Specialty Telehealth Care

Our Neuro Network provides specialty telehealth care for adults affected by acute, chronic, and complex neurologic and neurometabolic conditions. Clinical services are available to patients who are physically located in Hawaii or Arizona at the time of service.

Hawaii

Beginning April 2026, target launch, Our Neuro Network plans to participate with most major Hawaii commercial insurance plans, as well as Medicare and Medicaid, subject to final credentialing and payer approval. Prescribing of controlled substances via telehealth is subject to federal and Hawaii state law. Controlled substances may be prescribed only when legally permissible, clinically appropriate, and consistent with all applicable regulatory requirements.

Arizona

At this time, Arizona-based services may be out of network with commercial insurers. Prescriptions are limited to non-controlled substances at this time, but may be offered at a later date when clinically appropriate. Cash pay options may be available. Medicare and Medicaid services will be offered only where credentialing and regulatory requirements are met.

Clinical Provider

Clinical services are delivered by Tiffany Hoke, DNP, RN, RNP, APRN-RX, AGACNP-BC, SCRN, CNRN, a doctorally prepared, licensed, and board-certified Adult-Gerontology Acute Care Nurse Practitioner, Certified Neuroscience Registered Nurse, and Stroke Certified Registered Nurse with over twenty years of experience in acute neuroscience and neurovascular care.

Care is grounded in careful listening, longitudinal clinical reasoning, and thoughtful synthesis. Visits prioritize understanding the full clinical story, identifying meaningful patterns, and developing individualized care plans that respect both medical complexity and lived experience.

Care Model

Acute, chronic, and complex neurologic conditions are rarely understood or adequately addressed in a single visit. These conditions often require time, continuity, and ongoing clinical reassessment across a coordinated continuum of care.

Effective management frequently depends on close interdisciplinary collaboration with other specialty providers, which may include neurologists, neurosurgeons, primary care providers, physical therapists, occupational therapists, speech-language pathologists, and other members of the healthcare team as clinically indicated.

Care provided by Our Neuro Network is not a replacement for evaluation or treatment by primary care or other specialty providers. Rather, it serves as a thoughtful adjunct designed to support coordination, clinical synthesis, and individualized care planning across settings.

Whenever possible, Our Neuro Network facilitates appropriate referrals, communicates clinical impressions and recommendations, and collaborates with treating providers to optimize outcomes, support functional recovery, and improve quality of life for individuals living with acute, chronic, and complex neurologic conditions. This collaborative, interdisciplinary approach reflects the reality of neurologic disease and supports care that is patient-centered, evidence-informed, and responsive to evolving clinical needs.

Our Neuro Network operates within an insurance-based care model that supports thorough evaluation, appropriate follow-up, and ethical clinical decision-making. Visit recommendations are guided by clinical need rather than volume, speed, or administrative pressure.

Telehealth services are not appropriate for medical emergencies. If you believe you are experiencing a medical emergency, call 911 immediately or go to the nearest emergency department. When clinically indicated, referrals to emergency departments or other acute care facilities may be made to ensure timely evaluation and treatment. Such referrals occur when a patient’s needs fall outside the scope of telehealth care and when in-person, urgent, or emergent evaluation is in the patient’s best interest.

Visits and Follow-Up Care

Initial and follow-up visits are scheduled based on clinical complexity and patient need. If a concern requires additional diagnostic reasoning, coordination, or prolonged discussion, follow-up visits may be recommended to ensure safe and comprehensive care.

Services are billed in accordance with applicable insurance coverage, payer policies, and standard medical coding practices. Patients are responsible for any copayments, deductibles, or coinsurance as determined by their insurance plan. For patients receiving care in Arizona where insurance coverage may not apply, available cash pay options will be discussed transparently prior to scheduling.

Secure Messaging via Spruce

Secure messaging via Spruce is available to established patients to support continuity of care between visits. Messaging may be used for clarification of recommendations, updates or newly available information, and limited care coordination.

Secure messaging is not a substitute for scheduled visits and is not intended for urgent or emergency concerns. Messages are typically reviewed within one to two business days during regular business hours.

Scope of Clinical Services

Clinical services may include, when appropriate, medical history review and clinical assessment, diagnostic evaluation and medical guidance, medication, laboratory, or imaging orders, completion of medical documentation or forms, and communication with members of the healthcare team.

All care is individualized and guided by clinical judgment, current evidence, and patient-specific needs rather than billing constraints.

Capacity and Availability

To ensure safe, attentive, and thoughtful care, appointment availability may be limited. New patient scheduling may pause periodically when clinical capacity is reached.

Licensure and Location

Telehealth care is provided only in states where appropriate licensure is held. At this time, telehealth care services are available to patients physically located in Hawaii or Arizona at the time of the visit, subject to licensure, payer participation, and regulatory requirements.

Coaching and consulting services are non-clinical, educational in nature, and available nationwide under separate agreements.

If you reside in another state and would like Our Neuro Network to consider future expansion, please contact us using the information in the footer. Expansion occurs thoughtfully to maintain quality, continuity, and patient safety.