Optimized Wellness Center believes in the value of holistic care and functional medicine for you and your family. Our goal is to help you achieve the best possible outcome and we understand that exorbitant prices can be an obstacle to healthcare for many. Therefore, we have created a pricing structure that can be tailored to you.
Unfortunately, most insurance plans do not adequately cover the services we provide to get you feeling your best. For instance, typical insurers cover only the most basic and palliative chiropractic care. We believe our multi-disciplinary functional medicine approach which includes comprehensive neurologic and balance assessments, soft tissue work, manual therapies, functional labs, rehabilitation exercises, detoxification therapies, cold laser, body contouring, customized nutrition plans, nutrient injections, etc. will make a significant difference in healing your body.
The good news is that we can issue you what is called a Superbill which contains the billing codes for services rendered, giving your insurance provider all the information they need to maximize direct reimbursement to you. Our status as out of network with all insurance providers saves you money in the long run since it allows us to keep our costs low and offer you discounted payment plans up front.
We accept most major credit cards, Flexible Spending Accounts (FSA) and Health Savings Accounts (HAS) and checks. In addition, you can take advantage of our affordable payment plan options to make the cost of care manageable for you and your family.
Optimized Wellness Center wants to help you care for your most important asset – your health. We strongly believe that functional medicine including comprehensive chiropractic, naturopathic and acupuncture care can help you address your current health concerns and prevent future problems. Overall, this approach will be far less expensive than traditional medicine as it seeks to treat the root cause of illness with real pain resolution and improve functional outcomes rather than with more pain medications or invasive surgery. If you are ready to take control of your health, call us today at 510-497-4424!
Insurance Coverage for Labs and Services:
If you are attempting to use insurance benefits, an order by a naturopathic or chiropractic doctor may be included or excluded from your coverage depending on your insurer and your plan. Our office is not legally allowed to contact your insurance company regarding your benefits. We recommend that you call your insurance provider to determine eligibility for coverage of any services or studies requested. You may find it helpful to record the name of the insurance representative you speak with and the date of your call, in the case of any later dispute. Once studies have been ordered through insurance, if your coverage is denied you will be responsible for the billed amount at the insurance rate. The following questions may be helpful in determining coverage when calling the number on your insurance card listed for customer service or benefits:
- Are services provided by a licensed naturopathic or chiropractic doctor in the state of California covered by my insurance?
- Are routine and diagnostic laboratory studies ordered by a licensed naturopathic or chiropractic doctor in the state of California covered by my insurance?
- Are imaging or other diagnostic methods (X-Ray, ultrasound, CT scan, MRI, etc.) ordered by a licensed naturopathic or chiropractic doctor in the state of California covered by my insurance?
- If yes, do they need to be ordered at any specific lab (usually Labcorp or Quest) or imaging facility?
- Are there any limitations or exclusions?
- Do any of these services or evaluations need to be ordered only by my designated primary care doctor?
- Do I need to meet any deductible before coverage applies?
- Will I be responsible for any co-pay or portion of cost not covered?
If you do not have insurance coverage for conventional laboratory studies recommended by your naturopathic or chiropractic doctor you may have the option to run your laboratory studies through a company called Professional Co-op or Ulta Labs that does not participate in insurance billing and therefore offers significant discounts for payment at time of service. Our office collects payment for these labs at the time of providing you with your laboratory requisition (order). This often makes the same labs available at a fraction of the insurance pricing structure. You may be able to submit your payment to your insurance company, a flex spending account (FSA) or a health savings account (HSA) for reimbursement, if applicable. Additionally, you may be able to order your own labs at “cash” pricing through a company such as Direct Labs.
At this time, licensed naturopathic doctors in the state of California are not able to contract with any insurance companies as providers. Therefore, we do not provide any direct billing to your insurance company and all fees are due at time of service. Our office can provide you with a coded service summary (superbill) that can be submitted for insurance reimbursement or to health savings accounts or flex spending account. A minimum of $20 will be charged for providing duplicate service summaries after the date of service. Any contact received by our office from your insurance company for information already provided on the service summary will not receive a response from our office. If there are questions about why a submitted claim is denied you will need to speak with your insurance company about what additional information is required, and will be happy to provide you what we can. Unfortunately, our office is unable to call your insurance on your behalf. There is currently no coverage in California for MediCal or Medicare with licensed naturopathic doctors.
Please let us know if we can answer any other questions.