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What to Expect - Texas Integrative Medicine
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What to Expect

 

It is very important to stress that this integrative model of patient care is “process-care” and not “episode care” as is typical of modern Western medicine. There is no “quick fix”. There is no “magic pill”. There are no “one size fits all protocols” that are appropriate for the conditions that we evaluate and treat. Results take time to achieve and achieving the best result requires the dedication and commitment of you, the patient, and your support group or family if applicable.

Before your visit:

For us to best understand your health condition and the factors that are contributing to your health disorder it is important for us to have as complete an awareness as possible of all the many factors that contribute.  To facilitate this, we ask that you complete, as thoroughly as possible, a very detailed general health survey that includes your environmental exposures, your family tendencies, your individual sensitivities, and your current symptoms. It is also important for us to have a complete list of your current medications and supplements, both prescription and nonprescription, in addition to any recent medical evaluations and tests including labs that you have had in the past.  Please let us know about any other treatments that are on-going.  Since our fees are based on direct provider contact, the more that our clinicians can prepare in advance the more time that can be spent on educating you on your recovery process and the better value for you.

Your first visit:

The clinician will review your medical history with you taking additional information as individually required and will then perform a physical examination and review appropriate reports. Based on your unique, individual circumstances we will order any additional studies that are deemed to be necessary to diagnose and appropriately monitor your condition upon obtaining your consent. These studies are not included in the office clinician fee. Some labs are billed through the office and other labs are billed by the laboratory directly.  This will be discussed when the labs are ordered or obtained with your consent.

The interpretation of laboratory reports is a very important part of your care and should be done during a visit with the clinician. We will notify you of any urgent lab results that we feel need your immediate attention. Your treatment regimen will then be modified as appropriate.

If the complexity of your condition does not allow complete coverage of all information in the time period scheduled, an additional appointment on a different day may be necessary. We try to schedule enough time to cover the majority of the patients we treat. As recovery proceeds, return visits are scheduled further apart.

Between Visits:

We ask that you review any needed prescription refills with your physician during your appointment. If you require refills between appointments, we ask that you have your pharmacy FAX the refill request to us with two business days advance for us to authorize your refill.

We are happy to respond to procedural questions between visits as a part of our service to you. Questions that require a clinical opinion need to be handled with a clinician appointment (either by phone or in person).  We will attempt to schedule “impromptu” appointments as the schedule permits. You may be contacted between visits by one of our Patient Advocates between service appointments.    The role of the Advocate is to assist you with issues related to your care with us and to assure that we are providing you with the service that you expect from us. Your condition and our recommendations for treatment will then be discussed with your provider.

Insurance and Out of Pocket Cost:

Since our approach to care is “integrative” and includes both standard and “alternative” approaches to treatment, many insurance companies classify our treatment as “unproven” or “experimental” and therefore exclude it from reimbursement. This is very unfortunate but does require that we not participate in any form of medical insurance including Medicare and Medicaid. The Federal government requires that Medicare patients must complete and sign a Medicare “opt out” contract which we will provide. No claim for reimbursement can be made to Medicare or your Medicare Secondary although approved ancillary services (example labs) may be covered. Your private insurance may provide partial coverage for our services if “out of network providers” are covered. We also request that you review and sign a consent form indicating your understanding of the alternative nature of some of our recommended treatments and acknowledge your consent.

Payment for our services is expected at the time of service. We accept cash, personal check and major bank cards. Patients are expected to keep their account paid in full in order to receive continuing care. Costs for testing, prescriptions and supplements are charged separately. They may be covered by insurance but this varies greatly between carriers and we urge you to discuss this with your insurance company if this is important to you. We are considered an “out of network provider”. We will provide you a medical receipt which can be submitted for possible reimbursement. This can also be used as documentation for use of health savings accounts. We do not maintain insurance processing staff.  We are not able to arrange “prior authorization” for the tests and treatments that we recommend.  If additional reports are required by your insurance company there may be an additional charge for the time involved to prepare these reports. We will obtain your approval before these additional services are provided informing you of any additional charges.

Other Important Notes:

As a reminder, we do not act as primary care providers but provide consultation medical and wellness services.  It is important for you to also maintain the services of a primary care provider. We are not available after hours and do not provide “on call” coverage. We do not maintain hospital admitting privileges. In case of emergency, we ask that you call 911.