I chose this clinic after I saw one of their clinics close to my home. Only after I jumped through multiple hoops...they call them "steps"...and paid my $250 (for a renewal!) was I informed that they don't actually see patients at the clinic near me, nor did they have ANY appointments available for months at any of their clinics within a 200 mile distance of my home. Umm, hello! I'm considered disabled for a reason and long car rides are not an option for someone with a body as crippled as mine. At this point I tried to get a refund and was notified that attempting to get a refund meant they had the right to inform the state I did not qualify for a card! At this point I gave up and found a local doctor that was able to see me in a timely manner at half the price. Please save yourself the misery and $250 and use someone else.