For Patients & Caregivers

Find your care path

Whether you're in Massachusetts or New England with insurance, seeking self-pay telehealth from another state, or you need 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?

✓ Insurance Accepted

I'm in Massachusetts or New England with Aetna, BCBS, or Harvard Pilgrim

Insurance-based care is available for patients in Massachusetts carrying one of these three insurers. Because BCBS Massachusetts participates in the national BlueCard network, many patients throughout New England with BCBS plans also qualify. Aetna and Harvard Pilgrim coverage should be verified for your specific plan.

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. Intake visit, written summary, and follow-up. Available in all licensed states, and as a health education consultation beyond.

Insurance Care

Massachusetts & New England — Accepted Insurers

Dr. Claunch accepts Aetna, Blue Cross Blue Shield, and Harvard Pilgrim. For most patients in Massachusetts, this covers visits at standard specialist copay rates. BCBS Massachusetts participates in the BlueCard network, meaning patients with BCBS plans issued in other New England states — Rhode Island, Connecticut, New Hampshire, Vermont, and Maine — often have coverage as well, though verification with your insurer is advisable before scheduling.

All care is delivered via telehealth. You do not need to be located near Boston or any specific city — any patient in Massachusetts can be seen from home.

  • Aetna
  • Blue Cross Blue Shield (Massachusetts; BlueCard may apply for other NE BCBS plans)
  • Harvard Pilgrim
Request an Insurance Consult →

Why insurance coverage is limited to these three

Independent specialty practices face structural constraints that large hospital-affiliated practices don't. Credentialing and contracting with additional insurers requires administrative infrastructure — a dedicated billing department, prior authorization staff, and contract negotiation resources — that small practices managing complex cases cannot sustain while maintaining the visit quality patients require.

This is not a choice to exclude patients whose insurers aren't listed. It reflects the reality that taking on additional contracts at current reimbursement rates and administrative burden would mean fewer patients seen at lower quality, not more patients seen efficiently. If your insurer is not listed and you are in Massachusetts, the self-pay or Diagnostic Framework Consultation path may still be accessible. Contact us to discuss.

Self-Pay Telehealth

Ongoing specialist care — 10 licensed states

Self-pay telehealth removes the authorization burden, the visit-length constraints, and the formulary limitations that come with insurance-based care. It also allows patients outside Massachusetts — in Florida, New York, Pennsylvania, Michigan, and elsewhere — to access the same sub-syndrome framework and clinical approach.

Superbills are provided for every visit. Many patients with PPO plans recover a meaningful portion of the cost through out-of-network benefits; your insurer can tell you your out-of-network specialist reimbursement rate before you schedule.

Licensed states

Massachusetts Florida Michigan Rhode Island Connecticut New York Pennsylvania Vermont New Hampshire Maine *

*ME license pending  ·  Insurance available in MA only

Request a Self-Pay Consult →

Rates

$500/hr  ·  $250/30 min
Follow-Up Visits
Treatment review, medication management, crash analysis, pillar progress

Superbill provided for all visits. Out-of-network reimbursement varies by plan — check your out-of-network specialist benefit before scheduling.

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

  • Intake visit (~60 min) — $500
  • Written Diagnostic Framework Summary — for you and your PCP
  • Follow-up visit (~30 min) — $250

Available in all licensed states, plus health education consultations for patients outside the licensed list. Superbill provided.

Full Details & How to Prepare →

How does this compare to other Long COVID specialists? →

The Process

What ongoing care looks like

For patients in ongoing specialist care — insurance or self-pay — Long COVID management is longitudinal. The sequence matters as much as the individual treatments.

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1. Request a Consult

Send records in advance if possible. The intake form at the Squarespace link is the current new 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 required for self-pay telehealth or the Diagnostic Framework Consultation. For insurance-based care in Massachusetts, a referral may be required depending on your plan type — your insurer's member services line can tell you whether specialist self-referral is permitted on your plan.
I'm in New England but not Massachusetts — can I use my BCBS plan?
Possibly. Blue Cross Blue Shield Massachusetts participates in the national BlueCard network, which means patients with BCBS plans issued by other New England affiliates may have coverage when seeing a BCBS MA–credentialed provider. The practical answer depends on your specific plan's out-of-state specialist coverage. Contact your insurer's member services and ask whether you have in-network coverage for a specialist credentialed with BCBS Massachusetts. If the answer is yes, the process is the same as for Massachusetts patients.
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.

Insurance care in Massachusetts · Self-pay telehealth in 10 states · Diagnostic Framework Consultations available broadly

Request a Consult → Diagnostic Framework Consultation →