Frequently Asked Questions
Thank you for your questions!
We have done our best to provide clear and helpful answers. If you have any further questions, please email us!
Does Pure Health accept health insurance?
No. We do not accept any form of medical insurance for consultations or services. You may pay by check, credit card, or HSA debit card. Upon request, we can provide you with a copy of the superbill which you can submit to your insurance company for possible reimbursement for out-of-network care. The superbill is a detailed medical receipt that contains procedure codes, diagnosis codes, and the fees charged for your office visit. We cannot guarantee what reimbursement, if any, you may receive. We do not submit claims or call insurance companies directly. This is the responsibility of the patient.
We do not participate with Medicare, nor do we bill Medicare for any services rendered. A patient can NOT submit superbills to Medicare for possible reimbursement.
Can my health insurance pay for my labs?
Maybe. Some of the laboratory testing we collect may be submitted through your insurance, but we cannot guarantee they will cover any or all of the costs. Some specialty labs may not be covered by your insurance plans. Please check with your insurance company regarding deductibles and reimbursement for out-of-network labs. It is not the responsibility of Pure Health Functional Medicine to understand your individual insurance coverage.
For those that do not have good lab coverage we have partnered with Quest and negotiated a lower, fixed lab cost for our routine blood work labs. Most have found that this cost is less than their copay for the same tests. It also gives us the freedom to order over 20 different functional biomarkers and provide a more comprehensive workup without concern for a denial of coverage, as the labs are paid for upfront.
Why doesn’t Pure Health accept insurance?
Unfortunately, when providers participate with insurance carriers, they enter into a contract that allows the insurance companies to dictate what services will be supplied, limiting the quality of care that we believe you deserve.
Over the past several years insurance reimbursement has fallen, forcing most providers to see more and more patients a day, keeping office visits very brief. We believe this approach of seeing patients for shortened visit times does not allow us to create the personalized plan of care that is necessary in a functional medicine approach.
This allows for ample time with the patient during our appointments. We are not rushed to meet a quota of patients dictated to us by insurance reimbursement.
Not accepting insurance also allows us to be transparent in our pricing, so patients know the cost of services upfront.
Can a Pure Health provider be my primary care provider (PCP)?
No. You are required to have a primary care physician (PCP). Our providers offer functional medicine consultation only and do not function as your PCP. You must have a PCP for yearly physicals, wellness visits, and for after hours or urgent care purposes. We do not respond to urgent requests of any sort, including messages or phone calls, you must have a PCP for this purpose.
How do I become a patient at Pure Health?
First step to becoming a member is completing a Foundational Assessment. Then we together decide if the 12-month membership program would be beneficial to you and if we are a good fit for each other. Please note, that completion of the Foundational Assessment does not guarantee a spot in our membership plan. We provide care to individuals age 18 and older.