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What skin conditions require diagnosis and treatment?

The CDC recommends seeking diagnosis and/or treatment if you are experiencing ongoing symptoms described below (or have experienced a rash, lesion, or bite that appears to be worsening despite topical treatment)

Acne
What is it?

Acne is a skin condition caused by clogged hair follicles from dead skin cells, excess oil, or bacteria. Without treatment, it can continue to worsen in severity, and lead to infection or even permanent scarring. 

How common is it?

Acne is the 8th most common disease worldwide, with over 85% of people experiencing acne at some point in their lives. 

Who's at risk?

While most common in teenagers, 50% of women and over 40% of men reported experiencing acne in and beyond their 20s. 

What are common symptoms?

Small red bumps, white or blackhead pimples, and general skin redness around eruptions, most common on the face forehead, cheat, upper back and shoulders. 

Common myths:
  • Dirty skin causes acne (over cleaning can make it worse)

  • Popping pimples is good for acne

  • Acne is contagious

  • Acne will eventually go away on its own

Eczema
What is it?

Eczema, also known as atopic dermatitis, is a chronic, non-contagious inflammatory skin condition.

How common is it?

Eczema affects up to 15 million people in the United States alone, and over 245 million people globally. 1 in 10 people will develop eczema during their lifetime. 

Who's at risk?

Eczema affects both men and women equally, and is more common among people who have a family history or eczema, asthma, or other allergies. It most commonly starts in childhood. 

What are common symptoms?

Red, itchy rashes, most commonly inside the elbows and behind the knees. If left untreated, it can lead to thickening of the skin, rough, cracked skin, or even bacterial infection.

Common myths:
  • Only children get eczema (it can occur at any age)

  • Scratching ezcema spots is ok

  • Eczema is contagious

  • Eczema can be seasonal and goes away on its own

Psoriasis
What is it?

Psoriasis is a chronic autoimmune disease that speeds the growth of skin cells. If left untreated, psoriasis can lead to more serious conditions including arthritis, cardiovascular disease, and type 2 diabetes.

How common is it?

Psoriasis affects between 2-3% of the US population, and close to 125m people worldwide.

Who's at risk?

Psoriasis can occur in anyone, and is slightly more prevalent among Caucasians. It equally affects both men and women, and more commonly starts in late adolescence and adulthood. 

What are common symptoms?

Discoloration of the skin, itchy and painful red patches with white scaling, most frequently on the outside of the elbows and knees, or scalp. 

Common myths:
  • Psoriasis is contagious

  • Psoriasis is just dry skin

  • Psoriasis is caused by poor hygeine

  • Psoriasis and eczema are basically the same (they actually require significantly different treatments)

  • Psoriasis never goes away (it's not totally curable, but we can reduce the frequency, duration, and severity of symptoms)

What does care look like?

Why skincare matters

It's your largest organ

Skin makes up almost 15% of a person’s weight. It is the immune system’s first line of defense against infection, and interacts with nearly every other organ and system that works to keep us healthy. 

Skin conditions can be a warning sign

Because of its key role in your body’s immune system, changes to your skin can often be an early indicator of undiagnosed health issues, where early diagnosis and treatment can have the greatest impact.

Healthy skin is a keystone of overall health

With countless interrelationships to your body’s other systems, changes to your skin can often be related to seasonal, chronic, or other complex conditions. By making skincare a part of your health plan, you are more likely to catch early symptoms and find effective treatments. 

See available providers

In network with most PPO insurance plans

What does care look like?

Based on your diagnosis from a skincare expert, you will receive a treatment plan for one of the following conditions:

Acne

More

Psoriasis

More

Eczema

More

200+ providers to choose from.

Our primary care providers are vetted according to strict quality of care protocols

Dr. Nikki Tsang

Board Certified, Family Medicine, 13 years of experience

Jeanne Bird, PA-C

Board Certified, Family Medicine, 20 years of experience

Jennifer Herrera, PA-C

Board Certified, Family Medicine, 6 years of experience

Caitlin Swift, FNP-C

Board Certified, Family Medicine, 3 years of experience

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Frequently Asked

Skincare appointments

What can I expect in first my appointment?

During your appointment, your provider will conduct a full evaluation of your skin concerns. If you have recently experienced skin changes, your provider will be able to help you diagnose the underlying causes and start you on a treatment that is right for you. 

Do I need an in-person appointment for skin care evaluation?

Our approach to skin care management is to provide better access to high quality providers through video appointments and in-app chat, so you can get support whenever you need it. 

Why shouldn't I just see a dermatologist?

At Circle Medical, our board certified primary care providers have been trained in a generalized approach to medicine and are comfortable treating a wide array of skin conditions, including acne, rashes, eczema, and psoriasis, to name a few. Also your Circle Medical primary care provider can also order blood work and help to treat any underlying conditions that may also be present. However, if your Circle Medical provider feels that a dermatologist would be helpful for your skin condition, they can provide a referral to a dermatologist to help make the process seamless. 

How often do I need to have appointments?

Your specific appointment frequency depends on your individual care plan. If this is a new diagnosis for you, you may have more frequent appointments with your provider to allow room for modifications to your care plan based on what is working. Patients who have already been placed on an effective skin care regimen and are focused on maintenance typically see their providers less frequently; about once every 3-6 months. We encourage you to discuss appointment frequency with your provider during your initial appointment if you have questions.
If you are experiencing severe health concerns, please dial 911 or visit your nearest emergency room.

How long will it take to see results / improve my skin appearance and health?

Your provider will create a custom treatment plan for you based on your needs. Depending on your treatment plan and your specific underlying causes, the amount of time it takes to see results and improvements will vary.

How can I prepare for my first appointment?

Please make sure you’re in a quiet place where you feel comfortable talking with your healthcare provider. Also, to assist your provider in a telehealth skin exam, please make sure you are in an area with proper lighting and good Wifi. This will allow your provider to perform a proper skin evaluation. 

Can my provider refer me to a skin specialist if needed?

Yes, all of our providers are board certified primary care providers who can not only evaluate your skin but also order blood work, place referrals, perform wellness exams, and assist with medical screenings as needed. 

Do Circle Medical providers only treat skin? 

No, all of our providers are board certified primary care providers who can not only evaluate your skin but also order blood work, place referrals, perform wellness exams, and assist with medical screenings as needed.

General

What if I need in-person testing or examinations?

If any in-person care is needed, such as bloodwork, vaccinations, or other testing, our providers are able to send the appropriate request to a nearby lab. Results will be integrated with our HIPAA-compliant mobile app so that patients have access to all of their medical records in one secure place.

What states do you operate in?

To see our list of currently available states, begin booking an appointment.

You must be currently residing in the state of treatment as well as have your primary pharmacy be in that same state in order to be a patient at our practice.

How long are the appointments?

The first intake appointment is 30 minutes. Follow-up appointments are 20 minutes each.

Billing

How do I know how much my specific appointment will cost?

We provide a cost estimate when you are booking your appointment. For those with insurance, your actual cost is determined after we submit the insurance claim for your appointment. Once we submit the claim, insurance companies will pay for a portion of the appointment and pass on any remaining cost to you. Once we know what this cost is, we will update you with an invoice within the app.

When do I get charged for my appointment?

For those with insurance, it typically takes 1-3 weeks for the insurance claim to be processed. Once processed, we’ll send you an invoice within the app with any remaining costs. You can then opt to pay through the app, or we will automatically charge the payment card on file after 48 hours of sending you the invoice.

For those without insurance (or with out of network insurance), we will send you the invoice 1-2 days after your appointment is completed. You can then opt to pay through the app, or we will automatically charge the payment card on file after 48 hours of sending you the invoice.

Insurance

What insurance do you accept?

We accept over 1,500+ insurance plans. We cover most of the major PPO insurance companies (payors) across the United States. The best way to confirm coverage of your insurance plan is to begin booking an appointment on our website or via our mobile app. During the booking process, you’ll be prompted to enter your insurance information for a real-time verification of your insurance plan.

What if I am having issues verifying my insurance plan coverage?

The best way to confirm your insurance plan coverage is to call the Member Services phone number on the back of your insurance card. If needed, you can reference our Tax ID#: 474883537 and our NPI: 1134596091. Once you are able to confirm your coverage and your primary care copay costs, you can use the in-app chat to message our team with the information. We’ll then follow up with confirmation.

What is the total cost of diagnosis and treatment?

Your per-appointment costs are set by your insurance plan. If the costs seem high, you may be on a high deductible health plan (HDHP). This means that you have an annual out-of-pocket amount that you must pay on healthcare in a given year before your insurance plan will cover more of your per-appointment costs. 

If you are on an HDHP and have confirmed your insurance information in our mobile app, your remaining deductible for the year will be displayed on the “Book Appointment” page. Note that this amount may be outdated if you have had recent insurance claims processed.

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Appointment Summaries After Every Visit

Your provider will prepare a personalized plan for you after each visit including a diagnosis, recommendation, prescriptions and resources for additional reading.

Secure Chat with your Care Team

Have questions about your medical insurance? Notice new symptoms? Your Care Coordinator and doctor are available to talk using secure, HIPAA-compliant chat.

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Read more about Skincare

Common skin conditions

Numerous skin conditions can be diagnosed and addressed through your primary care provider or dermatologist. Below are some of the most common skin conditions:

Acne

  • Acne is a skin condition caused by excessive sebum production. This can lead to blocked pores which cause blackheads, whiteheads and pimples. Acne can sometimes be worsened by stress, changes in hormones and certain medications. Acne can be managed by lifestyle modifications, skincare routines or prescription medications. 

Eczema

  • Eczema, or atopic dermatitis, is a chronic skin condition that is characterized by inflamed, itchy patches on the skin. Symptoms and flare-ups can be managed by identifying triggers and through medication, though there is no definitive cure. 

Psoriasis

  • Psoriasis is a skin condition where areas of the skin overproduce skin cells, leading to a buildup on the surface. This can lead to scaly and itchy patches on the skin. Psoriasis is usually managed through topicals and sometimes prescription medications.

Rashes

  • Rashes can appear on the body as changes in the color or texture of your skin. They may sometimes be itchy, bumpy, red, scaly or even blistered. Rashes can often be brought on by allergies, but they can also be a result of heat exposure, infection or certain medical conditions. To treat a rash, your health care provider will need to determine the root cause.

Rosacea

  • Rosacea is a chronic skin condition that primarily appears on the face. Symptoms may include flushed, sensitive or dry skin. Rosacea can be aggravated by spicy food, weather, alcohol and stress. Rosacea can be managed with topical treatments, medications and avoidance of triggers.

Dry Skin

  • Many people experience dry skin. Dry skin typically appears in winter, but it can pose year-round problems for some people. It is characterized by tight, dull or rough skin. Dry skin can be aggravated by weather conditions and certain health conditions. Some people may also just naturally have dry skin. Remedies typically include hydrating lotions, avoidance of skincare that dries out the skin and lifestyle changes.

Dermatitis

  • Dermatitis refers to an array of skin conditions that cause skin irritation or swelling. Contact dermatitis, seborrheic dermatitis and atopic dermatitis are the three most common types of dermatitis. Management of dermatitis typically involves avoiding triggers, moisturizing or topical ointments.

Hives

  • Hives are itchy, red welts that can occur anywhere on the body. They typically appear after being exposed to an allergen or extreme temperatures. Hives typically disappear on their own but may need to be treated with antihistamines if they persist or recur often. Immediate medical care will be required if an allergic reaction is accompanied by difficulties breathing.

Shingles

  • Shingles is a condition triggered by the same virus that causes chickenpox. It is characterized by a painful rash that can occur on the body or face. Shingles has no cure, but antiviral medications can help with the healing process. There is also a preventative vaccine that may prevent shingles and reduce the severity of the condition if you do get it. It’s important to reach out to your health care provider if you have shingles to minimize complications.

& More!

  • Skin conditions can be varied and complicated. Although this list covers some of the most common conditions, there are many more out there. If you have a skin concern, make an appointment with a Circle Medical primary care provider for a diagnosis and treatment!

When should you see a primary care physician for skin problems?

Some skin conditions like dry skin can easily be managed at home, but when should you seek care from a primary care provider? Generally, you should seek care if a skin condition persists for more than a week or two. Also, you may need to seek care sooner if the skin condition is accompanied by other symptoms.

Primary care providers are trained to diagnose and treat a range of common skin conditions. Your primary care provider may refer you to a dermatologist if the skin condition is out of their scope of expertise or if your condition continues to persist or worsen after treatment.

How to get a diagnosis online

Do you have concerns about a skin condition? Circle Medical can help. Circle Medical is a full-stack primary care clinic that offers both online and in-person care. You can make an appointment with Circle Medical and speak to a telehealth provider about your skin concerns from the comfort of your own home. Make an appointment with a Circle Medical provider today!