Insurance and Cash Pricing
This page is provided in an attempt to be as transparent and forthcoming about costs as possible. Reading this page will give you a good idea of cost ranges and how insurance billing works at our clinic.
Our providers are contracted with many major insurance companies (Premera, Lifewise, Regence, BCBS/Blue Cross Blue Shield, Coordinated Care / Ambetter, First Choice, and Kaiser Options) but DO NOT accept others such as United Health Care . In addition, ASH, American Specialty Health, credentials providers individually, and not as a group. Some providers are not in network with ASH, such as Allicen Maier and Dr. Brooke Azie-Rentz. Our front desk staff can help you decide which provider is best for you given your needs and your coverage, and our smart EMR system automatically verifies that you are eligible once we have your information in our system. Eligible however only means that you are in good standing with your insurance company. It does not necessarily mean that you have ND or Acupuncture benefits, or that AIM is credentialed with that company.
We know that can be confusing, and we apologize for the fact that our country's for profit insurance industry makes things so complex and difficult.
Remember also that insurance is a contract between you and your insurance company, and it's important that you know your plan benefits. We as a clinic are legally required to abide by your insurance contracts with our payers, so please keep that in mind when dealing with any billing concerns that may arise during the course of your care.
Unfortunately, Medicare, Medicaid, and Medicare supplemental insurances do not normally cover Naturopathic consultations. Please call Medicare or your secondary insurance if you have any questions. If this is your primary insurance coverage, please be prepared to pay for your visit at time of service.
If you do not have coverage with one of our preferred insurance companies (listed above), please expect to pay for your care at time of service. As always, be prepared to pay your co-pay and/or co-insurance, if applicable, at time of service.
While our staff conducts benefit checks, verification, and pre-authorizations with your insurance company as a courtesy as part of our Concierge system, it is ultimately the patient's responsibility to contact their insurance company to make sure they have coverage for Naturopathic care, or for Acupuncture, as needed.
A note about Out of Network Coverage: If you have Out of Network Benefits, and the provider you see is out of network with your insurance, then you will be asked to pay the difference between what your out of network benefits cover, and the total billable cost of your visit. This sometimes happens with Acupuncture and ND visits, where due to the alternative nature of the care, your insurance may see it as an out of network claim. They then pay a portion of the claim, to help offset cost to you, and the patient is responsible for the difference. If you have questions about a bill that seems off, please contact us and we will be happy to explain the situation.
Acupuncture Billing: For patients billing insurance for Acupuncture, please note that we employ a professional billing and coding team to process our billing. Typically, Acupuncture is billed with 2 codes, 97810, and 97811. These codes are for the actual acupuncture treatment, and our office bills those out at $65 and $50 respectively, which is considered a very reasonable rate. In addition, from time to time, as coding from the visit necessitates, there is also an "office visit" code billed. For a new patient, this will be a New Patient Office Code, such as a 99204. For an existing patient, as necessitated by coding, this will be a return office code, such as a 99213, or 99214.
In any of these cases, if a patient's insurance company does not reimburse for this billing, the balance would be moved to "patient responsibility".
Acupuncture and Regence: Allicen Maier, our Acupuncturist, is credentialed as a "Participating" provider for Regence. However, Regence differentiates between a "Participating" provider and a "Preferred" provider. Please note that this has caused some Regence patients confusion when it comes to billing, because for a Participating provider, co-pays, co-insurance, and deductibles continue to apply.
We are also able to bill auto insurance for MVA claims. We bill services directly to your insurance company and work with your insurance company to help claims get paid properly, as a service to all our patients. Remember that you will need to provide the claim information to our office in order to bill these claims properly.
Concierge: Our Concierge Care program is mandatory for all ND and Primary Care Insurance patients, as that program covers the cost of the premium non-billable care that is provided or available to each and every ND patient at AIM. All ND/Primary Care patients are also asked to sign up for one of our Concierge Wellness Plans, or are required to pay a $45 Per Visit Administrative fee to cover the variety of non-billable services provided at AIM.
Primary Care, Naturopathic Care, and general Office Visits
Cash Pricing: Our cash prices are based on the corresponding billing code we would bill to insurance for your visit. Thus, there is a range of cost for cash prices. For example, a new patient visit that would be billed as a medium complexity visit would have a charge of $165. However, a highly lengthy and complex new patient visit may yield a charge of up to $275.
First Visit/Initial Office Call $125-$275 depending on complexity
Return Visit/Follow Up $75-$215 depending on complexity
First Office Call $120 (approximately 1.5 hours, including a detailed review of symptoms)
Return Office Call $85 (approximately 45 Minutes)
Add-ons Available (Prices Vary)
Prices are subject to change as our cost of goods and services change. We are committed to keeping our prices among the lowest in the area. Concierge Plans cover only non-billable services.