“No Surprises Act”

Congress enacted a “No Surprises Act” which went into effect 1/1/2022.

This applies to private pay (out of pocket) clients, those who are not using insurance to cover our services.

If you are using insurance to see us (Blue Cross Blue Shield, Harvard Pilgrim, Aetna, Cigna, Allways, or Tufts) this Act doesn’t apply to you. We will confirm your insurance coverage before our first appointment, whenever possible.

If you are a private pay client who is not using insurance and paying out of pocket to see us, this Act applies to you.

The act is described as “new federal protections against surprise medical bills that take effect in 2022.’ Surprise medical bills arise when insured consumers inadvertently receive care from “out-of-network hospitals, doctors, or other providers they did not choose” Surprise medical bills can arise in an emergency when the patient has no ability to select the emergency room, treating physicians, or ambulance providers. Surprise bills can also arise when a patient receives planned care. For example, a patient could go to an in-network facility (e.g., a hospital or ambulatory surgery center), but later find out that a provider treating her (e.g., an anesthesiologist or radiologist) does not participate in her health plan’s network. The patient then will receive a “surprise bill” after the fact. To protect you, Congress created this Act. You are entitled to a “good faith estimate” of the cost of care. (see all the way at the end of this page for an official notice of the Act)

It is highly unlikely this could affect our work together. There will be no situation in which you would “inadvertently” receive care from us or with no choice or foreknowledge. Any appointments are scheduled by you or during appointment with your sole input. Additionally, optional testing and supplements are always discussed beforehand and entirely your choice whether to purchase or not. There will never, under any circumstances, be ‘surprise’ costs.

Below are our rates and some further information. 

Our rates for services: 
Initial intake appointment (50 minutes): $226
Follow up Nutrition appointment (50 minutes) $176
Follow up Nutrition appointment (25 minutes) $93

How many appointments you might have is dependent on your case and your needs. Most people are seen once a month. Others are seen more frequently or less frequently than that. After the first couple of appointments, usually a half hour is sufficient for follow ups. Some people are seen ongoing for years, others are only seen a couple times. It varies greatly. 

Tests: No one is ever obligated or pressured to do any tests. Functional tests are wonderful ways to gain invaluable information, but quality treatment is always available without them. Tests range from $200-$500 each.

Supplements: No one is ever obligated to purchase supplements. We have quality-assured dispensaries for you to use; for convenience and to provide professional grade, independently verified and tested supplements. But the decision to use those dispensaries is entirely yours. The retail prices of supplement ranges widely. The need for supplements (how many, how long to take) changes from case to case.             

Rest assured that we will be as transparent with you about the costs of the services we agree on together. You will have “no surprises” here. As always, you may certainly ask us about any costs about which you may be unsure, and you will be provided clear information.

Please feel free to contact us if you have any related questions. 

Official Notice: 

 Right to Receive a Good Faith Estimate of Expected Charges Under the No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. 

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. 

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. 

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. 

Make sure to save a copy or picture of your Good Faith Estimate. 

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Health and Human Services at (617) 573 -1600

Nutrition Counseling to Improve Gut Health

• Doctors treat your symptoms; we treat the root causes. Join me in the detective work of figuring out what’s going on and how to fix it. There are cutting edge tests that we can use or just good old fashion assessments and expertise.

• From Crohn’s Disease to Irritable Bowel Syndrome, Leaky Gut, SIBO, gluten sensitivity and other dietary intolerances, we have treated them all (and experienced them personally).

• By eliminating certain foods from your diet, adding others, and using the proper targeted supplements, we can help you enjoy food again.

Nutrition Counseling for ADHD, Depression, Anxiety

• ADHD and other common childhood conditions have tremendous nutrition and health implications and are often linked to gut health, vitamin and mineral status, neurotransmitter levels and more.
• Trouble with your memory? With some detective work, we can get to the bottom of that. There are many options for resolving memory issues and enhancing the brain. Want to prevent or slow age related decline? We can do that too.
• It is not widely known that depression and anxiety can be treated holistically. There are multiple possible bodily root causes of these disturbances. After we sort out the cause, we can create targeted solutions. Food, lifestyle changes and supplements can fix the problem.

Nutrition Counseling help you just feel good again!

• Find out what your body needs and what foods you’re better off avoiding.
• Lose weight. Gain energy. Sleep better.
• Answer your body’s cry for help!

Individualized nutrition counseling plans address your body’s unique needs in order to help you achieve optimal health. Starting with lab testing to determine exactly what’s going on inside your body and ending in an integrative plan that addresses nutrition, supplements, sleep, exercise and more, we can help you regain your health and feel your very best.