Fees for Services
Initial visits for osteopathic treatments and holistic health evaluations usually last 1 1/2 hours and include any or all of the following; a complete review of medical, family, surgical and social history, a physical exam, nutrition and lifestyle analysis, addressing acute and or chronic issues, osteopathic treatment, and a discussion of follow-up and goals we will work towards. The fee for initial visits is $350. Follow up visits for osteopathic treatments, lab results or discussion of plan last l hour. The fee for follow up visits is $225.
When labs and radiology are ordered they are usually billed directly to your insurance company by the facility (lab, radiology group etc) handling the order, meaning you usually do not have to pay for them at the time they are rendered.
Insurance Information
PPO Insurance Plans
PPO type insurance plans generally cover at least some portion of our services. If you have a PPO, you will be responsible for payment in full at the time of the visit. We will then submit a claim to your insurance company electronically on your behalf. The insurance company will in turn send you any reimbursement that is due to you. We are not contracted with any PPO insurances, so we are considered “out of network”. As such, you will usually be reimbursed for a portion of visits and treatments, but not as much as if you went to an “in network” or “contracted” PPO doctor.
Experience has demonstrated that reimbursement from PPO's runs any where from 80% on down. We encourage you to call your insurance company ahead of time to find out how much they will pay for visits to our office.
In the FORMS section is a script entitled "Out of Network Quote of Benefits" which you can use when you call them. With this information they can help you determine your reimbursement for osteopathic treatments and some office visits. If you are interested in osteopathic treatments, please stress to your insurance company that you are having an osteopathic treatment, not chiropractic care or physical therapy.
Medicare
If you are fortunate enough to qualify for Medicare, most of the cost of our services will be covered. Payment in full is due at the time of the visit. We will then submit your claim electronically to Medicare who will then reimburse you for most of the cost. First visits are $269, and follow up visits run $122-$205. Your out of pocket expense after Medicare has paid you will likely be $81 for the first visit and $37-$63 for follow up visits. If you have a secondary insurance in addition to Medicare, your out of pocket expense after Medicare and your secondary have paid will likely be $34 for the first visit and $16-$27 for follow up visits. These figures are an approximation and provided to you as a courtesy. Medicare payments vary from year to year, and even within the year. We will update them as best we can. In addition, benefits provided by secondary insurance companies are not all the same.
Medi-Cal
If you have Medi-Cal, our services will not be covered as we are not contracted with Medi-Cal. As such, payment for services is due at the time of the visit, and you will not be reimbursed by your insurance company.
HMOs
If you are covered under an HMO plan, our services will not be covered as we are not contracted with any HMOs. As such, payment for services is due at the time of the visit, and you will not be reimbursed by your insurance company.
Forms of Payment
We accept Visa, Mastercard, Check or Cash and payment is due at time of services except in the case of some Medicare patients.
