fee schedule for Concierge medicine

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New Patient Intake for Identifying Root Cause of Disease

Appointments are typically Monday through Friday from 8-12. Consists of a blood draw if deemed necessary, a thorough health history lasting up to two hours, physical assessment,  discussions about how the environment is impacting health and a plan for specialty testing and follow up after the visit.  Each patient also receives notes of the visit, a schedule for initiating supplementation if deemed necessary, and lifestyle modification notes all customized to their individual needs and returned within 48 hours of the visit.  

$500.00 4 hours or more/ $250 deposit required when booking

Delivery of Results and Formal Recommendation

A recommendation will be presented to the patient. Collaboration occurs and a realistic plan of care is finalized. Additional specialized testing my be ordered and the patient/family is educated on how to execute the first steps necessary towards recovering or optimizing health and well-being.   This visit will shall include  no more than one specialty test.  Notes to follow within 48 hours of the visit. 

$350.00 2.5 hours 

Hourly Rate

Established patients receive follow-up consultation that is typically scheduled for 30 minutes, unless the provider advises more time is needed.  These visits are billed based on the amount of time the provider spends on your case care.  Follow up visits typically occur every 1-3 months depending on the complexity of disease state and plan of care.  Over time the visits tend to become less frequent, unless 1:1 support is needed for compliance. **Some people require more support than others. Appointments can be in office or by phone/video consultation. 

$114.00/ 30 minutes, $228.00/ hour,  $3.80/ minute

Consultation

This kind of appointment is for those that are not familiar with a holistic approach to care, are unsure if they wan to make the financial investment,  or want to learn more about how care can differ from the holistic approach they have already received with another provider.  No testing is performed. Time is spent answering questions or getting a second opinion on prior testing

$228.00 1 hour/ $114 deposit required when booking 

WellCare New Patient Intake

WellCare visits are offered for patients that are in need of a provider who values Informed Consent.  Gretchen is certified and able to care for the newborn through the older adults. New Patient intake form is required to be completed and returned with in 7 days of the visit.  If the intake speaks to chronic health issues, the provider will connect to schedule an appointment that better allow for the time in identifying root cause. WellCare visits are not for addressing chronic health issues.  50% Deposit Required at Booking


Newborn to age 3 years:                 

$250 Establishes New Patient Relationship: 1.5 hours

          **First Born: Additional $100 for teaching time

          **Home Births: Additional $50 for no prior well-care exams

Age 3 to 13 years:                  

$280 Establishes New Patient Relationship: 1.5-2 hours

          **New to Holistic Medicine: Additional $75 for teaching time

Age 13+ year and up:              

$400 Establishes New Patient Relationship: 3 hours


**These visits are not for patients that have a chronic health issue and are in need of a full work up to identify root cause.  Those patients will need to schedule a visit that will identify root cause of disease. 

Diagnostic Lab Draw Fees

$15.00 Routine Draws (waived at first visit)


Consult Specialty Test Fees-

$150.00 First Test/ Deposit $100              

$50.00 Each additional Test

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Home Visit Fee

$50-$125 per person- 

depends on travel time, convenience of carrying out care at site and time of day. 


Cancellation policy

Cancellations require 48 hours, and no less than two business days notice. We all have busy schedules, so please be mindful of this policy. There is a $100 fee for missed appointments.  For missed new patient appointments the deposit is forfeited. 


Deposits for New Patient Appointments can be used within once calendar year  of scheduling, should the initial appointment need to be rescheduled.  


This credit is only extended to those who give 2 business days (M-F) notice prior to cancellation. 

Insurance

An average of 9+ hours is spent on your case between the fist two visits, so due to the extensive amount of time spent with patients,  it is not always financially feasible to participate with insurance plans. Some exceptions may apply based on  the discretion of the provider. 


ANY fees are due at the time services are rendered, unless a prior payment arrangement has been made.  


After each visit you will be given a super bill with standard CPT and ICD 10 codes to submit to your insurance for reimbursement or to be applied  towards your in-network or out-of-network deductible.  


Most diagnostic testing is covered all, or in-part  by insurance plans.  The practice aims to collaborate with you in order to provide the most cost-efficient care possible.