I am charged an office visit, but I know now that it isn't as much as it was when I first started taking Tubs to the vet. We were going so much that we were actually given a "frequent visitor" rate! When we had to take him for follow up visits we don't get charged anything and sometimes they will give him a quick cleaning and nail trim without charging us! I do have to pay for the office visit, but there are things I don't have to pay for that I was expecting to pay for. I think we are paying $40 for the visits.