For Patients & Caregivers

Find your care path

Whether you want ongoing specialist care in one of 10 licensed states, or a one-time clinical roadmap your existing providers can act on, there is a path here for you.

Step 1 — Choose Your Path

Which describes your situation?

One-Time Consultation

I need a clinical roadmap my PCP can work from

The Diagnostic Framework Consultation is designed for patients who need a clear, documented diagnosis and treatment sequence — but whose primary care provider or existing team can manage the active prescribing. Chart review, intake visit, written summary, and follow-up, for a flat $1,500. Available in all licensed states, and as a health education consultation beyond.

Ongoing Care

Ongoing specialist care — 10 licensed states

Ongoing care is delivered entirely by telehealth, so patients anywhere in the 10 licensed states — from Massachusetts to Florida — can be seen from home, with visits long enough to work through a complex presentation.

A superbill is available on request for every visit. If your plan has out-of-network benefits, you can submit it for partial reimbursement; ask your insurer about your out-of-network specialist benefit before you schedule.

About insurance: This practice is out-of-network with all insurers. Your insurance generally still covers labs, imaging, and prescriptions ordered here, and this office submits any prior authorizations your plan requires. Medicare and Medicaid details, and the reasons behind this model, are on the Costs & Insurance page.

Licensed states

Massachusetts Florida Michigan Rhode Island Connecticut New York Pennsylvania Vermont New Hampshire Maine
Request a Consult →

Rates

$500/hr  ·  $250/30 min
Follow-Up Visits
Treatment review, medication management, crash analysis, pillar progress. Longer visits available on request.

Superbill available on request for every visit. Out-of-network reimbursement varies by plan — check your out-of-network specialist benefit before scheduling. Good Faith Estimate available before you schedule.

Diagnostic Framework Consultation

A roadmap, not a prescriber

Not every patient needs or can sustain ongoing specialist visits. The Diagnostic Framework Consultation is designed for patients who need a clear, documented account of which sub-syndromes are present and in what order to address them — a framework their PCP, internist, or other providers can act on directly.

It consists of a comprehensive intake visit, a written clinical summary structured for both patient and provider, and a follow-up visit to review the summary and answer questions. The active prescribing stays with the patient's licensed local providers. The clinical synthesis and treatment roadmap come from here.

This service is also available — in a modified health education format — for patients in states where Dr. Claunch is not licensed. In that context, the consultation focuses on the disorder as a clinical entity and produces a written educational summary; specific diagnostic or treatment recommendations are left to the patient's licensed providers.

What you receive

  • $1,500 flat fee, including:
  • Chart review before the intake
  • Intake visit (~60 min)
  • Written Diagnostic Framework Summary — for you and your PCP
  • Follow-up visit (~30 min)
  • Optional call with your provider

Available in all licensed states, plus health education consultations for patients outside the licensed list. Designed as a complete engagement; if you later want ongoing care, that begins as a new-patient visit at standard rates.

Full Details & How to Prepare →

How does this compare to other Long COVID specialists? →

Scope of Care

What care here covers

What we evaluate and treat

Care here aims to address every part of ME/CFS and Long COVID that can be managed without procedures or institutional care. That includes:

  • Dysautonomia and orthostatic intolerance, including POTS
  • Post-exertional malaise and pacing
  • Central sensitization: migraine, sensory sensitivity to light, sound, and stimulation, and chronic pain
  • Non-restorative and disordered sleep, including home sleep apnea testing ordered directly from this practice
  • Mast cell activation
  • Cognitive dysfunction (“brain fog”)
  • The neuropsychiatric side of chronic illness: hyperarousal, mood, and anxiety

Every evaluation also looks for other common medical contributors to fatigue that are easy to miss: thyroid disease, iron deficiency and anemia, B12 deficiency, sleep apnea, and medication side effects. Finding one of these does not mean it explains everything. Not finding one does not mean nothing is wrong. Both results change what gets tried next.

What happens elsewhere

Some parts of care need a physical location. These include in-person examinations, tilt-table testing and in-lab sleep studies, IV fluids and other infusions, plasmapheresis and other procedures, and inpatient, rehabilitation, or home-health services. Most patients here never need them. When one is needed, Dr. Claunch coordinates with your local providers so it fits into the overall plan rather than running separately.

The Process

What ongoing care looks like

For patients in ongoing specialist care, Long COVID management is longitudinal. The sequence matters as much as the individual treatments.

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1. Request a Consult

Use the contact form to request a visit. Send records in advance if possible, by secure fax to (833) 764-4446 or through the patient portal.

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2. Sub-Syndrome Assessment

The initial visit maps which sub-syndromes are present and establishes the treatment sequence — foundational first, pharmacology in support.

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3. Four Pillars First

Hydration, nutrition, sleep, and behavioral regulation are addressed before and alongside medication trials. These are not optional adjuncts.

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4. Trial & Pivot

Treatments are started low, adjusted incrementally, and pivoted based on response. The goal is eventual discharge to primary care — not indefinite management.

Questions

Frequently Asked

Do I need a referral?
No referral is needed to be seen here. If you plan to submit superbills for out-of-network reimbursement, check with your insurer first: some plans, particularly HMO and POS plans, reimburse specialist visits only when a referral from your primary care provider is on file.
Will my insurance cover my labs and prescriptions?
Generally, yes. Your insurance covers labs, imaging, and prescriptions ordered here the same way it would if another physician ordered them — the lab, imaging center, or pharmacy bills your plan directly. As with any physician, your plan makes its own coverage decisions and may decline a particular test or treatment. When your plan requires prior authorization for something ordered here, this office submits it. More detail is on the Costs & Insurance page.
I have Medicare or Medicaid. Can I be seen?
Yes, with some differences. Dr. Claunch has opted out of Medicare. Under federal rules, Medicare (including Medicare Advantage plans) cannot pay for his services, superbills from this practice cannot be submitted to Medicare, and patients with Medicare sign a short private contract before care begins. Labs, imaging, and prescriptions he orders are generally still covered by Medicare as usual. This practice is not enrolled with Medicaid; some state Medicaid programs pay for labs, imaging, or prescriptions only when the ordering physician is enrolled, so local rules may affect your coverage. Check with your plan before your first visit.
What is a Good Faith Estimate?
Under the federal No Surprises Act, patients who are not using insurance for their care have the right to a written Good Faith Estimate of expected charges. You can ask for one before you schedule, and if your bill is at least $400 more than the estimate, you can dispute it. See the full notice on the Costs & Insurance page.
I'm already a patient of Dr. Claunch. Does anything change?
Dr. Claunch continues to care for some existing patients through his prior practice, Practical Neuropsychiatry, Inc. All new patients are seen through Long COVID Doc. If you're not sure which applies to you, call the office at (508) 815-7284.
What if my state isn't on the licensed list?
Standard clinical care — ordering tests, prescribing, or directing specific treatment — requires licensure in your state. That constraint is not circumvented here. What is available is a health education consultation: a review of your history, an explanation of how the sub-syndrome model applies to your presentation, and a written summary framed around the disorder as a clinical entity — which your licensed local providers can then act on. This is distinct from a clinical consultation and is described explicitly as educational rather than diagnostic. The published articles, patient book, and tracker app are also available to anyone regardless of location.
How is this different from seeing a neurologist and psychiatrist separately?
The referral model assumes that problems sort cleanly into organ systems. Long COVID doesn't. The dysautonomia, orthostatic physiology, and many cognitive components are studied primarily in the neurology and cardiology literature. The sleep disorders, behavioral regulation, and some aspects of MCAS management are studied in the psychiatry and immunology literature. Having both in one provider — alongside a sustained interest in the cardiology, immunology, and internal medicine literature — eliminates the coordination gap, avoids treatments that work at cross-purposes, and allows a plan that addresses the whole picture rather than one specialist's fraction of it.
Will I need ongoing visits?
For patients in ongoing specialist care, most require follow-up over months to a year or more as treatment is titrated and the clinical picture evolves. The goal is always eventual stabilization and transition back to primary care with a clear plan — not indefinite specialist management. For Diagnostic Framework Consultation patients, the service is designed to be self-contained, though additional follow-up is available if the clinical picture changes or the PCP needs clarification.
I've seen multiple specialists and nothing has helped. Why would this be different?
The most common reason Long COVID care stalls is that providers treat the chief complaint rather than the underlying sub-syndromes driving it. Fatigue, brain fog, and breathlessness are downstream effects — not targets. Workups organized around those symptoms often return normal results, which is accurate but not useful. This practice is organized around identifying the sub-syndrome pattern — dysautonomia, central sensitization, sleep disorder, MCAS — and sequencing treatment accordingly. Most patients who have "tried everything" haven't had their orthostatic physiology adequately addressed before pharmacology, or haven't had their migraine component recognized at all, or have been offered graded exercise before dysautonomia was stabilized.
Can I use the tracker app before my first appointment?
Yes — and it's worth doing. The app's PDF export provides a structured overview of your symptom history, crash patterns, sleep data, and NASA Lean Test results. Having that document in advance makes the first visit significantly more efficient and allows more time for clinical discussion rather than history-taking.
Ready to Start?

Choose the path that fits your situation.

Ongoing telehealth care in 10 licensed states · Diagnostic Framework Consultations nationwide

Request a Consult → Diagnostic Framework Consultation →