Telehealth Care, Anywhere in Florida
Castellan Health is bringing cash-pay telehealth to Florida — GLP-1 weight loss support, hormone assessment, and general wellness visits by secure video, with no insurance delays, prior authorization, or network restrictions to navigate.
This statewide program is designed for Florida patients who want a cash-pay clinical visit without insurance delays, prior authorization, or network restrictions.
What to expect
- •GLP-1 weight loss programs using FDA-approved, branded medication only — never compounded
- •Hormone assessment and general wellness visits by secure video
- •Florida-licensed providers, cash-pay only — no insurance, no prior authorization, no network restrictions
- •A single provider network covering patients anywhere in Florida, not just Tampa Bay
Join the Waitlist
What to expect when launched
Early waitlist members will receive launch updates, appointment availability, and program details first.
A safer telehealth standard for GLP-1 care.
2026 brought serious FDA scrutiny of compounded GLP-1 medications — warning letters to dozens of telehealth sellers, and documented hospitalizations and deaths tied to dosing errors in compounded versions. Castellan Health's policy is straightforward: we only prescribe FDA-approved medication — Wegovy, Zepbound, and similar branded options — and we do not compound or sell compounded GLP-1 products, ever.
- •FDA-approved, branded medication only — never compounded
- •Backed by a physical Tampa Bay clinic, not just a call center — there's somewhere to go if a visit needs to become in-person
- •One evaluation, one provider network, consistent follow-up — not a rotating queue of different clinicians
- •Transparent cash-pay pricing with no insurance prior-authorization runaround
Four steps before any prescription decision
Telehealth still starts with clinical judgment. Medication is never guaranteed before a visit.
Complete an online intake and medical history.
Meet with a Florida-licensed provider by secure video for a real clinical evaluation. Your provider will order baseline labs if appropriate.
Complete your labs at LabCorp, Quest, or another lab your provider recommends. Lab costs are paid directly by you, not included in the visit fee.
Once labs are back, typically in 1–3 business days, your provider reviews results and determines next steps. Medication, including GLP-1 therapy, is prescribed only when clinically appropriate — never guaranteed, and never before your labs are reviewed.
When Telehealth Fits, and When It Doesn't
Telehealth works best when the care decision can be made safely by video, with labs ordered locally when needed.
Good fits for telehealth
- Ongoing GLP-1 weight loss management with labs drawn locally near the patient.
- Hormone assessment follow-ups and general wellness check-ins.
- Situations where the main barrier is scheduling or distance, not a physical exam.
Better handled in person
- DOT physicals, pre-employment physicals, and other exams that legally require an in-person, hands-on evaluation.
- New symptoms that need a physical exam, vitals, or in-clinic testing.
- Anything urgent — telehealth is not a substitute for emergency care.
Why a hybrid provider is worth considering
- A provider with both a physical clinic and a telehealth program can move a patient between the two as their situation changes, instead of referring out when a video visit isn't enough.
- Castellan Health operates this way in Tampa Bay today, with telehealth expanding statewide.
What We Treat by Telehealth
A separate non-GLP-1 visit type for common illness concerns that can be evaluated safely by secure video.
Common Illness Telehealth
$89
No membership or commitment. The visit fee covers the video visit and provider's clinical evaluation only.
- If a confirmatory test is needed, such as a rapid strep test or urinalysis, you complete it independently at a local pharmacy or lab and pay that location directly.
- Prescriptions, when clinically appropriate, are sent to your pharmacy of choice and billed by the pharmacy directly.
- Castellan Health does not mark up independent testing or medications.
Urinary tract infection (UTI) symptoms
Classic symptoms in healthy, non-pregnant patients may be treated on history alone; fever, flank pain, pregnancy, and male patients route to testing or in-person care.
Sore throat / suspected strep
Assessed by video using Centor criteria; ambiguous or high-probability cases require a rapid strep test at a local pharmacy or lab before antibiotics.
Cold, flu, and sinusitis
Supportive care is the default; antibiotics are reserved for likely-bacterial sinusitis, such as symptoms lasting more than 10 days or worsening after initial improvement.
Seasonal allergies
Symptom management and prescription or refill of antihistamines or nasal steroids when appropriate.
Pink eye (conjunctivitis)
Visual assessment by video; contact-lens wearers, vision changes, or significant eye pain route to in-person care.
Ear infections
Otitis media and otitis externa are differentiated by history: upper-respiratory infection plus muffled hearing points to otitis media, while pain worsened by pulling the ear or pressing the tragus after water exposure points to otitis externa. Facial swelling, hearing loss, drainage, high fever, or immunocompromise route to in-person care.
Minor rashes
Contact dermatitis, poison ivy, and similar non-emergency skin issues can be assessed visually; rapidly spreading rashes or systemic symptoms route to in-person care or the ER.
Controlled substances are not prescribed through this telehealth line. Red-flag or emergency symptoms are routed to in-person care or the ER regardless of condition.
Cash-pay telehealth weight loss, with medication billed separately.
This pricing applies to GLP-1 weight-loss care, not one-time common-illness visits. Medication is paid directly to your pharmacy or manufacturer program at no markup. Castellan Health prescribes FDA-approved medication only, never compounded.
Monthly Monitoring is for ongoing conditions that need continued medication management and check-ins, like GLP-1 weight-loss therapy, as opposed to a one-time illness visit.
Telehealth Intake
$149
- Live video consultation with a Florida-licensed provider
- Baseline labs ordered at LabCorp, Quest, or another recommended lab when appropriate; lab costs are paid directly by you and are not included in the visit fee
- Eligibility and candidacy review, including personal/family history screening for thyroid C-cell tumor or MEN2 history, pancreatitis, gallbladder disease, and pregnancy status
- Written informed consent
- After labs are reviewed, prescription sent to your pharmacy or a manufacturer direct-pay program if clinically appropriate
- No physical exam required for this telehealth intake tier
Telehealth Monthly Monitoring
$99/mo
- Live video check-ins at the cadence required under Florida's telehealth rule: every 90 days through year one, then every 6 months after
- Refill authorization and side-effect review at each check-in
- Progress tracking between visits
- Direct line to the care team
- Ability to convert to an in-person Tampa Bay visit at any time at the existing in-person program's pricing
- Medication billed separately at no markup, paid directly to your pharmacy or manufacturer program
- FDA-approved medication only — never compounded
Telehealth Monthly Monitoring
$79/mo
- Includes the same monitoring cadence, refill authorization, side-effect review, progress tracking, and care-team access
- Ability to convert to an in-person Tampa Bay visit at any time at the existing in-person program's pricing
- Medication billed separately at no markup, paid directly to your pharmacy or manufacturer program
- FDA-approved medication only — never compounded
$79–99/mo reflects a first-year introductory rate; pricing may change after the program's first year.
New patient membership launch offer
New patients receive 15% off their first 3 months of membership, plus a $75 credit after 3 consecutive months of active membership, for patients who remain clinically appropriate for continued treatment. For weight-loss/telehealth members, the credit is automatically applied as a discount toward your next monthly visit charge. It can also be used toward any other Castellan Health service. The credit expires 60 days after it's issued.
Telehealth Care, Anywhere in Florida across Tampa Bay
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Telehealth Care, Anywhere in Florida FAQs
Is telehealth available across all of Florida, or just Tampa Bay?
Once launched, Castellan Health's telehealth program is intended to serve patients anywhere in Florida, not only Tampa Bay. Availability by region will be confirmed as the program opens.
Do I need insurance to use telehealth services?
No. The telehealth program is cash-pay only — no insurance, prior authorization, or network restrictions required.
Do you use compounded GLP-1 medications?
No. Castellan Health only prescribes FDA-approved, branded GLP-1 medication. We do not compound and do not sell compounded versions.
Are labs included in the cost of my visit?
No. Your provider will send you a lab order to complete at LabCorp, Quest, or another recommended lab near you. Lab costs are billed directly by the lab and are separate from your Castellan Health visit fee — we don't mark them up, and we're happy to point you toward lower-cost lab options.
Will I definitely be prescribed GLP-1 medication?
No. Every visit includes a real clinical evaluation. Medication, including GLP-1 therapy, is prescribed only when clinically appropriate for your individual history and goals — it is never guaranteed before a visit.
Can I get my prescription the same day as my video visit?
Not for GLP-1 telehealth. Because your baseline labs need to come back before it's safe to start medication, there's typically a short wait — usually a few business days — between your visit and a prescribing decision. This is different from Castellan Health's in-person program, where labs and exam happen in the same visit.
Do I need to come in for a physical exam?
No — the telehealth program is designed to work entirely by video visit, with any labs drawn locally near you. If your provider determines an in-person evaluation would serve you better, you can convert to an in-person visit at Castellan Health's Tampa Bay clinic at any time.
Can I be treated for a UTI without a test?
Often, yes, for classic UTI symptoms in a healthy, non-pregnant patient. Symptoms suggesting a kidney infection, such as fever or flank pain, mean an in-person visit instead.
Do I need a strep test before I can get antibiotics?
Sometimes. Your provider will assess your symptoms by video, and ambiguous cases get a quick rapid strep test at a local pharmacy or lab first so antibiotics are not prescribed unnecessarily.
Is this a membership?
No. Common-illness telehealth is pay-per-visit at $89 per visit with no recurring commitment. That is separate from the GLP-1 monthly monitoring program.
What can't be treated over telehealth?
Anything with red-flag symptoms, including high fever, signs of a kidney infection, facial swelling, hearing loss, difficulty breathing, or anything urgent, should be seen in person or at an ER. Controlled substances are not prescribed through this telehealth line.
Can employers offer this as a benefit to employees?
Employer conversations for telehealth access are welcome once the program launches — contact Castellan Health's employer team to discuss options.
Why We Don't Just Write the Prescription
Some competitors will ship you a GLP-1 medication after a short online form — no exam, no labs, no real relationship with a provider. We won't. Telehealth changes the setting of the visit, not the standard of care.
A GLP-1 prescription is not a low-risk decision. These medications carry real, documented risks — GI intolerance severe enough to cause dehydration, gallbladder disease, pancreatitis, and a boxed warning around thyroid C-cell tumors that rules certain patients out entirely based on personal or family history. A questionnaire alone cannot screen for those risks. Depending on your situation, an in-person visit may be required before a prescription is written. A real clinical evaluation, baseline labs when appropriate, and documented follow-up can.
Documentation matters because it proves every dose increase, side-effect decision, refill, and decision to continue treatment was made on clinical grounds — not because a subscription auto-renewed. Telehealth patients still deserve a chart that explains why treatment was started, why it continued, and when the plan changed.
Ongoing monitoring is not a courtesy. It is how a provider catches nausea that needs slower titration, side effects that need active management, and stalled response that means the plan should be adjusted or stopped. That is a provider relationship, not a refill button.
Off-Label Use: What It Means and How We Handle It
Semaglutide and tirzepatide are FDA-approved for chronic weight management in adults with a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related condition. Prescribing outside that labeled population is called off-label use. Off-label prescribing is legal, common, and a normal part of medical practice — a licensed provider retains the authority to prescribe an FDA-approved medication based on individual clinical judgment, independent of what an insurer would or wouldn't cover. It is not a loophole. It is how medicine has always worked.
At Castellan Health, this comes up for self-pay patients who don't meet the labeled BMI or comorbidity threshold but may still be reasonable candidates once a provider actually evaluates them. Eligibility in these cases is determined at your consultation, on an individual basis — not assumed in advance, and not extended automatically just because a patient is paying cash.
Off-label does not mean a lower standard of care. It means the same clinical evaluation, the same labs when appropriate, the same documentation, the same monitoring, and the same three-month response check described above — applied to a broader population, with clear informed consent that the specific use is off-label. What we won't do is prescribe off-label without a real evaluation, or simply because a patient asked and can pay. That is the same standard we hold for every patient, on-label or not.
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