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Your Coverage

Billing & insurance

We accept a number of insurance plans and are happy to help you understand your coverage before your visit. If you have questions, just give us a call.

We will verify and bill your insurance directly. If your plan is not listed below, we will bill as out-of-network and provide you with a superbill you can submit for reimbursement. We recommend calling your insurance company before your first visit to confirm your coverage. To discuss costs, please contact us or call 206.328.7929.

Accepted Insurance Plans

Please review the list below to see if our providers are in-network with your insurance. Insurance plans have many different, individual networks. Even if your insurance is listed below, we recommend calling your insurance company before your first visit to confirm coverage for your specific network.

Ambetter

CCCWA and Select plans

Aetna

BlueCross BlueShield

Exclusions for naturopathic physicians are common on these plans — always call your plan’s Member Benefits number to verify your specific coverage.

Community Health Plan of Washington

Cigna

Coordinated Care

First Choice Health

Kaiser

Core/HMO, and PPO plans.

L&I

Dr. Jamieson and Dr. Pinkleton are contracted with WA L&I.

LifeWise

We are in-network for all plans except for Alpine/Cascade Select, which is not open to King County providers.

Medicaid/Apple Health

Coordinated Care, Molina, UnitedHealthcare, and Wellpoint plans.

Dr. Pinkleton’s panel is currently closed to new Medicaid patients.

Medicare

Please call the office to inquire about coverage for your specific plan.

Molina

PacificSource

PIP

Premera

Regence

UnitedHealthcare

Dr. Preston is out-of-network with UHC.

Wellpoint

Cash Pricing

Our providers typically bill based on time spent. Time-based billing does not only account for the time spent face-to-face in a visit, but also the time spent reviewing your chart/intake form prior to your appointment, ordering labs/medications, completing prior authorizations, writing referrals, coordinating care with other providers, and charting.

We bill the same codes & amounts to insurance as we do to our cash-paying patients, but we offer a $50 time of service (TOS) discount to our cash-paying patients for paying on the day of their appointments. Below is a chart of our most commonly billed codes.

CPT CODE

TOTAL TIME

STANDARD RATE

WITH TOS DISCOUNT

NEW PATIENT APPOINTMENTS

99204

45-59 minutes

$315

$265

99205

60-74 minutes

$375

$325

+99417

75+ minutes

additional $60

RETURN PATIENT APPOINTMENTS

99213

20-29 minutes

$165

$115

99214

30-39 minutes

$200

$150

99215

40-54 minutes

$275

$225

+99417

55+ minutes

 

additional $60

OUT-OF-NETWORK

If your plan is not listed above, we bill as out-of-network and provide a superbill you can submit for reimbursement. Contact us to discuss costs before your visit.

Not sure about your coverage?

Call us before your visit and we’ll help you figure out what to expect.