Insurance and Functional/Integrated Care in a Small Practice

After 13 years of billing Medicare and the Major insurance plans, we came to a 'cash up front with help in getting you reimbursed' model of payment. The nature of this practice, and others like it, is highly individualized and patient-time intensive. Our model is not compatible with insurance and the significant operational costs that are involved in insurance billing. The current insurance system allows a fraction of the time needed to do a thorough and comprehensive assessment, formulate a treatment plan and address the cause of the identified imbalances.

We have found that many insurance carriers have an 'out -of-network' clause that will reimburse (or apply to the deductible) 40-100% of the visit or video teleconference. We have helped get the paperwork to a carrier for the patients. In addition, many patients use Health Saving accounts (HSA) or workplace FLEX spending accounts to cover visits and prescribed products costs. Phone and video consultations are available for local, national and international patients. 

We are not contracted Medicare providers since 2009. This means that you will pay for your discounted office visit. However, most of the lab testing will be covered by Medicare. Medicare does not reimburse for the office visit to completely opted out medicare providers. We try to minimize the costs as much as possible.