FEE STRUCTURE
To be able to deliver detailed and personalized care but still participate with insurance billing we developed a 2 part billing system.
- Part 1 – care would be considered standard or customary. Many of our patients have insurance that will cover part 1 charges. If your insurance does not cover our care you will be billed directly for part 1 charges.
- Part 2 – these charges represent our fees for care that is above and beyond what is available in conventional medical care. Some people refer to this as a membership or concierge model and ours is similar. These charges are billed directly to the patient and cannot be covered by medical insurance.
Vermont Residents
If your insurance is through a Vermont based company or purchased independently through the exchange you are likely to have coverage for the medically necessary portion of your care. This includes Vermont BCBS, Cigna and MVP. We are also providers with Vermont Medicaid.
If your insurance is through an out of state company we cannot predict coverage but can work with you to determine your benefits
Non Vermont Residents
We do not expect most out of state plans to cover any of our care. We will work with you to check benefits and maximize the coverage you deserve.
Medicare
Unfortunately Medicare does not recognize naturopathic medicine yet and we are not eligible providers with federal programs.
If you have a secondary plan we may be able to bill your secondary plan. Please call to discuss. Currently, to our knowledge, only VT State Employee retirees have this benefit.
If you have a supplemental plan such as an Advantage plan we cannot submit for your care because the plan is based on Federal Medicare rules. However, as of 2025 we may be able to bill Vermont Blue Advantage but only for UVM College retirees.