Non-Covered Services

The True Cost of Better Medicine

At Heart of Wellness we are committed to providing exceptional care that goes well beyond what is conventionally available. Our team of experienced clinicians makes every effort to really understand you and your situation and to identify and resolve the root causes of your illness or injury. Our goal is not just to treat your symptoms but also help you optimize your health and to empower you in your healing journey.

Unfortunately this kind care is significantly undervalued within the conventional medical system. Our longer visits combined with the lower relative value assigned to our care means that insurance companies generally pay us less than 50% of what they pay a conventional doctor’s office per hour of physician time.

Hence in order support the unconventionally exceptional care we offer we charge additional fees for services that are not generally covered by insurance. These non-covered service fees allow us to stay in business without compromising on the quality of care we provide.

Option 1: Comprehensive Wellness Program

The easiest and most cost-effective way to pay for most non-covered services is through our Comprehensive Wellness Program.
 
This option includes:
  • Personalized care within our collaborative care model with access to all team members
  • Priority access to your preferred group physician for more personalized visits and communication
  • Patient portal communications with your physician and collaborative care team
  • Prescription refills and support
  • Insurance billing and support, including pre-authorizations for medications and imaging
  • Ordering and processing of conventional and non-conventional lab testing (you pay the lab company directly but we facilitate the process)
  • Medical records support and coordination
  • Supplement discounts at our in-house dispensary
  • Health and wellness education

Note: The communication and support that is paid for via these fees is not a substitute for visits with your physician or other covered services. Some questions cannot be answered without a visit. Some prescriptions, referrals and even some paperwork cannot be completed without a visit. Some paperwork that can be completed outside of a visit but is especially time consuming will result in a separate paperwork fee per our financial policy.

Current Comprehensive Wellness Program Prices

Individuals: $10/month or $100/year
Couples: $15/month or $150/year
Single Parent Family: $13/month or $130/year
Two Parent Family: $18/month or $180/year
Additional Adult: $6/month or $60/year

New Prices – Effective February 1st, 2025

Individuals: $12/month or $120/year
Couples: $18/month or $180/year
Single Parent Family: $15/month or $150/year
Two Parent Family: $20/month or $200/year
Additional Adult: $6/month or $60/year
Get Started FAQ's

Option 2: Per Visit Fees for Non-Covered Services

This is our default option. This flexible option provides the following non-covered services for a two week period following each physician visit:

    • Personalized care within our collaborative care model with access to all team members
    • Patient portal communications with your physician and collaborative care team
    • Prescription refills and support
    • Insurance billing and support, including pre-authorizations for medications and imaging
    • Ordering and processing of conventional and non-conventional lab testing (you pay the lab company directly but we facilitate the process)
    • Medical records support and coordination

    Note: The communication and support that is paid for via these fees is not a substitute for visits with your physician or other covered services. Some questions cannot be answered without a visit. Some prescriptions, referrals and even some paperwork cannot be completed without a visit. Some paperwork that can be completed outside of a visit but is especially time consuming will result in a separate paperwork fee per our financial policy.

$50 per visit

Get Started FAQ's

Frequently Asked Questions

Yes. You pay as usual for visits and all medical services yourself or with the help of your insurance depending on if our clinicians are in-network with your insurance plan. The non-covered service fees pay only for a range services that are not typically paid for by insurance. If you do have insurance, paying for non-covered services does not in any way alter your responsibilities under your insurance contract. You are still responsible for meeting your deductible and for paying all copays or coinsurance.

We understand why you might think this, but the best analogy is really that we are becoming more like local farms that use Community Supported Agriculture (CSA) programs in order to ensure stable cash-flows so they can compete with much larger industrialized farms. Just like a CSA program our non-covered services fees allow us to say in business while providing exceptional care, creating a win-win for us and our patients.

You will not generally incur any fees for non-covered services as long as you are only working with non-physician providers. These include our acupuncturists, physical therapist, massage therapist and our nutritionist.