, and the lab order for the certificado de salud (if you choose the TB skin test, it is placed and read in person by the authorized doctor or their nurse; the certificate is issued only by an authorized doctor at their authorized site). Does not include forms that need a vision exam, such as the DTOP driver's license form.
You’re charged when you request the visit.
Full refund if the visit can't take place, including if your location or guardian check fails or no doctor is available.
Credit or debit card, through Stripe’s secure checkout
We don’t bill insurance. Itemized receipt (superbill) on request.
Pay by credit or debit card through Stripe (and Apple Pay, Google Pay or Link if they appear on the payment page). We do not bill insurance. Itemized receipt (superbill) on request.
We see adults and children of all ages.
On this page (11)
Virtual doctor visit cost in Puerto Rico by visit type
Each visit type has a fixed price, the same for every age, and you pay only for the visit you request. If you're not sure which to choose, pick the doctor visit: the doctor will assess your situation and tell you if it turns out to be something simpler.
Doctor visit — US$79
For a new problem, virtual urgent care (non-emergencies), primary care, children of all ages, chronic care, birth control, STIs, skin and acne, and visitors. Depending on what the doctor considers appropriate for you, it includes, with no extra charge:
- Evaluation, diagnosis and a treatment plan in a real-time video visit.
- If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances.
- A lab order for a lab near you, if needed.
- Your doctor's note for work or school, if you need one.
- If your situation needs it, advice on where to be seen in person or whether to go to the ER.
Follow-up visit — US$49
A shorter visit for two things:
- A refill of a medicine you already take (non-controlled). Anyone can book this, even if you have never been our patient. See prescription refills.
- A review of lab results from a previous visit with us. This part is for existing patients only. See the follow-up visit.
School and work forms — US$35
For school, university or job forms, and the lab order for the certificado de salud. The doctor completes a form only when the video evaluation supports it. It does not cover forms that need a vision exam. See school and work medical forms.
If your visit needs more, you pay the difference only if you agree
If a follow-up (US$49) or forms (US$35) visit turns out to need a full doctor visit, for example because a new problem comes up, the doctor explains why and, with your consent, you pay only the difference up to US$79. We never charge you more without asking first.
A doctor's note is included
If you need a doctor's note for work or school after your visit, it is included at no extra charge. See doctor's notes.
What the virtual doctor visit cost doesn't include
The lab bills for lab tests, the pharmacy for medications, and whoever sees you in person for an in-person visit. We will not charge you anything more for the visit.
No membership and no insurance needed
There is no membership, subscription or monthly fee: you pay only for the visit you request.
We do not bill insurance. On request we give you an itemized receipt (superbill) so you can file a claim with your plan yourself; whether it pays anything back depends on your plan. If your HSA or FSA card works like a debit card, you can usually use it on the payment page; whether the expense is eligible is up to your plan. If you have no insurance, read our guide to seeing a doctor without insurance in Puerto Rico.
When and how you pay
You pay when you request the visit, on Stripe's secure payment page, by credit or debit card (and Apple Pay, Google Pay or Link if they appear on that page). Payments are received by The Health Initiative, the nonprofit that runs the service. The payment page does not ask for any health information.
Cancellations and refunds
We refund you in full if the visit can't take place, for example if we can't confirm you are in Puerto Rico, if a patient under 21 doesn't have a parent or legal guardian present, or if no doctor is available. If you cancel before the visit, you also get a full refund. Details in the cancellation and refund policy.
Your right to a Good Faith Estimate
Because you pay without using insurance, you have the right to receive a Good Faith Estimate of the cost of your visit under the federal No Surprises Act. See the Good Faith Estimate.
Frequently asked questions
Does a visit for a child cost the same?
What if I booked a follow-up and need a full doctor visit?
Do I have to pay for a membership?
Which payment methods do you accept?
Can I get a receipt to claim from my insurance?
Need to see the doctor?
Request a visit online 24/7 — we confirm your time by email or text.
About this page
Author: The Health Initiative
Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)
Disclosure: Founding Executive Director of The Health Initiative
Published: 2026-09-30 · Updated: 2026-10-02
Sources (1)
- No Surprises Act: your rights about medical costs (CMS) (opens in a new tab) (accessed 2026-09-30)
