Frequently Asked Questions · Fleming Island, FL
Real answers, before you ever pick up the phone
No price list, no pressure, and no scripts. Here is the plain-spoken version of what patients ask us most, about consultations, cost, membership, and who is actually caring for you.
Why We Wrote This Page
The questions our front desk hears every week
We become family with many of our patients, and family does not hide the ball. So rather than a glossy price sheet, this page answers the questions people actually ask before they book, in the same plain language our team uses on the phone. If your question is not below, call us. A real person answers.
Before You Book
Getting started
Why don’t you list prices on your website?
Every plan at Pura Vida is built in the room, not off a menu. Julie Davis, our founder, is a regional educator who trains other providers on these exact treatments, and that same in-person expertise is what decides what you actually need. So instead of a price list, every page here points to a real consultation, where your provider reviews your goals, your history, and your face before recommending anything.
What happens at my first visit?
It starts with a conversation, not a sales pitch. Your provider reviews your goals, your history, and your labs if you have them, before recommending anything, and the exact treatments and any pricing are worked out together in that conversation. You leave with a clear plan and decide for yourself how and when to begin.
How long does a med spa consultation take?
Most consultations at Pura Vida run 30 to 90 minutes depending on what brings you in. Our hormone consultations run on the longer end, 60 to 90 minutes, long enough to review your history, set expectations, and book any follow-up visits in that same appointment. Injectable and skin consultations tend to move faster, but every visit starts the same way, with an unhurried conversation before we recommend a plan.
What does a med spa like Pura Vida actually provide?
Pura Vida is a one-stop medspa offering day-spa services, medical weight loss, hormone therapy, Botox and fillers, and laser treatments, all under one roof, for patients across Fleming Island, Orange Park, and greater Clay County. Patients come to us for anti-aging and skin-tightening concerns, for weight loss and body goals, and for the energy and vitality that hormone optimization can restore. If you’re not sure where to start, a consultation is the fastest way to find out.
Cost, Financing & Membership
Cost & access
Do you accept insurance?
No, most treatments at Pura Vida, cosmetic injectables, lasers, medical weight loss, and hormone optimization, are elective care that health insurance typically does not cover. We see this often with hormone therapy in particular, where insurance can deny coverage as elective even when a patient genuinely needs it. That is one reason we work with financing partners, so a denial does not have to end the conversation.
What if I can’t pay for everything up front?
We partner with Cherry for financing, a soft-credit payment plan that lets you spread out the cost of a treatment plan so it does not have to be the reason you wait. It is built around getting you into a real consultation first, not a checkout page.
What is VIP Membership, and does it save me money?
Yes, VIP Membership saves you money over time by building perks the longer you stay with Pura Vida, rather than discounting any single treatment. The savings come from the relationship, not a coupon, and our VIP Membership page has what is currently included.
Do you treat men, or is this just for women?
Both. Our wellness side includes hormone optimization, peptide therapy, and provider-supervised medical weight loss for men as well as women, never a one-size-fits-all approach. Saturday and late-afternoon appointments make it easier to fit a plan around a full week.
Who Provides Your Care
Care & providers
Who will actually be treating me?
A credentialed nurse practitioner or physician assistant, every time. Brittany Smith, FNP-C, leads our injectable team, and Kara Wilfong guides hormone and weight-loss patients. You see the same provider visit after visit, so nobody is starting your story over.
What’s the difference between a med spa and a regular spa?
The difference is medical supervision. A regular spa offers only non-medical services like massage and facials, while a med spa like Pura Vida delivers medical treatments, Botox, fillers, lasers, and hormone therapy, under the oversight of a Medical Director. Every injectable and medical treatment here is provided by credentialed nurse practitioners and physician assistants under the supervision of our Medical Director, and our practice holds Florida provider license ME1419590.
Will a provider ever tell me a treatment isn’t right for me?
Yes, and we consider that part of good care. We treat conservatively, whether that means balancing your whole face for an injectable plan or building a hormone and weight plan step by step, and we will say no to anything we believe works against you later. If the honest answer is "not yet" or "not this," that is what you will hear.
Can I control how my before-and-after photos are used?
Yes. We only use before-and-after images with your explicit written consent for web and social use, and you can withdraw that consent at any time. You can see consented results in our before-and-after gallery.
Planning Your Visit
Locations & logistics
Which of Pura Vida’s two Fleming Island locations should I book?
It depends on what you are booking. Our Medical Spa at Island Lane handles injectables, lasers, hormone therapy, and clinical procedures, while our Day Spa at Eagle Harbor, about a mile away, is where massage, facials, and the salt cave live. If you are not sure, choose by treatment rather than address and we will route you to the right one, and our locations page lists hours and directions for both.
What if I need to reschedule my appointment?
Just call your location as soon as you know your plans have changed. We would rather move your time to another patient who needs it than have it sit empty, and there is no need to explain why.
Still Deciding?
A few places to look next
If cost is on your mind, our financing options and VIP Membership are good next stops. Curious which building you need? Start with our locations page. And if your question is about careers, press, or anything that is not a booking, our contact page reaches the right person.
Have Another Question?
Ask us in person. It is faster anyway.
Request an appointment and bring every question with you, or call and talk it through with our front desk first. Either way, you will get a straight answer.