Thank you for your interest in working with me! 

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How We Work with Insurance

Please take a moment to call your insurance company to better understand your “Naturopathic Medicine” and “Acupuncture” coverage benefits.
Please note: our clinic is NOT in-network with any Medicare / Medicaid products – WE are UNABLE to bill for either.

** If we are NOT “In-Network” with your Insurance Company – we will give you a Superbill receipt of your services, so that you can submit to your Insurance Company to get reimbursed directly.
You likely have “Out-of-Network” benefits that this would be applied towards. 

We are “In-Network” with the following insurance companies:

• Regence BCBS: Blue Cross Blue Shield (Panel currently closed to Medicare Advantage)
• First Choice
• Moda (Panel currently closed to “Summit Medical Plan – Medicare / Medicaid”)
• Pacific Source (Panel currently closed to Community Solutions/OHP/Medicare)
• Providence
• Aetna (Includes GEHA, PPO and POS – Excludes EPO)
• EBMS
• Meritain – Facebook Employees

As a courtesy: We will call your Insurance Company to verify benefits prior to your appointment.

However these quotes are not always guaranteed, and we recommend that YOU also call your Insurance company prior to your visit. 

DEDUCTIBLES: If your deductible has NOT been met, and it applies to a service being rendered – WE WILL COLLECT A PORTION OF YOUR VISIT FEES TO BE APPLIED TOWARDS YOUR DEDUCTIBLE.
The remainder of your invoice will be billed to you once we have collected an EOB (Explanation of Benefits) from your Insurance. 

LABS

STANDARD CONVENTIONAL LABS
You will need to know your Lab Benefits – many insurance companies are NOT covering labs, and they will often be applied towards your deductible if billed through your insurance carrier.

If you get a “time of service” cash discount for standard blood work labs (Interpath or St. Charles), you cannot then submit the bill to your insurance. If labs get billed directly to your insurance and you get a bill, the lab cannot go back and give you the cash discounted rate.

SPECIALTY FUNCTIONAL HEALTH LABS

Our providers order specialty Functional health labs through ReNew Functional Health LLC – in order to provide access to discounted pricing. ReNew Functional Health LLC is NOT in-network with any Insurance providers. These labs are typically NOT a covered benefit.

FUNCTIONAL MEDICINE

Functional Medicine is a different approach from the existing health care insurance model. Conventional Medicine is truly a disease-care model, and Functional Medicine is a modern health care model.

• The Functional Medicine model requires a unique approach to your care that can NOT be accomplished in a standard 10-15 minute visit. We give you our TIME and focus on root-cause medicine. Our practitioners are in-network with some insurance plans. Often the time it takes to deliver you an individualized support plan is not completely covered by insurance. Most Functional Medicine clinics across the globe are cash-based and do not accept ANY insurance.
  Our clinic will do our best to get as much of your care covered as your insurance plan allows.
• If your insurance company does not pay for any portion of your treatment, you will be responsible for the charges. It is your responsibility to be aware of what services are covered.
• Often we will bill the code 99417 to allow for reimbursement towards the time it takes to deliver true Functional Medicine (Lab review, Preparation of Review of Findings, Customized treatment plans, Coordination of care, etc)
• Functional Medicine + Customized Support Plans / Lab Reviews: some visits are longer than the standard office visit codes provided by insurance companies. Your practitioner creates a typed-up Interpretation of Lab Results, including a Support Plan prior to “Review of Findings” appointments. These documents are customized and created for each individual and can take more time than the allotted standard office visit codes used for all Insurance companies

Ultimately the take home is: KNOW YOUR BENEFITS!! 
You are responsible for understanding your benefits. 
We understand that insurance benefits and billing can be confusing so if you have questions about your benefits or coverage, please reach out to your insurance company prior to your appointments!

How We Work with Cash Pay

Laboratory Tests

The costs of Laboratory tests recommended during the case review process varies depending on the complexity of condition and level of diagnostic testing required. Laboratory testing is typically $150-1500 (depending on the number of lab tests required for each individual case).

Our practitioners utilize a collaborative approach with other specialists (General Practitioners, Gastroenterologists, Reproductive Endocrinologists, etc) wherever they can, in order to create a team of support for each individual patient.

The exact lab testing ordered after the Initial Case Review depends on the individual case, and may include:

• Blood Tests for specific conditions: such as high cholesterol/lipids, autoimmune disease, gluten sensitivity, food sensitivities, Leaky Gut, vitamin/nutrients status, chronic infections.
  • Cyrex Labs
  • Spectracell Labs
  • Genova Labs > only available in Oregon practice
• Advanced Comprehensive Stool Testing: to screen for beneficial bacteria status, gram negative bacteria, yeast, parasites, intestinal inflammatory markers (IBS, IBD), dysbiosis.
  • Diagnostic Solutions Laboratory: GI Map
  • Doctor’s Data Laboratory
• SIBO Breath Testing: for SIBO (Small Intestine Bacterial Overgrowth)
  • CommonWealth Labs > only available in Oregon practice
• Hormone Testing – Saliva, Serum and/or Urine: for adrenal and sex hormone metabolism.
  • DUTCH Testing with Precision Analytical
  • Labrix Labs
• Organic Acid Microbiome Testing: The Organic Acids Test (OAT) offers a comprehensive metabolic snapshot of a patient’s overall health with over 70 markers.  It provides an accurate evaluation of intestinal yeast and bacteria.  Abnormally high levels of these microorganisms can cause or worsen behavior disorders, hyperactivity, movement disorders, fatigue and immune function.
  • Great Plains: OATs Testing
• Genetic Testing: for methylation anomalies and detox capabilities.
  • 23andme > patients can order this directly online 

Supplements

The fee for supplements recommended as part of your treatment strategy after the Case Review is typically $100-300.

• Did you know there is no FDA regulation on OTC supplements? We hand select medical grade natural supplements to support YOUR health goals.

Check out our ONLINE Store 

I am honored that you’ve chosen me to partner on your journey towards Inspired Health!

HOW I WORK

• My primary practice location for In-Person visits is located in beautiful Bend, OR at Inspired Health: Integrative + Functional Medicine Center
  • I am In-Network in Oregon with a variety of different Insurance panels listed on my Fees & Insurance Page
• I offer TeleHealth remote care for NEW and Established patients!!
  • We do NOT bill Insurance for TeleHealth visits, but can offer you a Superbill of your services for you to get reimbursed directly for care

All New Patients are required to REGISTER with our practice to set up their appointment!

REGISTER TO SCHEDULE

ABOUT DR. DISHMAN

Dr. Dishman is a dual degree graduate from the National University of Natural Medicine, in Portland, Oregon; graduating 2005 with a Naturopathic Medical Doctorate, and an M.S. in Oriental Medicine. She is a Board Certified Licensed Naturopathic Doctor, and an NCCAOM Board Certified National Diplomat in Acupuncture. Her undergraduate Bachelor’s degree from UC, San Diego in Cultural Anthropology is what initially led her down the road of Ancestral studies, medical Anthropology and ultimately evolutionary medicine. You can experience her unique blend of Integrative Functional Medicine by working with her in person or remotely via TeleMedicine.

Discover more about Dr. Dishman