Fees / Insurance

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BEND, OR – INSURANCE NETWORKS

Dr. Dishman is credentialed as In-Network with the following Insurance Companies.
Please take a moment to call your insurance company to better understand your “Naturopathic Medicine” and “Acupuncture” coverage benefits.

If you cannot find the name of your provider (Dr. Dishman, Dr. Weintrob, Michelle Hirschy-Baker FNP) on your Insurance carrier’s website, try searching under INSPIRED HEALTH. All of our practitioners at our clinic share a Tax ID under this name – this is often how Insurance companies will list our providers as In-Network.
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 (Excludes Medicare Advantage)
  • First Choice
  • Moda (Excludes “Summit Medical Plan – Medicare / Medicaid”)
  • Pacific Source (Excludes Community Solutions/OHP)
  • Aetna (Includes GEHA, PPO and POS – Excludes EPO)
  • EBMS
  • Meritain – Facebook Employees 
  • Cigna (Plan specific, please contact your insurance representative to ensure your plan is in-network with our providers. We are not able to verify Cigna benefits.)
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. 

The following amounts will be applied to your deductible at checkout:

  • Deductible Fee for New Patient Appointment: $275
  • Deductible Fee for Return Appointment: $180
  • Deductible Fee for Naturopathic Functional Medicine + Acupuncture New Patient Appointment: $300
  • Deductible Fee for Naturopathic Functional Medicine + Acupuncture Return Patient Appointment: $195
  • Deductible Fee for Acupuncture New Patient Appointment: $165
  • Deductible Fee for Acupuncture Return Patient Appointment: $100

If we collect from you and your deductible has been met, once the billing charges have been processed and finalized by your insurance company and Inspired Health, you will be credited back the money owed to you.

If you have a high deductible that you will not meet within the year, it is more cost-effective to pay cash at a discounted rate for services.

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.

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!


BEND, OR – CASH Patients (No Insurance Coverage or “Out-of-Network”) 
** DISCOUNTED RATES ARE APPLIED TO ALL “TIME OF SERVICE” CASH PAYING PATIENTS

** 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. 

2021 Fee schedule for visits: Cash Patients without Insurance Coverage
The Case Review is the most timely and efficient way to determine the underlying root causes of your health concerns and design a customized and effective treatment strategy. The Case Review fee structure is designed to save you money and time over the long-term by performing the appropriate diagnostic and physiologic testing and evaluation before treatment begins.

Here is a breakdown of the costs involved in the Case Review and follow up visits so that you can plan accordingly.
Naturopathic Functional Medicine Appointments:

  • Naturopathic New Patient Appointment Phase 1 Case Review ( complexity of care ): $422
  • Case Review: Phase 2 Review of Findings
    • Review of Findings Minimal ( 1 Lab, simple ): $219
    • Review of Findings Complex ( 1-2 Labs, complexity of care ): $295
    • Review of Findings Complex Plus ( >2-3 Labs, complexity of care, length of appointment time): $372-449
  • Follow Up appointments (no lab review)
    • Follow Up 30 minutes: $148-219
    • Follow Up 40-60 minutes: $295

Acupuncture Appointments:

  • Acupuncture New Patient Appointments: $173
  • Follow Up Acupuncture appointments: $112

Naturopathic Functional Medicine + Acupuncture Appointments:

  • Naturopathic + Acupuncture New Patient Appointments Phase 1 Case Review: $495
  • Case Review: Phase 2 Review of Findings
    • Review of Findings Minimal ( 1 Lab ) + Acupuncture: $283
    • Review of Findings Complex ( 2-3 Labs, complexity of care ) + Acupuncture: $372-449
  • Follow Up Naturopathic + Acupuncture: $238
TELEHEALTH– CASH Patients (No Insurance Coverage, or “Out-of-Network”, or Out of Oregon State residents)
** DISCOUNTED RATES ARE APPLIED TO ALL “TIME OF SERVICE” CASH PAYING PATIENTS

We currently offer TeleHealth for anyone interested in remote Functional Medicine care!
TeleHealth Insurance coverage is ONLY available for Oregon residents – all out of state patients will be charged CASH / Time of Service Fees.
2021 Fee schedule for Cash TeleHealth visits (Out of State – Oregon residents, No Insurance Coverage)
TeleHealth Naturopathic Functional Medicine Appointments:

  • New Patient TeleHealth: Naturopathic Functional Medicine Appointment Phase 1 Case Review ( complexity of care ): $422
  • Case Review: Phase 2 Review of Findings
    • Review of Findings Minimal ( 1 Lab, simple ): $219
    • Review of Findings Complex ( 1-2 Labs, complexity of care ): $295
    • Review of Findings Complex Plus ( >2-3 Labs, complexity of care, length of appointment time): $447
  • Follow Up appointments (no lab review)
    • Follow Up 30 minutes: $148-219
    • Follow Up 60 minutes: $295

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.
  • Advanced Comprehensive Stool Testing: to screen for beneficial bacteria status, gram negative bacteria, yeast, parasites, intestinal inflammatory markers (IBS, IBD), dysbiosis.
  • SIBO Breath Testing: for SIBO (Small Intestine Bacterial Overgrowth)
  • Hormone Testing – Saliva, Serum and/or Urine: for adrenal and sex hormone metabolism.
  • 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.
  • Genetic Testing: for methylation anomalies and detox capabilities.

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 have a satellite clinic located in Raleigh, NC with very limited travel – View my Travel Schedule HERE
    • If you live in Raleigh and don’t want to wait for my travel for an in-person visit, please know that I offer TeleHealth appointments!
  • 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

Functional Medicine
NORTH CAROLINA PATIENTS: 
  • The Raleigh, NC Satellite Clinic currently has NO OPENINGS FOR IN-PERSON NEW PATIENTS IN 2019 >> However, we have TELEHEALTH openings!
  • If you want to wait for an In-Person New Patient Visit >> You can fill out an WAITLIST APPLICATION and we will call you if there is an opening
  • If you do NOT want to wait for an In-Person Visit >> Please schedule a TeleHealth visit today!

ABOUT DR. DISHMAN

Dr. Dishman is a dual degree graduate from the National University of Natural Medicine, in Portland, Oregon; graduating 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