FAQs

OFFICE HOURS: Monday-Thursday 8:30-5 and Fri 8:30-2:30. The office is closed for lunch from 12-1 Monday-Thursday. The office is closed for a meeting every second Tuesday of every even month from 12-1:30.  PATIENT ONLY STORE HOURS: Monday-Thursday 8:30-5:30 and Friday 8:30-3.:30. The store remains open during lunch hours.

We normally do not take phone appointments. Due to Covid-19 your insurance may allow it. As of August 2022 Cigna is allowing phone appointments until October 13th, 2022. As of August 2022, BCBS announced extending it’s telehealth policy through December 31, 2022.

The Integrative Care we provide hinges on a face to face visit with our patients, observation and medicine practices that are unlike traditional practices you may have become accustomed to. We can not hear a few symptoms and write a prescription for supplements or medications. We must see the whole person to give you the best care possible and treat the whole person with more than just a quick fix.
 
If you are interested in a practice like ours but feel the distance is too far to travel, please check this site for a practitioner closer to you: https://www.ifm.org/find-a-practitioner/
We accept the following insurance providers: Aetna (except for Limited Network of Wake Health, Duke Health, Cone Health),  Medcost (except for Limited Network of Wake Exclusive Network),  and Cigna. We can also accept BCBS policies except for: Blue Value, Blue Home, Blue Local, HealthyBlue (Medicaid) and the BCBSHPN (High Performance Network). Please note: Most 2022 Marketplace insurance policies are limited network policies and we are not in network with these policies. Please check your policy carefully to confirm if we whether it is limited network or not. 
 
We cannot file claims with United Health Care (UHC), TriCare or any of the medical sharing policies (such as MediShare)   If you have one of these policies full payment will need to be made at the time of your appointment, and we will provide you with the necessary paperwork to submit for reimbursement. We cannot accept Anthem Healthkeepers.
 
A word about Medicare: Our Providers have opted out of the Medicare system and we do not file Medicare claims. If you have Medicare, part B,  you will need to pay cash in full for the services you receive at the time of your appointment. A written contract between you, as patient, and your Provider is required by Medicare and you will be asked to sign the contract at your New Patient appointment.  You will not be able to file Medicare claims yourself for reimbursement. This applies to office visits, lab work and prescriptions (basically anything ordered by our Providers)
 

All other insurance policies (except those named as approved above) are not accepted and payment will be expected at the time of service.  

PLEASE NOTE: ULTIMATELY THE PATIENT IS RESPONSIBLE FOR THEIR BILL AND IF INSURANCE HAS NOT PAID AFTER 90 DAYS, THE PATIENT WILL BE BILLED AND WILL BE EXPECTED TO PAY THEIR BALANCE. 

If you have a policy that has a very high deductible, you may want to consider paying cash for your labs. In general, you should always check with your insurance company before your visit to see if labs are covered. Please discuss your situation with the lab technician before having your blood taken.  Also, please know that we use some specialty integrative labs that are never covered by insurance. The lab technician can give you a price on these specialty labs. 
 

Remember, to prevent heartache, this is YOUR insurance and YOUR responsibility, and each policy is different. Avoid being surprised.

All patients are required to join our patient portal for $60 a year paid at your initial visit. 

Our portal is the primary way we communicate with patients and its value exceeds its cost. The charge will recur every year on the anniversary of your first visit.
 
Every patient is required to keep a credit or debit card on file. Our credit card processor is nested in a banking center, so its security greatly exceeds a typical medical office.
 
If you choose to become a patient and do not have an insurance that we accept, our cash prices are $6 minute or $360 per hour. The initial visit consultation can be between $600 and $960.
 
Outstanding balances will be automatically charged to the card on file at 90 days.
 
Integrative care, such as ours is uncommon and most integrative practices are cash only. We are a hybrid practice, accepting insurances but also acknowledging that there are out of pocket expenses. We are happy to discuss expenses with you prior to treatment.
 
If you have a high deductible plan, you can utilize our cash prices for our labs run through LabCorp, otherwise the labs will be filed through Insurance. There are many different tests, that are not available at your PCP’s office and not covered by Insurance. We consider them medically necessary for optimal treatment of our patients, but Insurance often does not. These tests do qualify for coverage for HSA’s and FSA’s, however. 

At this time all providers are taking new patients except for Dr. Wiggy Saunders and Dr. Bruce Lantelme.

We are problem focused so will not be taking over your primary care. We suggest that you maintain your PCP for routine medical care and sick visits. Due to demand, we are unable to take on every patient with interest in our practice. We take on cases that include symptoms, diseases and challenges that we feel we can most effectively treat based upon our strengths and are unable to take on new patients who are primarily seeking wellness or primary care with an integrative approach. 
 
Dr. Wiggy Saunders and Dr. Bruce Lantelme are currently not accepting new patients.
If you are scheduled for a lab draw in the morning, please do not take your morning medications and supplements.  If you are scheduled for an afternoon lab draw, then please take your medications and supplements in the morning as prescribed. Thyroid medication should be taken about 8 hours prior to your lab draw.
 

– If you are late for your appointment time by more than 15 minutes we will ask you to reschedule.

– You must fill out the intake form before arriving for your new patient appointment. If you arrive without a completed intake form you will have to reschedule the appointment and will be charged a no-show fee of $77.

– There will be a $37 fee for missed appointments and cancellations for existing patients (if adult appointments are cancelled with less than a 24 business hour notice).  PEDIATRIC VISITS require 72 hour cancellation notice.
 
– There will be a $77 fee for missed appointments for NEW ADULT PATIENTS, please call 24 business hours in advance to cancel or reschedule or you will be charged this fee.  PEDIATRIC VISITS require 72 hour cancellation notice.
 
We appreciate your consideration in giving us prompt notice of any cancellation.  
 
– There is a $7.50 Form Fee and a $36 Return Check Fee.
 
– All patients must sign up for our Patient Portal.  This is our primary way of communicating important health information in a private / secure way.  There is a yearly fee of $60. You are charged this from your first visit.
 
– We do require patients to keep a credit or debit card on file with us. Outstanding balances will be automatically charged to the card on file at 90 days. ADULT 

Patients can make payments or check their balances here.