Frequently Asked Questions

Our annual membership is the best option for a medical spa or other healthcare business that is just starting. As your business grows, you can purchase additional hours as an annual member with a 10% discount and will have access to 100+ complimentary templates for things like consents, standard operating procedures, social media contracts, HIPAA policies, and more.

We work as outside general counsel for our clients in many states. We could guide you on business and healthcare compliance and formation. For states where we do not have a licensed attorney, we work with local counsel as appropriate for particular issues.

We have helped form and advise more than 600 healthcare practices in the United States. We have unique experience both as healthcare lawyers and as healthcare practice owners.

Typically as a business grows and hires people, adds services, buys equipment, regulations change, etc., the legal needs continue.

The MSO structure we will set up for you does not have to be renewed year to year, it should serve you for many years to come.

With the upfront retainer of $5500, you get about 10-20 hours of legal services, depending on attorney rates. Hourly rates are not discounted.

With the monthly membership, you get 1 hour of legal services monthly. You pay $599 per month plus an initiation fee of $499. With the annual membership, you get 12-22 hours of legal services per year because of the 10% discount on attorney rates. Total payment required upfront is $5887 (an enrollment fee of $499 plus a monthly fee of $449 x 12 months).

Only the Annual membership has unlimited access to the 100+ Templates Library.

Finding a medical director can be one of the most challenging parts of starting your med spa. Here at Lengea, we offer our clients access to a list of potential medical directors licensed in their state. In addition, we recommend other services that can be used to assist you with this process.

It is essential to work with a medical director who has training and experience in the procedures they are supervising.

Some states have geographic restrictions, residency requirements, and board certification and specialty requirements for who can be a medical director, while other states do not.

In many states, the medical director can be physically on-site to supervise.

One of the most common questions is how much to budget when opening a medical spa. The cost of opening a medical spa can vary dramatically. Factors affecting the investment needed include location, space, procedures, staff, local regulations, and equipment. In many states, you could start a medical spa or an IV hydration business with a single injector and a rented room in a shared space. Alternatively, you can lease a building, do a large-scale renovation, purchase lasers, and employ multiple practitioners. The average business cost to start a medical spa is between $50,000 and $300,000.

Knowing your state regulations about the scope of practice for your practitioners is vital to figuring out staffing costs. You will need a prescriber (physician, PA, or NP) to do the initial good-faith exam and write the treatment plan. An RN can perform treatments like Botox, IV hydration, or fillers in most states. An effective cost-cutting practice for startups is a contract with a prescriber who comes in one day a week to perform a batch of these initial good-faith exams or use an outsourced good-faith exams provider. Afterward, an RN or other qualified practitioner can do the actual treatments.

The monthly membership is built for small practices with no employees, and monthly members have access to one hour of legal services each month.

If your med spa is growing, hiring new people, buying equipment, or expanding services, the annual membership provides the best value by saving you 10% on all hours and giving you plenty of prepaid hours for projects. With the annual membership, you get a more significant discount on hours and access to all the templates, and you can lump hours together for more substantial projects. In contrast, with the monthly, you only have one hour per month.

Yes, the annual membership comes with about $6000 of prepaid legal hours and a 10% discount on any additional legal hours you may choose to get.

Yes, the annual membership is usually enough to set up an MSO/MSA.

After the first year, is there a cost to maintain the MSO, or do most people automatically renew the membership? There is no annual cost to maintain an MSO.  As your business grows, typically, you will start hiring people, expanding services, buying machines, signing more contracts, etc., and the legal hours included in the membership will be used on that. Our membership was designed to be your outside general counsel - the legal team you always have on call if your business is expanding, hiring people, buying equipment, opening new locations, or facing an issue. To become a member, sign up here: https://lengea.recurly.com/subscribe/annual

Yes, email us at info@lengealaw.com to set that up.

Yes, the memberships automatically renew unless you notify sara.shikhman@lengealaw.com with 30 days’ notice that you don't want to continue. 

Please see https://lengealaw.com/membership/

It is a recurring charge on your method of payment.

You can upgrade by signing up for the annual membership online, and then all future bills plus the one already due from services performed on the 1st of that calendar month will get the annual membership discount. For example, if you upgrade to an annual membership on April 20th, the services performed April 1-20th will also get a 10% discount.

If you are already a monthly member in good standing when you upgrade to the annual membership, your $499 enrollment fee for the annual membership will be used as a bill credit on a future invoice.

Yes, you can add hours at the monthly membership discount and receive 5% off all your Lengea hours billed. You can add hours at the annual membership discount and receive 10% off your Lengea hours billed.

Email sara.shikhman@lengealaw.com

info@lengealaw.com

The monthly membership is built for small practices with no employees, and monthly members have access to one hour of legal services each month.

If your med spa is growing, hiring new people, buying equipment, or expanding services, the annual membership provides the best value by saving you 10% on all hours and giving you plenty of prepaid hours for projects.

With the yearly membership, you get a more significant discount on hours and access to all the templates, and you can lump hours together for more substantial projects. In contrast, with the monthly, you only have one hour per month.

There is no annual cost to maintain an MSO. As your business grows, typically, you will start hiring people, expanding services, buying machines, signing more contracts, etc., and the legal hours included in the membership will be used for that. Our membership was designed to be your outside general counsel - the legal team you always have on call if your business is expanding, hiring people, buying equipment, opening new locations, or facing an issue.

To become a member, sign up here:

https://lengea.recurly.com/subscribe/annual.

You can upgrade by signing up for the yearly membership online, and then all future bills plus the one already due from services performed on the 1st of that calendar month will get the annual membership discount. For example, if you upgrade to a yearly membership on April 20th, the services performed April 1-20th will also get a 10% discount.

If you are already a monthly member in good standing when you upgrade to the annual membership, your $499 enrollment fee for the yearly membership will be used as a bill credit on a future invoice.