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Because we do not provide hands-on treatment, Avela does not manage prescriptions, urgent symptom calls, or daily side effects. Those remain under the care of your local treating physician.
Sometimes. Many second opinions confirm the original approach. Others identify additional options, different sequencing of treatment, or clinical trial opportunities worth discussing. Either way, most patients find value in having clarity before moving forward.
Yes. Some patients seek guidance after abnormal screening results or when they are concerned about cancer risk. We can help review findings, explain next steps, and provide clarity before major decisions are made.
No. Avela is designed to complement your existing care team, not replace it. Most patients continue working with their oncologist while using Avela for additional perspective.
We provide an independent review and a clear written summary you can share with your care team. The goal is to help you understand the key details and options so you can have a more confident, informed conversation with your oncologist. You’ll know which questions to ask and what to discuss next based on your situation.
Different physicians may approach situations from slightly different perspectives. If there are differences, we explain the reasoning clearly so you and your care team can evaluate the options together.
You will receive a written report summarizing our findings and recommendations. We also review the results with you directly so you understand the reasoning and next steps.
That decision is entirely yours. Our goal is to support you regardless of the care team you choose.
Yes. Rare cancers are one situation where additional expert review can be especially valuable. We carefully evaluate available research and treatment strategies to help clarify potential options.
Yes. Rare cancers are one situation where additional expert review can be especially valuable. We carefully evaluate available research and treatment strategies to help clarify potential options.
Hospital second opinions typically happen within one institution, and recommendations may naturally reflect the programs and services available there. Avela provides independent review that is not tied to a hospital system. We help you understand which tests and treatment options may be worth discussing, regardless of where you receive care.
Large cancer centers can offer excellent care, but second opinions there may involve long waitlists, travel, and in-system constraints. Avela provides independent guidance through a fast, virtual process so you can get clarity from the comfort of your home. You can also invite family or friends to join the visit without needing to travel or take time off work.
General information does not account for the details of your individual case. Avela provides physician-led analysis tailored specifically to your situation and goals.
Each case is reviewed by an experienced oncology physician who analyzes your records, imaging, pathology, and current recommendations. The goal is to provide thoughtful, individualized guidance.
Your records are reviewed in depth, including pathology reports, imaging studies, prior treatments, and genomic testing when available. The final report outlines key findings and explains the reasoning behind recommended strategies.
During the consultation we review your situation, explain the key findings from your case review, and discuss potential strategies. You will have time to ask questions and ensure you understand your options.
Yes. Many patients choose to have family members present during consultations so they can hear the discussion and support decision-making.
Yes. Depending on your service or membership level, you may be able to ask follow-up questions after the consultation to clarify recommendations.
Some patients use Avela for a single comprehensive review. Others choose ongoing guidance so new scans, treatment decisions, or questions can be reviewed as their situation evolves.
Compare one-time review vs membership on Plans & Pricing.
Membership provides ongoing access to oncology guidance as your care evolves. Members can return for review of new scans, treatment decisions, or other questions over time.
See what’s included in each plan.
No. Avela operates outside the traditional insurance model. This allows us to focus on detailed case review and personalized guidance without the time constraints often associated with insurance billing. In some cases, you may be able to use funds from a Health Savings Account (HSA) or Flexible Spending Account (FSA).
View pricing and payment options.
Insurance requirements often influence what is covered and how care is delivered. Avela is cash-pay and not billed to insurance, which allows more time for thoughtful review and guidance based on what you need.
See Plans & Pricing for current rates and what’s included.
Avela services are not covered by Medicare or commercial insurance. If you are a Medicare beneficiary, you are still able to use Avela as a self-pay service, with the understanding that services are not submitted for reimbursement.
Review payment details on Plans & Pricing.
Avela is currently available in Virginia, with plans to expand to additional states.
Yes. Avela works with international patients and provides expert virtual second opinions regardless of location. You can securely upload your medical records in English through our platform, and we will review your case and provide a detailed consultation and written report. The fee for international second opinion consultations is $2,800 (USD).** This reflects the additional complexity of reviewing international health records and coordinating across global time zones.
No. The review process is designed to be efficient so you can receive guidance without slowing your care.
Once we receive your medical records, most cases can be reviewed within a few days and recommendations are typically delivered within days. The biggest factor is how quickly records and imaging can be collected and shared.
Often, yes. We can begin with what’s available and help you understand what information matters most and what questions to ask while results are pending. If a specific test is needed before recommendations can be finalized, we will tell you that clearly.
Insurance requirements often influence what is covered and how care is delivered. Avela is cash-pay and not billed to insurance, which allows more time for thoughtful review and guidance based on what you need.
See Plans & Pricing for current rates and what’s included.
Avela services are not covered by Medicare or commercial insurance. If you are a Medicare beneficiary, you are still able to use Avela as a self-pay service, with the understanding that services are not submitted for reimbursement.
Review payment details on Plans & Pricing.
Ready to take the next step?
Schedule a discovery call to discuss which path is right for you.
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