I see her too. I think you have to pay the $1800 up front. Is that right? I'm so torn on what to do about it. I have MS and so I have already spent $7k and reached max out of pocket for this year. I hate to spend another $1800 when I should be going to all MD appointments for $0 rest of the year. On the other hand, I value her expertise and experience. Ugh. They're all going to go this route eventually.