Insurance Accepted
Insurance Accepted
Regence
Premera
Blue Cross/Blue Shield
Kaiser PPO
Regence
Premera
Blue Cross/Blue Shield
Kaiser PPO
If you think your insurance will pay for our services, it is your responsibility to check with your insurance company before to confirm the following:
- That the clinician you want to see is in-network with your insurance plan.
- That you understand any referrals, authorizations or prescriptions that might be required in order for your insurance to cover our services.
- That you understand your deductible and any co-pay/co-insurance amounts that may be due for our services per the terms of your insurance plan
Please provide your insurance codes when contacting them.
- Initial visits: 30-44 minutes (99204), 45-59 minutes (99205)
- Return Visits: Up to 29 minutes (99213), 30-39 minutes (99214), 40-54 minutes (99215)
Billable Sevices
Billable Sevices
Discounts for other services vary. Non-covered services, like patient portal access and certain prescriptions, are charged separately. See our Non-Covered Services page for details.
Naturopathic Medicine Physician Visits are billed based on activities and physician time. Pricing is set post-visit. Check our billable rates and discount rates for each visit code. Estimated clinician time is provided, but actual coding is finalized after the visit.
The cost of billable visits generally ranges between $150 and $300. Final patient responsibility may differ depending on visit type, time spent, and your individual insurance plan’s coverage, copay, and deductible.
Important Notices
Other Private insurers: We are not in-network with any other private insurer or insurance network not listed above. This includes Aetna, Cigna, Optum and United Health. If you are covered by these insurers you will have to pay cash for our services. Even if we are out-of-network with your insurance, lab tests conducted through LabCorp or Quest can still be processed through your insurance.
HMO plans: We are not in-network with any HMO plan, including Kaiser Core or Premera HMO or any other HMO plan. If you are covered by an HMO plan you will have to pay cash for our services.
Medicaid: We are not in-network with Molina, Amerigroup, Apple Health or any other Medicaid plan. If you are covered by these insurers you will have to pay cash for our services.
L&I Workers Comp: We do not work with new L&I claims. If your condition is due to a work-related injury please let us know before scheduling. You may have to pay cash for our services.
Medicare: Medicare does not recognize our physicians or any of our other clinicians. Medicare will not pay for labs or medications if they are prescribed by our physicians. Many of our medicare patients work with other doctors to manage their labs and medications. Medicare Advantage and Medicare Gap plans will also not pay for our services.
Frequently Asked Questions
Are these fees in addition to using my insurance or paying cash for visits?
The non-covered service fee is additional when using insurance when providers are in-network with your plan. If you are paying out of pocket for the visit, you won't pay the non-covered service fee. Fees for non-covered services apply only to services not typically covered by insurance. Having insurance does not change your obligations under your insurance contract; you are still responsible for meeting your deductible and paying all copays or coinsurance.
How do I know which program is right for me?
Our programs are designed to address different aspects of health, from personalized health, wellness, nutrition to mental well-being. We recommend starting with a FREE consultation, we will guide you in choosing the program that best aligns with your goals.
Is there a long-term contract for non-covered service?
The non-covered service fee is paid at the time of service, with no long-term commitment required. This flexibility allows you to access comprehensive support tailored to your needs without being tied to a contract. By paying these fees, you benefit from enhanced communication and support, including offline interactions that ensure continuity of care. This approach allows for more personalized attention, quicker responses to your queries, and a more holistic healthcare experience, ultimately contributing to better health outcomes.
Are your services suitable for people with specific medical conditions?
Absolutely! Our services are well-suited for individuals with specific medical conditions. Dr. Evelyn Le, a licensed Naturopathic Doctor in Washington, has completed a Fellowship in the Academy of Integrative Medicine. She is highly knowledgeable in managing a wide range of conditions, as detailed on our "Conditions We Support" page. Dr. Le collaborates with your other healthcare providers to ensure you receive the best possible care tailored to your unique needs.
If my appointment is out-of-network and I pay out-of-pocket, am I still required to pay the non-covered service fee?
The good news is that when you pay out-of-pocket for your appointment due to it being out-of-network, you are not required to pay the non-covered service fee. This approach streamlines the payment process, saving both time and resources by eliminating the need to bill you or a third-party payer, such as an insurance company. Despite this, you still receive high-quality care and enjoy all the benefits typically associated with the non-covered service fee. This includes personalized attention, comprehensive support, and efficient communication, communication with the provider, ensuring you receive the best possible healthcare experience.
Shop: 1820 BLACK LAKE BOULEVARD SW, STE 101C, Olympia WA 98512
Call (360) 339-6169
Email: [email protected]
Site: www.prolificwell.com
