Insurance & Billing
Transparent pricing and billing information
Accepted Insurance Plans
Please contact our office to verify your specific plan coverage and benefits.
How Billing Works
Verify Coverage
We verify your insurance benefits prior to your visit and inform you of any estimated out-of-pocket costs.
Service Provided
You receive comprehensive care. You may be responsible for co-pays or deductibles at the time of service.
Claim Submitted
We submit claims to your insurance company on your behalf and handle all necessary documentation.
You Pay Remainder
After insurance processes the claim, you receive an Explanation of Benefits (EOB) and are billed for any remaining balance.
Understanding Your Costs
Insurance-Based and Consultation Services
The practice runs two separate tracks. Which one applies to you determines how your visit is billed.
Insurance-Based
We are currently not accepting new patients for our insurance-based primary care practice, except through personal request. Our practice is at this time full. However, our specialty services — including hormone balance, functional medicine, weight management, epigenetics and nutritional care — are available to new patients through the private-pay consultation option.
Consultation — Private Pay
We are accepting new private-pay consultations for our specialty services, including hormone optimization with bio-identical hormones and pellet therapy, complicated functional and internal medicine consultation, epigenetic evaluation, peptides and stem cell treatments, and weight management.
- Initial consultation
- $300
- Subsequent visits
- $150
Consultation charges depend on the service provided; these are the general fees. Distant and out-of-state consultations are accepted, virtually or in office.
Self-Pay Options
We welcome patients without insurance or those who prefer to pay directly for services. Self-pay options offer flexibility and can sometimes provide cost savings.
Payment Plans
We offer flexible payment plans to help make your care more affordable. Discuss options with our billing team during your consultation.
Good Faith Estimates
Under the No Surprises Act, you have the right to receive a "Good Faith Estimate" of expected charges before receiving services. We provide transparent pricing information upfront so you can make informed decisions about your care.
Specialized Services
Please note that many of our specialized services—including hormone optimization, peptide therapy, and regenerative treatments—may not be covered by insurance and are typically self-pay.
No Surprises Act: You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. For questions or more information about your right to a Good Faith Estimate, contact our billing department.
Billing FAQs
Do you accept my insurance?
We accept most major insurance plans including Aetna, BlueCross BlueShield, Cigna, United Healthcare, Humana, Medicare, Anthem, and Tricare. However, coverage varies by specific plan. Please contact our office to verify your benefits before your appointment.
Are functional medicine and hormone therapy covered by insurance?
Many specialized services such as hormone optimization, peptide therapy, functional medicine testing, and regenerative treatments are not typically covered by traditional insurance plans and are self-pay. We provide transparent pricing and can discuss payment options during your consultation.
When is payment due?
Co-payments and deductibles are due at the time of service. For self-pay patients, payment is requested at the time of service unless prior payment arrangements have been made. We accept cash, checks, and all major credit cards.
What if I receive a bill after my insurance processes my claim?
After your insurance company processes your claim, they will send you an Explanation of Benefits (EOB) showing what they covered. Any remaining balance is your responsibility. We will send you a bill for this amount, which is typically due within 30 days. If you have questions about your bill or need to arrange a payment plan, please contact our billing department.
Do you offer financial assistance or payment plans?
Yes, we understand that healthcare costs can be challenging. We offer flexible payment plans for qualified patients. Please speak with our billing team to discuss your options and find a solution that works for your financial situation.
Questions About Billing or Insurance?
Our billing team is here to help answer your questions and verify your benefits.
Contact Our Billing Team