Frequently Asked Questions

I chose not to accept insurance because I wanted to practice medicine in a way that prioritizes time, accessibility, and truly individualized care. Traditional insurance-based models often require physicians to see a very high volume of patients each day in order to meet the financial demands of the practice. That structure can limit the amount of time available for thoughtful, comprehensive care and meaningful physician-patient relationships.

My concierge model allows me to spend approximately one hour with each new patient and 20–30 minutes at follow-up visits. This gives us the opportunity to address not only immediate concerns, but also the broader picture of health, wellness, prevention, and long-term goals. Whether caring for complex prenatal patients, supporting women through perimenopause and menopause, or helping patients achieve sustainable weight management, I believe the best outcomes come from a whole-person approach and continuity of care.

Patients also have direct access to me 24 hours a day, 7 days a week, including evenings and weekends. I am able to provide a level of responsiveness and personal attention that is difficult to achieve in a traditional insurance-based practice.

Although I do not bill insurance for office visits, patients can still use their insurance benefits for laboratory testing, imaging studies, medications, and referrals when applicable.

Yes. We provide care in both English and Spanish to serve our diverse community.

Dr. Rivera holds privileges at Sharp Chula Vista Medical Center and Paradise Valley Hospital. He delivers babies at Sharp Chula Vista Medical Center and performs gynecological surgeries at both affiliated hospitals based on patient care needs.

Yes. For select services and consultations, we offer secure virtual visits. Contact our team to learn if your appointment can be held remotely.

Please bring your ID, insurance card, any recent lab results, and a list of your current medications. For prenatal visits, bring any previous ultrasound records if available.

You can schedule online, call our office directly, or message us through our secure Klara platform. We kindly ask for 24-hour notice for cancellations.

A Well-Woman Exam typically includes a pelvic and breast exam, Pap smear, and a discussion of birth control, hormone health, or any concerns you may have.

If you're experiencing symptoms like hot flashes, fatigue, weight gain, or mood changes, you may benefit from hormone therapy. We offer personalized evaluations to determine the best treatment plan for you.

Yes. We provide comprehensive menopause care, including symptom management, hormone replacement therapy, and lifestyle guidance.

We offer pills, IUDs, implants, injections, and counseling on natural methods. We help you choose what works best for your lifestyle and goals.

Absolutely. We provide initial fertility evaluations, cycle tracking, and guidance on timing and ovulation. We also coordinate with fertility specialists when needed.

It means personalized, continuous support throughout your pregnancy — including regular ultrasounds, lab work, and 24/7 provider access for peace of mind.

These are advanced procedures like laparoscopy and hysteroscopy that allow us to treat fibroids, endometriosis, and other conditions with faster recovery and less discomfort.

Yes. We provide ultrasonography services on-site for pregnancy confirmation, gynecologic concerns, and fertility evaluations.

Yes. We offer medically guided weight management plans, often in conjunction with hormone therapy, to support lasting, sustainable results.