high quality healthcare

Why Clarity About Cost, Insurance, and Expectations Matters in Healthcare

December 18, 20254 min read

Healthcare conversations often avoid one important topic: expectations.

Expectations around cost.
Expectations around insurance.
Expectations around what “good care” actually looks like.

I want to talk about this openly—not to defend myself or justify my work—but because clarity creates better care.

Curious about how it works? Schedule a consult here


The Broken Expectation Many of Us Were Taught

Many people were raised to believe that healthcare—especially when described as holistic, compassionate, or preventive—should be either free or very low cost.

At the same time, we live in a culture where it is completely normal to spend money on:

  • Daily coffee

  • Dining out

  • Convenience foods

  • Lifestyle choices that quietly undermine long-term health

When health finally demands attention, the expectation often becomes:
deep, personalized, high-quality medical care… at the lowest possible cost.

That disconnect is not sustainable.

More importantly, it does not lead to good outcomes.


What Root-Cause, Integrative Care Actually Requires

As a naturopathic and integrative doctor, I do not practice quick-visit, symptom-only medicine.

I practice root-cause care.

That means:

  • Time to listen deeply

  • Time to review your history and lab work

  • Time to think clinically

  • Time to educate you so you understand your body

  • Time to create a plan that fits your real life

  • Time to follow up, adjust, and support implementation

This level of care requires effort from me—and active participation from you.

Healthcare works best as a partnership.


Compassion Does Not Mean Self-Sacrifice

One assumption I hear often is:
“If care is compassionate, it should be cheap or free.”

I don’t agree with that.

Compassion does not mean self-sacrifice.
Compassion means showing up fully, consistently, and with integrity.

To do that, I must structure my practice in a way that allows:

  • Clear thinking

  • Adequate time

  • Clinical depth

  • Sustainable energy

That is how I protect the quality of care I provide.


Why Insurance Doesn’t Cover Everything

Insurance plays an important role in healthcare.
But it does not cover everything—especially not the most important parts of integrative, preventive care.

Insurance typically reimburses for:

  • Brief visits

  • Symptom-focused encounters

  • Standardized protocols

It does not reimburse for:

  • Clinical thinking outside the visit

  • Reviewing labs and records in depth

  • Treatment planning

  • Care coordination

  • Follow-up communication

These are often referred to as “non-billable services.”

They are not extra.
They are the care.

I structure my practice this way so I can practice medicine with depth—not shortcuts.


“My Insurance Covers Everything”—Does It?

Many people have experienced the insurance-based model:

  • 10–15 minute visits

  • Limited questions

  • A prescription and out the door

If that model meets your needs, insurance-based care may be exactly right for you.

But insurance does not cover comprehensive, preventive, root-cause medicine.

I choose not to let insurance dictate the quality or depth of how I care for my patients.
That choice is intentional—and it’s what allows better outcomes.


Why My Practice May Cost More Than Others

There are many ways to access healthcare.

My practice is designed for people who want:

  • Personalized care

  • Education and understanding

  • Long-term prevention

  • Accountability and follow-through

If you are looking for the lowest-cost option or a quick fix, this may not be the right fit—and that is okay.

Different models serve different needs.


Health Is a Partnership

The people who do best in my practice understand that health is not passive.

It requires:

  • Time

  • Effort

  • Accountability

  • Financial investment

When those align, the results can be powerful:

  • Improved energy

  • Clearer thinking

  • Symptom relief

  • Confidence in the future of your health

When they don’t, even the best plan won’t work.


Discomfort Isn’t the Enemy

Some people say, “This feels unfair.”

I understand that investing in health can feel uncomfortable—especially in today’s world.

But discomfort doesn’t mean something is wrong.
Often, it means something matters.

I don’t believe in lowering standards to make care feel easier.

I believe in calling people up to take their health seriously—because their future depends on it.


Who This Practice Is For

My practice is for people who are ready to:

  • Actively participate in their health

  • Understand their bodies

  • Prevent disease rather than react to it

  • Value depth, clarity, and long-term thinking

If that’s you, I would be honored to work with you.


A Final Thought on Compassion

I believe deeply in compassion.

And I believe the highest form of compassion is empowering people to value their health enough to engage fully in it.

This conversation isn’t about judgment.
It’s about transparency.

Because better expectations create better care.

Dr. Evelyn Le Ellis is committed to empowering women to achieve optimal health through personalized hormone optimization. With a compassionate and holistic approach, she addresses the unique hormonal needs of each individual, promoting overall well-being. Dr. Evelyn Le Ellis holds a Biochemistry Honors degree from Baylor University, a Doctorate in Naturopathic Medicine from Bastyr University, a Master of Public Health from the University of Washington, and completed a fellowship at the Academy of Integrative Health and Medicine in California.

Dr. Evelyn Le Ellis

Dr. Evelyn Le Ellis is committed to empowering women to achieve optimal health through personalized hormone optimization. With a compassionate and holistic approach, she addresses the unique hormonal needs of each individual, promoting overall well-being. Dr. Evelyn Le Ellis holds a Biochemistry Honors degree from Baylor University, a Doctorate in Naturopathic Medicine from Bastyr University, a Master of Public Health from the University of Washington, and completed a fellowship at the Academy of Integrative Health and Medicine in California.

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