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Meet with an online doctor over video for Insomnia diagnosis and treatment today.

Book an insomnia video consultation with a Board-Certified primary care provider to discuss your symptoms and receive treatment.

Book Appointment Provider Nikki Tsang

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Insomnia Quick Answers

Provider Information

  • All providers are board-certified
  • All providers are able to prescribe at-home sleep studies
  • Providers can order at-home sleep studies for DOT sleep apnea screening

Pharmacy Questions

  • Circle Medical is a fully-licensed medical practice
  • Most pharmacies are able to fill prescriptions sent by our providers
  • We recommend going to a pharmacy where you are already an established patient, if possible
  • The decision to fill prescriptions is often up to the discretion of the individual pharmacist

Recommended Pharmacies


  • Bartell Drugs
  • Costco
  • Duane Reade
  • Fred Meyer
  • Giant Eagle
  • HEB
  • OptumRX
  • QFC
  • Rite Aid
  • Walgreens
  • Walmart

Appointment Details and Costs

Details:
  • 1st appointment: 30 mins, includes Sleep Assessment
  • If medically appropriate, you provider may prescribe an at-home sleep study powered by the WESPER device
  • The device will typically arrive within 7-10 business days
  • You will complete a consecutive 2-night sleep study from the comfort of your home
  • All data will be automatically sent to your provider
  • You will then return the WESPER device within 30 days of receiving the device using an included, pre-paid envelope
  • You will follow-up with your provider to review the results
  • We are not able to see or treat patients under the age of 18

Costs:
  • Costs may vary widely based on your particluar insurance plan
  • In 2022, more than 75% of Circle Medical patients with insurance paid $35 or less per Sleep appointment
  • Cash pay costs (without insurance):
    • 1st appointment: $100
    • At-Home Sleep Study: $250
    • Follow-up appointments: $100 ea

  • Circle Medical does not determine the price of any prescribed treatments, if determined to be clinically appropriate, and those may vary widely depending on your insurance plan and choice of pharmacy

Locations

Circle Medical is a virtual-first hybrid telemedicine Primary Care practice.

We are currently available for telemedicine appointments in 32 states, with limited in-person clinic availability for our established ADHD patients at shared clinic locations in these states:
  • AZ
  • CA
  • CO
  • CT
  • DC
  • FL
  • GA
  • IL
  • IA
  • KY
  • MA
  • MD
  • ME
  • MI
  • MN
  • NC
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • SC
  • TN
  • TX
  • UT
  • VT
  • VA
  • WA
  • WI

Our full-service flagship clinics are in:
  • Beverly Hills, CA
  • San Francisco, CA
  • New York, NY

More opening soon!

How to contact us

The fastest and easiest way to get in touch with our care team or your provider is through our in-app chat .


Our secure app-based chat is 100% HIPAA-compliant, which is required for us to be able to discuss patient-related health issues.

Insurance

  • Most PPO insurance plans accepted
  • Medicare accepted
  • We are NOT able to see patients on Medicaid or MediCal
  • You will verify your insurance as part of booking your appointment
  • We are not able to treat patients under the age of 18

Costs with insurance vary by plan. We will provide an estimate based on your plan verification results.

See More FAQs

What are my treatment options?

Our approach to treatment differs for each patient, but will always start with a Sleep Evaluation, or an At-Home Sleep Study:

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Sleep & Health Evaluation

Sleep Medication

Does Circle Medical prescribe medications for insomnia?

Whether you are experiencing recent changes in your ability to sleep or you have been experiencing sleep issues for years, your Circle Medical provider will be able to fully assess your sleep, and create a customized treatment plan for you, which may include medication if medically appropriate.

At Circle Medical, assessing your health as a whole is our number one priority. During your sleep appointment, your provider will screen for common underlying conditions that could be affecting your sleep as well as discuss your past medical history. Your Circle Medical provider may also suggest blood work to assess for any underlying medical causes for your difficulty sleeping, which can be completed at any of our over 4,000 conveniently located partner locations.

Your provider may also want to screen you for sleep apnea and assess your sleep efficiency with an at-home sleep study that is mailed right to your door.

Rest assured that your treatment plans at Circle Medical will include an evidence-based approach that is specific to your unique medical history.

Talk to a qualified provider
What the study looks like

What does Sleep Apnea treatment look like at Circle Medical?

Video meeting: Intake & analysis

What is it?

Once you select a provider, you will attend a 30-minute intake appointment via the secure Circle Medical app from any convenient location of your choosing, such as your own home. Your provider will assess your symptoms and medical history, and order a sleep study to gather data on your sleep.


Cost with insurance

$0-150†

Cash pay

$100

At-home Sleep Study and Screening

Participating in an at-home sleep study has never been easier. The steps are as follows:
  • You will be sent a small WESPER sleep monitoring device (two small, soft fabric patches, and a wrist mounted pulse and blood oxygen monitor)
  • The device pairs with a free app on our phone that will walk you through the easy set up process
  • Sleep (in your own bed!) and perform a two-night sleep study
  • After your sleep study is complete, return the device using an included pre-paid envelope
  • Attend a follow-up appointment with your provider to review the results and determine next steps (it generally takes 2-3 days for your provider to recieve the completed analysis based on the results of your study)

Cost with insurance

$0-250†

Cash pay

$250

Get Treatment

How we determine what treatment is right for you

Based on the results of your sleep study, the severity of your Sleep Apnea, and other relevant health factors, your provider will recommend one or or a combination of the following treatment options and paths:


  1. 1. Behavior Modification

    Many mild cases of Sleep Apnea can be treated by losing weight, changes in frequency and intensity in exercise, breath work, reducing alcohol consumption, stopping smoking, and more.

  2. 2. CPAP Machine or Equivalent

    If a patient's Sleep Apnea is significant enough that behavior changes alone are not effective, the typical treatment for Sleep Apnea is the use of a CPAP machine or similar device to help regulate a patient's breathing while they sleep.

    Available only with a prescription, CPAP machines have continued to evolve along with other medical technology, and have become easier than ever to use. Your provider will be able to recommend a CPAP device that is most compatible with your lifestyle, and will be covered by most insurance plans. Prescriptions for oral appliances are also available if applicable.

  3. 3. Referral

    In very rare or extreme cases, or for patients who are unable or would prefer not to use a CPAP device or other device, Circle Medical providers can make an appropriate diagnosis and refer the patient out to an appropriate specialist.

Once you have chosen and started a treatment plan, your provider will prescribe a follow-up sleep study to confirm that your treatment is working.

See available providers

† Circle Medical is able to offer low cost and high quality care from Primary Care Providers that are qualified to treat a wide range of conditions, and integrates your care into your overall health plan. Co-pay costs may range from covered, to $35, to not covered, and will depend on your individual insurance plan.

Say goodbye to awkward sleep studies.

Learn about your sleep health without leaving the comfort of your own bed.

Sleep Study Features

Comfortable equipment (no wires, no beeping, no clamps, no 1-way mirrors)
Sleep in your own bed
Data sent automatically to your doctor
Complete electronic copy of your data and analysis sent to your phone
Easy to reschedule
Equipment delivered to your door
Availability (how soon can I start?)
Results sent your provider to review within
Cost

Circle At-Home Sleep Study

3-5 business days
4-5 days
$0-250
(depending on insurance)

Typical In-Clinic Sleep Study

3-6 weeks (can be over 6 months)
10+ days
$500-$10,000
(National average cost was $3,075 in 2022)

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Insurance Shield

In network with most PPO insurance plans

Get Started

Circle Medical Providers must meet all of the following standards:

  • Exceptionally qualified in their field

  • Board-certified

  • Deeply empathetic for patents

  • Follows evidence-based care guidelines

  • Embracing of diverse patient backgrounds

  • Impeccable record of previous care

350+ Primary Care Providers.
100% Confidence.

No matter which Provider you choose, you will be seen by a clinician who cares deeply about your health and wants to help you live your happiest, healthiest life.

Circle Medical Providers are held to an exceptionally high standard of compassionate, evidence-based care.

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Frequently Asked Questions

Insomnia care

How do I know if I should see a provider for insomnia?

If you are having difficulty falling asleep or staying asleep, you may benefit from meeting with a Board-Certified provider to receive a full evaluation of your sleep.

What can I expect in my appointment?

During your appointment, your provider will conduct a full evaluation of your sleep. If you have recently experienced changes to your ability to sleep, your provider will be able to help you diagnose the underlying causes. Your provider may prescribe non controlled medications for a short period of time to help you sleep. If you are experiencing chronic, ongoing insomnia, your provider will be able to develop a custom approach to improving your sleep.

Can I receive Ambien or other prescriptions for insomnia?

You will not be able to receive Ambien or other controlled medications through our practice. In some instances, you may be prescribed non-controlled medications to help you sleep. Note that booking and paying for an appointment does not guarantee that you will receive any prescription medications, and all treatment plans are at the discretion of your provider.

How often will I meet with a provider?

You'll be able to work with your provider to decide how often to have appointments based on your needs. Using the mobile app, you can book, cancel, and reschedule appointments with your provider as you need.

How long will it take to see results/improve my sleep habits?

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 does the cost compare to traditional insomnia treatment?

Depending on your unique circumstances, the number of appointments that you will have may vary.

With insurance coverage, the majority of our patients pay $5-$50 per appointment, depending on their insurance plan. This makes receiving comprehensive insomnia treatment more affordable when compared to sleep programs that do not accept insurance.

Our self-pay appointments are $100 each.

General

Do new patients need to prepare anything for their first appointment at Circle Medical?

For a detailed breakdown of what you need for your first appointment with Circle Medical, read the article below:


How to Prepare for Your First Appointment

Where are Circle Medical's clinics located? Where can I get care?

Circle Medical has in-person clinics in California and is expanding its in-person presence across the US, but you can get high quality care via telemedicine video appointments in 30 states across the US.

To see what states are currently available, please start booking an appointment and the available states will show as options for you to select.

What is the total cost of treatment?

Circle Medical is a primary care practice, which means that the only fee due to us is the cost of the appointment itself. We accept insurance, so your plan may pay some or all of the appointment fee. Circle does not charge any ongoing membership fees to use our platform.

If you are prescribed medications, you will pay for them when you pick them up at a pharmacy.

Insured
We contract with most PPO insurance plans. If you are a California Bay Area resident, we also work with a small number of HMO plans.

To verify if we work with your insurance, simply start booking an appointment online. You will be prompted to enter your insurance details and will receive eligibility results instantly as well as an estimate of your appointment cost prior to confirming your appointment.

Some PPO plans that we currently work with are:

Anthem Blue Cross/Blue Shield, Aetna, Blue Shield of California, Cigna, Health Net, Humana, and United Healthcare.

Our insured patients pay an average of $5-$50 per appointment.

Plans that we cannot work with are:

Unfortunately, we are unable to provide care for patients who have Medi-Cal or Medicaid insurance. This is because we are not licensed Medi-Cal or Medicaid providers, so we are not able to provide care, even if these patients choose to pay cash instead of use their insurance. If you have Medi-Cal or Medicaid, please do not book an appointment with us, as we will be unable to provide care even if you do not enter your insurance information.

Insured
We also offer a self-pay option at a flat rate of $100 per appointment.

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Book Appointment Provider Nikki Tsang

Same-day Availabilities

Manage Everything in Our App

Manage everything in our simple mobile app.

Appointment Summaries After Every Visit

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

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.

Book Appointment Provider Nikki Tsang

Same-day Availabilities

Talk to a telehealth provider about insomnia today.

Provider Nikki Tsang

Same-day Availabilities

Read more about Insomnia treatment

Common factors that contribute to sleep problems

Sleep problems like insomnia can be attributed to a variety of factors. Some of the most common factors are medications, health conditions, lifestyle choices, and your environment. Let's take a look at some examples:


  • Medical conditions - Medical conditions like stress, chronic pain, asthma, anxiety, depression, and more can interfere with sleep. Certain medications may further exacerbate sleep issues.
  • Lifestyle choices - Certain lifestyle choices can drastically affect sleep quality. Alcohol consumption, too much caffeine, a sedentary lifestyle, and dietary choices can all play a role in sleep quality. Irregular sleep schedules due to shift work or frequent travel can also affect sleep quality.
  • Environment - Our environment is important for sleep. Your sleep environment should be quiet, dark, and cool to prompt quality sleep.
  • Sleep latency - Sleep latency can also indicate poor sleep quality. Sleep latency is the time it takes for you to fall asleep after going to bed. The average sleep latency for normal sleep is 10 to 20 minutes. Falling asleep in a much shorter amount of time could indicate sleep deprivation.


What does insomnia look like in adults?

Insomnia is a sleep disorder commonly characterized by having trouble falling or staying asleep. If you find yourself lying awake in bed or waking up several times throughout the night, you may be dealing with insomnia. Insomnia also bleeds into your daytime activities, as your night of poor quality sleep can lead to fatigue, irritability, and drowsiness throughout the day.



How to get tested and diagnosed online

Chronic insomnia can have serious mental and physical health implications. It's important to seek a diagnosis and treatment if you suspect you have a sleep disorder. Fortunately, getting a sleep diagnosis is easier than ever thanks to online healthcare.

If you want to get tested for a sleep disorder online, the first step is to find an online care clinic like Circle Medical. A healthcare provider at your online care clinic will discuss your symptoms and the troubles you've been having with sleep. From there, they can send you an at-home sleep study. These are noninvasive and convenient devices that allow your provider to get metrics about your sleep without you needing to go to an in-person sleep clinic. From this data, they can diagnose your sleep disorder and start you on a treatment plan.


How to fall asleep with insomnia

Falling asleep with insomnia can be difficult, but here are some strategies you can try to get a quality night's sleep:


  • Follow a consistent sleep routine - Try waking up and going to bed at the same time each night, even on weekends. This helps your body set its internal clock.
  • Have a good sleep environment - Make your room quiet, dark, and cool to create the ideal sleep environment.
  • Avoid stimulants and food before bed - Stimulants like coffee and nicotine or a large meal before bed can disrupt your sleep schedule.
  • Exercise - Exercising during the day can help you get a better night's sleep.

Relaxing activities - Try setting a bedtime routine and engage in some relaxing activities to wind down for the night.