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What is a covered service? The world of insurance works with
the term 'medically necessary', to which all credentialed
providers sign a contract to abide by. This term means that
we will not bill them for services that are not medically
necessary to benefit your immediate health. An example of
this is counseling in regards to wearing a seat belt versus
checking blood sugar in a diabetic patient. One is guidance
for the future, to prevent illness, the other is an immediate
need to maintain health. Most plans provide for at least one
preventive health visit a year, like an annual physical/gyne
exam, others are strictly for illness only. This doesn't
affect most of our patients who are coming in with existing
health concerns. It does affect those patients who want to
live beyond the mean and not be just free from an illness,
but learn how to be their healthiest and live optimally.
While insurance does not generally cover these types of
visits, we strive to make it the most affordable and best
money you have ever spent.
It is our hope that this information is helpful to you in
navigating the maze of our healthcare system, giving you
terminology to better communicate with your insurance company
and to know which questions to ask to better delineate your
coverage benefits. If you have any questions, please feel
free to contact us by email or by phone so we may assist you.
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5312 Roosevelt Way NE, Seattle, WA 98105 Copyright © 2007
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