Pricing, Payments & Claims Guidance
Fees & Payments
Consultations fees are $120 for both in-person and telehealth appointments. Annual Physical consultations are $150. Pricing for other services and administrative tasks are posted at the clinic. Payments are due at the time of service. We accept cash, credit cards & debit cards including HSA/FSA cards, Apple Pay and Google Pay. We do not accept personal checks.
Patient-filed Insurance Claims
We do not bill your insurance, but we can provide you with the billing statements you need to file a claim with your insurance. We cannot guarantee that your claim will be accepted by your insurance, and we cannot predict what part of the payment will be reimbursed to you by your insurance. Please contact your insurance for details.
See below for some common insurance coverage scenarios. This is for educational purpose only. You must contact your insurance company to get authoritative and accurate guidance on how they cover out-of-network service.
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What to expect
You pay upfront for all services
Costs apply toward your deductible
Partial reimbursement may be available
What to do
Use your HSA/FSA or credit card to pay
Submit the Superbill to your insurer (Aetna, Premera, Regence, etc.)
Receive reimbursement (if eligible)
Key Tip
Most patients in this category benefit from our pricing model. -
What to expect
Insurance may reimburse a portion of your visit
Reimbursement is based on “allowed amount,” not what you paid
What to do
Submit Superbill via your insurance portal
Expect partial reimbursement
Key Tip
Ask your insurer: “What is my out-of-network reimbursement rate for office visits?” -
What to expect
No out-of-network benefits in most cases
Claims are usually denied
What to do
You may still submit a claim
Expect to pay fully out-of-pocket
Key Tip
This option works best if you value access/convenience over insurance usage. -
What to expect
Limited or no out-of-network coverage
Strict rules and high deductibles
What to do
Submit Superbill if allowed
Reimbursement is uncertain
Key Tip
Check your Summary of Benefits for “out-of-network coverage.” -
Important
We do not bill Medicare
What this means
Visits are cash-pay only
Claims cannot be submitted to Medicare
Before your visit
You must sign an acknowledgment form acknowledging that you cannot file a claim with Medicare
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Important
We do not bill Medicaid
What this means
Visits are cash-pay only
Claims cannot be submitted
Before your visit
You will sign an acknowledgment form acknowledging that you will not file a claim with Medicaid.