Mycoplasma Genitalium Treatment Online in California
California adult care by secure video visit. Self pay $79 · Aetna in-network · UHC Commercial approved · CDC two-step algorithm · CA B&P §2290.5 compliant.
Mycoplasma Genitalium (M. gen) is a condition commonly evaluated and, when appropriate, treated via telehealth. TeleDirectMD uses a safety-first approach, screening for red-flag symptoms that require in-person or emergency care before determining whether treatment by video visit is appropriate. This page is for adults located in California, including Los Angeles, San Diego, San Jose, San Francisco, Fresno, Sacramento, Long Beach, Oakland, Bakersfield, Anaheim, and surrounding areas.
Can I get mycoplasma genitalium treatment online in California? Yes. California Business and Professions Code Section 2290.5 — the Telehealth Advancement Act — permits licensed physicians to deliver care via synchronous video telehealth without a prior in-person visit. TeleDirectMD physicians are licensed in California and are held to the same standard of care as in-person physicians by the Medical Board of California. Adults 18+ located in California can book a same-day video visit. Self pay is $79. Aetna is in-network as of April 30, 2026; UnitedHealthcare Commercial approved May 29, 2026.
Quick navigation:
- Eligibility checklist
- California telehealth law
- California epidemiology
- Cost & insurance
- Medication options
- Telehealth vs in-person
- FAQs
- References
- Self pay $79 — no insurance required
- MD-only care (no mid-levels)
- Aetna in-network (effective April 30, 2026)
- UnitedHealthcare Commercial approved (effective May 29, 2026)
- Licensed telehealth care for adults 18+ located in California at time of visit
ICD-10 commonly used: A49.3 (Mycoplasma infection, unspecified; actual code assigned at visit)
Online MD-Only Mycoplasma Genitalium (M. gen) Care in California
- Fast evaluation for mycoplasma genitalium treatment symptoms
- Red-flag screening for serious complications requiring in-person care
- Guideline-based treatment per Centers for Disease Control and Prevention (CDC)
- e-Prescriptions to your CA pharmacy under AB 2789
- Clear follow-up steps and prevention guidance
Adults 18+ only. TeleDirectMD is not an emergency service. Go to urgent care or the ER for severe symptoms, systemic illness, or any red-flag signs described on this page. TeleDirectMD does not prescribe controlled substances.
Mycoplasma Genitalium Treatment Telehealth Eligibility Checklist for California
You are likely eligible for a TeleDirectMD video visit if ALL of these apply to you:
✓ You Are Eligible If
- Adult 18+ located in California at time of visit
- Confirmed positive M. genitalium NAAT result available
- No PID or complicated infection (epididymitis, pelvic pain, fever) requiring in-person evaluation
- Not pregnant
- Willing to disclose prior antibiotic exposures (relevant to macrolide resistance assessment)
- Willing to ensure partner evaluation and treatment
✗ Seek In-Person or Emergency Care If
- Pelvic inflammatory disease (PID) — pelvic pain, fever, adnexal tenderness — requires in-person evaluation and possible IV antibiotics
- Epididymitis with fever or scrotal swelling — in-person urologic evaluation required
- M. genitalium treatment failure after confirmed adequate two-step course — possible highly resistant strain requiring specialist management
- Suspected M. genitalium in pregnancy — requires OB/GYN-coordinated in-person care
- Systemic symptoms (fever >101°F, chills) accompanying urethritis or cervicitis — consider disseminated STI
If you have red-flag symptoms, seek urgent in-person care or emergency care immediately. TeleDirectMD is not appropriate for complex or severe cases.
California Telehealth Law and Your Mycoplasma Genitalium Treatment Visit
Does California require an in-person visit before telehealth?
No. California Business and Professions Code Section 2290.5 — the Telehealth Advancement Act — does not require a prior in-person visit before receiving telehealth services. Before delivering care, the physician must obtain the patient's verbal or written consent for telehealth and document it — which TeleDirectMD does at the start of every visit.
What standard of care applies to California telehealth physicians?
The Medical Board of California is explicit: “The standard of care is the same whether the patient is seen in-person, through telehealth or other methods of electronically enabled health care.” Physicians must be licensed in California to provide telehealth to California patients — a requirement TeleDirectMD satisfies. See our Dr. Bhavsar bio for credential details.
Does California insurance parity law cover telehealth visits?
Yes, for commercial plans. California Assembly Bill 744 (2019), codified in California Insurance Code §10123.85, requires commercial health plans to reimburse telehealth services on the same basis as comparable in-person services. Plans cannot require face-to-face contact as a condition of reimbursement, and copays for telehealth cannot exceed those for equivalent in-person visits. These parity provisions apply to contracts issued, amended, or renewed after January 1, 2021. AB 744 parity does not apply to Medi-Cal managed care plans or Medicare.
Are mycoplasma genitalium treatment medications controlled substances under California law?
Antibiotics used for Mycoplasma genitalium — doxycycline, moxifloxacin, and azithromycin — are not controlled substances and can be prescribed via California telehealth and transmitted electronically to any California pharmacy under Assembly Bill 2789. California requires all prescriptions to be issued electronically under Assembly Bill 2789 (effective January 1, 2022), per the Medical Board of California. TeleDirectMD does not prescribe controlled substances in any state.
How Online Mycoplasma Genitalium Treatment Works in California
Book your video visit
No referral needed. Self pay $79. Many visits available same day. Note your symptom onset, prior episodes, allergies, and current medications before the visit.
See a California-licensed MD by secure video
The physician reviews your symptoms, history, and risk factors. Telehealth consent under CA B&P §2290.5 is obtained and documented. Red-flag screening determines whether telehealth is appropriate for your presentation.
Receive your treatment plan and e-prescription
If medication is clinically appropriate, a California-compliant e-prescription is sent to your chosen California pharmacy during or after the visit. You receive clear follow-up instructions regardless of treatment choice, including when to seek in-person care.
How Common Is Mycoplasma Genitalium (M. gen) in California?
Mycoplasma genitalium prevalence in the general US population is approximately 1–2%, rising to 15–20% in patients presenting with urethritis or cervicitis per CDC STI Treatment Guidelines 2021. It is not reportable in California — CDPH does not separately track M. genitalium — but clinical awareness has grown substantially. Many California sexual health clinics in San Francisco, Los Angeles, and San Diego now include M. genitalium NAAT in extended STI panels given the high local STI burden. — CDC STI Treatment Guidelines 2021 — Mycoplasma genitalium.
Clinical guidance for mycoplasma genitalium treatment is provided by Centers for Disease Control and Prevention (CDC) through the CDC STI Treatment Guidelines 2021 — Mycoplasma genitalium. TeleDirectMD follows these guidelines on every patient visit.
What causes mycoplasma genitalium (m. gen) and who is most at risk in California?
Mycoplasma Genitalium (M. gen) affects California adults across all demographics, though certain populations face higher risk based on the specific condition. The physician reviews your individual risk factors at each visit. Telehealth is appropriate for adults 18 and older with mild to moderate presentations who do not have red-flag symptoms requiring immediate in-person evaluation.
Mycoplasma Genitalium Treatment Cost & Insurance in California
TeleDirectMD's self-pay rate is $79 for a complete MD video visit, including evaluation, treatment plan, and e-prescription. Patients with in-network insurance pay their plan's telehealth copay instead. The table below reflects current TeleDirectMD payor enrollment for California.
TeleDirectMD Video Visit
$79
Self-pay flat fee — no subscription
- Board-certified MD video evaluation
- Red-flag screening & structured triage
- e-Prescription to your CA pharmacy (when appropriate)
- Follow-up instructions & prevention guidance
- No hidden fees
Typical Mycoplasma Genitalium (M. gen) Visit Cost in California
Common ranges Californians see before insurance. Actual costs vary by setting and city.
Comparison reflects typical California metro pricing. Actual costs vary.
California Payor Status — TeleDirectMD
| Insurer | Status | Effective | Notes |
|---|---|---|---|
| Aetna | ✓ In-Network | April 30, 2026 | Commercial plans. In-network as of April 30, 2026. Verify plan eligibility with Aetna before booking. |
| UnitedHealthcare Commercial | ✓ In-Network | May 29, 2026 | Covers UHC Commercial and Medicare Advantage. Excludes Medi-Cal, Individual Exchange, and Navigate/Charter/Core plan types. |
| Anthem Blue Cross | Pending | Pending determination | Enrollment pending. Self pay ($79) available. |
| Cigna | Pending | Pending determination | Pending — Telehealth Only review in progress. Self pay ($79) available. |
| Kaiser Permanente | Closed system | — | Kaiser is a closed health system. Use Kaiser telehealth at kp.org. TeleDirectMD self pay is available but Kaiser will not reimburse out-of-network visits. |
| Medi-Cal | Not enrolled | — | TeleDirectMD is not currently a Medi-Cal rendering provider. Find Medi-Cal telehealth providers via your managed care plan or dhcs.ca.gov. |
View all insurance options or book a $79 self-pay visit.
Mycoplasma Genitalium Treatment Medication Options and Costs in California
Medications for mycoplasma genitalium treatment are selected based on current guidelines from Centers for Disease Control and Prevention (CDC), patient history, allergies, and relevant contraindications assessed at the visit. GoodRx-verified pricing is shown below.
| Medication | Typical Regimen | GoodRx Price (May 2026) | Key Considerations |
|---|---|---|---|
| Doxycycline 100 mg × 7 days (Step 1 — all cases) · First-line | 100 mg orally twice daily × 7 days | ~$14 / 14 tablets with GoodRx | Step 1 of CDC two-step algorithm — reduces M. genitalium bacterial load before definitive therapy. Used in all cases regardless of macrolide resistance status per CDC 2021. |
| Moxifloxacin 400 mg (Step 2A — macrolide-resistant or resistance unknown) · First-line | 400 mg orally once daily × 7 days (after completing doxycycline Step 1) | ~$30–$60 with GoodRx coupon | Step 2A per CDC 2021 when macrolide resistance is suspected or resistance testing unavailable. High global macrolide resistance rates (>30–50%) make this the default Step 2 in most clinical settings. |
| Azithromycin 1 g day 1 + 500 mg × 3 days (Step 2B — macrolide-sensitive confirmed) | 1 g on day 1, then 500 mg once daily × 3 days (after completing doxycycline Step 1) | ~$16 / 1g packet with GoodRx | Step 2B per CDC 2021 — only when macrolide sensitivity is confirmed by resistance testing. Without resistance testing, moxifloxacin (Step 2A) is preferred due to high global azithromycin resistance rates. |
Important: The choice of medication depends on your medical history, allergies, drug interactions, and clinical factors assessed by the physician at the visit. Do not start any prescription medication without a clinical evaluation.
TeleDirectMD vs. In-Person Care: Which Is Right for You?
For most adults with mild to moderate mycoplasma genitalium treatment without red-flag symptoms, a video visit is appropriate and convenient. Some situations require in-person evaluation. Use the comparison below to determine the right care pathway for you.
✓ Use TeleDirectMD (telehealth) if
- Adult 18+ located in California at time of visit
- Confirmed positive M. genitalium NAAT result available
- No PID or complicated infection (epididymitis, pelvic pain, fever) requiring in-person evaluation
- Not pregnant
- Willing to disclose prior antibiotic exposures (relevant to macrolide resistance assessment)
- Willing to ensure partner evaluation and treatment
→ Use in-person care if
- Pelvic inflammatory disease (PID) — pelvic pain, fever, adnexal tenderness — requires in-person evaluation and possible IV antibiotics
- Epididymitis with fever or scrotal swelling — in-person urologic evaluation required
- M. genitalium treatment failure after confirmed adequate two-step course — possible highly resistant strain requiring specialist management
- Suspected M. genitalium in pregnancy — requires OB/GYN-coordinated in-person care
- Systemic symptoms (fever >101°F, chills) accompanying urethritis or cervicitis — consider disseminated STI
- ER / 911: Any life-threatening symptom — difficulty breathing, chest pain, severe confusion, signs of sepsis
- Urgent care: Moderate symptoms needing physical exam or testing TeleDirectMD cannot perform
- Primary care: Chronic management, recurrent episodes, specialist referral needs
- California 211: Find local clinics and health resources
Book a same-day video visit — California adults, 18+
Self pay $79 · Aetna in-network · UHC Commercial approved May 2026 · No ER waitFrequently Asked Questions — Mycoplasma Genitalium Treatment in California
Can I get Mycoplasma genitalium treatment online in California?
Yes, when a confirmed positive NAAT result is available. California B&P Code §2290.5 permits California-licensed physicians to manage Mycoplasma genitalium (M. gen) by synchronous video visit. Per the CDC STI Treatment Guidelines 2021, treatment follows a two-step algorithm: Step 1 (doxycycline 100 mg BID × 7 days) followed by Step 2 based on macrolide resistance status — moxifloxacin 400 mg daily × 7 days (Step 2A, for resistant or unknown resistance) or azithromycin (Step 2B, macrolide-sensitive confirmed). TeleDirectMD requires a confirmed positive M. genitalium NAAT before prescribing. Self pay is $79. Aetna is in-network as of April 30, 2026.
Why is Mycoplasma genitalium treatment different from other STIs?
M. genitalium has high global macrolide (azithromycin) resistance — exceeding 30–50% in some settings per the CDC STI Treatment Guidelines 2021. A sequential two-step algorithm is required: Step 1 (doxycycline) reduces bacterial load; Step 2 provides definitive therapy based on macrolide resistance status. Without resistance testing, moxifloxacin (Step 2A) is the default because empiric azithromycin frequently fails due to high resistance rates. This resistance-guided approach is unique among common STIs.
How is Mycoplasma genitalium diagnosed in California?
M. genitalium is diagnosed by FDA-cleared NAAT — not included in standard STI panels. Specific M. genitalium NAAT testing must be requested from a California lab or sexual health clinic. Planned Parenthood California and other sexual health clinics in San Francisco, Los Angeles, and San Diego offer M. genitalium NAAT. TeleDirectMD requires a confirmed positive NAAT result before initiating the two-step algorithm.
What is the CDC 2021 treatment algorithm for Mycoplasma genitalium?
Per the CDC STI Treatment Guidelines 2021: Step 1 for all cases — doxycycline 100 mg twice daily × 7 days (reduces bacterial load). Step 2A for macrolide-resistant or resistance-unknown cases — moxifloxacin 400 mg once daily × 7 days after completing Step 1. Step 2B for macrolide-sensitive confirmed cases — azithromycin 1 g on day 1, then 500 mg once daily × 3 days after completing Step 1. Test-of-cure 3–5 weeks post-treatment is recommended by CDC.
How common is Mycoplasma genitalium in California?
M. genitalium prevalence in the general US population is approximately 1–2%, rising to 15–20% in patients with urethritis or cervicitis per the CDC STI Treatment Guidelines 2021. It is not reportable in California — not tracked by CDPH STI surveillance. Clinical awareness has grown substantially, and many California sexual health clinics in San Francisco, Los Angeles, and San Diego now include M. genitalium NAAT in extended STI panels given the high local STI burden.
Is Aetna in-network with TeleDirectMD in California for M. genitalium treatment?
Aetna became in-network for TeleDirectMD in California effective April 30, 2026. Verify plan eligibility before your visit. Self pay ($79) is available regardless of insurance. UnitedHealthcare Commercial is also approved effective May 29, 2026.
Will Medi-Cal cover M. genitalium treatment at TeleDirectMD?
TeleDirectMD is not currently enrolled as a Medi-Cal rendering provider. California DHCS confirms Medi-Cal covers telehealth for enrolled providers. For free M. genitalium evaluation, contact Planned Parenthood California. TeleDirectMD self-pay is $79.
Can Mycoplasma genitalium cause PID?
Yes. M. genitalium has been associated with cervicitis, endometritis, and pelvic inflammatory disease (PID) in women per the CDC STI Treatment Guidelines 2021. PID with pelvic pain, fever, or adnexal tenderness requires in-person evaluation and may require IV antibiotics. TeleDirectMD does not manage PID — patients with these symptoms must be seen in person urgently.
Does California AB 744 parity apply to M. genitalium treatment visits?
California Insurance Code §10123.85 (AB 744, 2019) requires commercial health plans to reimburse telehealth on the same basis as in-person services when TeleDirectMD is in-network. Aetna (active April 30, 2026) and UnitedHealthcare Commercial (approved May 29, 2026) are in-network in California. Self pay is $79.
Do sexual partners need treatment for Mycoplasma genitalium?
Per the CDC STI Treatment Guidelines 2021, sexual partners within 60 days should be evaluated and treated for M. genitalium if possible. California's expedited partner therapy (EPT) law — Health & Safety Code §120582 — may apply to partner treatment. Discuss partner therapy options with TeleDirectMD at your visit. Abstain from sexual contact until both partners have completed treatment.
What is macrolide resistance in Mycoplasma genitalium?
Macrolide resistance refers to M. genitalium isolates resistant to azithromycin. Global resistance rates have reached 30–50% in some studies — making empiric azithromycin monotherapy unreliable. The CDC STI Treatment Guidelines 2021 recommend resistance-guided therapy when available, using PCR-based resistance testing on the original specimen. When testing is unavailable, moxifloxacin (Step 2A) is the default choice to ensure adequate treatment.
Does California require an in-person visit before telehealth for M. genitalium treatment?
No. California B&P Code §2290.5 does not require a prior in-person visit before telehealth services. TeleDirectMD requires a confirmed positive M. genitalium NAAT before initiating the two-step CDC algorithm. This test can be obtained through California sexual health clinics, Planned Parenthood, or at-home extended STI panel services.
Ready to see a California-licensed MD?
Book a same-day video visit. Self pay $79 · Aetna in-network · UHC Commercial approved.
References and Primary Sources
- California Business and Professions Code Section 2290.5 — Telehealth Advancement Act. Retrieved May 2026.
- Medical Board of California — Telehealth Resources. Retrieved May 2026.
- California Insurance Code §10123.85 — Telehealth Parity (AB 744). Retrieved May 2026.
- California DHCS — Telehealth FAQ. Retrieved May 2026.
- CDC STI Treatment Guidelines 2021 — Mycoplasma genitalium. Retrieved May 2026.
- CDPH — STI Surveillance Program. Retrieved May 2026.
- GoodRx — Doxycycline Hyclate Prices. Retrieved May 2026.
- GoodRx — Moxifloxacin Prices. Retrieved May 2026.
- Medical Board of California — Electronic Prescribing (AB 2789). Retrieved May 2026.
Medical Disclaimer
This page is for informational purposes and is not a substitute for individualized medical advice. Use of TeleDirectMD does not establish a physician-patient relationship until a video visit is initiated and consent is documented under California B&P §2290.5. Treatment decisions are made by a California-licensed board-certified physician based on the clinical history at the time of the visit. If you have red-flag symptoms — severe pain, high fever, difficulty breathing, rapidly spreading infection, signs of sepsis, or worsening symptoms — seek urgent in-person care or call 911 immediately.
TeleDirectMD does not prescribe controlled substances in any state. The price information on this page reflects GoodRx national coupon pricing retrieved May 2026; actual prescription costs at California pharmacies vary. Insurance status is current as of May 20, 2026; verify with your insurer before booking.
What does an online doctor visit in California cost?
TeleDirectMD's $79 flat rate is up to 3× cheaper than an in-person urgent care visit and ~11× cheaper than an uninsured ER visit. See verified 2026 cash-pay prices across every care setting.
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