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NEW PATIENTS
WELCOME TO REBEL MED NW

WELCOME!

We are Rebel Med NW and we are excited that you've chosen to join our community for your positive health change.

We understand that the medical system itself can be a significant source of stress and we take our patient’s resources such as time and finances into consideration. At Rebel Med NW, we do our best to be candid and transparent in our policies as we build our relationship with our patients. We are your guide and advocate for trustworthy health information whether it is mundane bureaucratic details of the medical system, to understanding the current circumstances around Covid-19 and Sars-Cov-2, to profound and lasting health changes that you are looking for.

YOUR FIRST OFFICE VISIT

New patient paperwork includes the Patient Demographic Form, Patient Intake Form, and Patient Responsibility Form and requires about 15 minutes to fill out. You will receive an email with the digital forms to complete before your initial appointment when an appointment is scheduled 24 hours or more in advanced. If you schedule in less than 24 hours time between your appointment, please arrive 15-20 minutes early to fill out your paperwork ahead of time. If you need assistance completing the forms, for any reason, please arrive 15-20 minutes early for your appointment to complete the medical forms.

Please bring any relevant medical records along with you on your first visit.  A release of records form is required to obtain records from other healthcare providers.  The form is ideally filled out before or immediately following your first office visit.  The process to receive medical records from your previous or current provider can take up to 2-3 weeks so please plan accordingly. Any delays may delay the appropriate course of treatment. If you cannot access this form digitally, please come into the office and complete one in person.

If you have any forms you would like the physician to evaluate prior to your visit, please contact our office. You are required to activate your Patient Portal when you initially register as a patient. This portal has a secure messaging system and you will be able to upload your forms securely.

REBEL MED NW POLICIES

WELCOME!

We are Rebel Med NW and we are excited that you've chosen to join our community for your positive health change.

We understand that the medical system itself can be a significant source of stress and we take our patient’s resources such as time and finances into consideration. At Rebel Med NW, we do our best to be candid and transparent in our policies as we build our relationship with our patients. We are your guide and advocate for trustworthy health information whether it is mundane bureaucratic details of the medical system, to understanding the current circumstances around Covid-19 and Sars-Cov-2, to profound and lasting health changes that you are looking for.

YOUR FIRST OFFICE VISIT

New patient paperwork includes the Patient Demographic Form, Patient Intake Form, and Patient Responsibility Form and requires about 15 minutes to fill out. You will receive an email with the digital forms to complete before your initial appointment when an appointment is scheduled 24 hours or more in advanced. If you schedule in less than 24 hours time between your appointment, please arrive 15-20 minutes early to fill out your paperwork ahead of time. If you need assistance completing the forms, for any reason, please arrive 15-20 minutes early for your appointment to complete the medical forms.

Please bring any relevant medical records along with you on your first visit.  A release of records form is required to obtain records from other healthcare providers.  The form is ideally filled out before or immediately following your first office visit.  The process to receive medical records from your previous or current provider can take up to 2-3 weeks so please plan accordingly. Any delays may delay the appropriate course of treatment. If you cannot access this form digitally, please come into the office and complete one in person.

If you have any forms you would like the physician to evaluate prior to your visit, please contact our office. You are required to activate your Patient Portal when you initially register as a patient. This portal has a secure messaging system and you will be able to upload your forms securely.

REBEL MED NW POLICIES
PATIENT RESOURCES
OFFICE POLICIES & PROCEDURES
OFFICE VISIT

Office visit fees are determined by a combination of complexity of visit, procedures performed, and time spent.  Because of this, it is difficult to give an exact amount charged per office visit. We have Direct Patient Pay pricing that is a discount from the amount we charge to insurance since it helps us reduce cost of associated processing fees.  Additionally, there is a sliding scale available for patients who are on a fixed or low income. Please contact office for details at 206-297-6013.

Current Discounts Available at Rebel Med NW:

Direct Patient Pay: 20%

Senior Discount:
30%-Office Visits, 20%-Supplements

Income Based Adjustment:
50%-Naturopathic Visits, 30%-Acupuncture, 20%-Supplements

Military: 30%

PROCEDURES

Additional procedures and codes may be used depending on the complexity of chief complaint and what the practitioner deems appropriate to achieve the desired health goals of the patient. However, it is important to understand that not all procedures are covered by your insurance plan. We can assist patients in this process and help patients with understanding their insurance policies and financial responsibility.

Common additional procedures and associated fees are standard medical procedures and are priced accordingly. Some examples include blood draws, vaccinations, vitamin injections, in-house lab testing, outside lab fees, etc. Other procedures are more comprehensive and require specialty medical knowledge including acupuncture, bodywork, spinal manipulations and are also priced accordingly. Please review our Fee Schedule.

INSURANCE

Patients have the option to bill their insurance company for their visits and any procedures performed during the visit. It is important for you “The Patient” to understand your insurance policy and benefits before proceeding. For your convenience, there is an Insurance Eligibility & Benefits Checklist that you can print out and use to navigate with your insurance company for the relevant insurance information you need to proceed with your healthcare.

Having insurance is not a guarantee of coverage for services or procedures performed. Insurance plans and benefits vary widely and change often. Any Office Visits or Procedures performed that is not paid by insurance will be your financial responsibility. You may have great coverage and need only pay your copay, you may have partial coverage and have a remaining balance for Non-Covered Services, or you may have no coverage, in which case you would be subject to our Direct Patient Pay rates. You may also be required to meet your deductible before your full insurance benefits are active.

If you have a payment card stored in our database, we will charge the card on record. Usually we send out an invoice ahead of time and we offer flexible payment options, so please contact us if you need flexibility with paying your invoice.

INSURANCE ELIGIBILITY & BENEFITS CHECKLIST
INSURANCE PLANS

The providers at Rebel Med NW are in-network with many major insurance companies. However, not all providers are in-network with every company, so please check accordingly. Most insurance companies also have out-of-network coverage available which is a nice option for patients who want to see a specific provider who is not in-network with their insurance. Often, the copay or co-insurance is slightly higher than in-network costs, but still much less than full patient responsibility. Please be aware that in many cases Naturopathic providers and acupuncture providers are considered specialist providers and may require a higher copay. In some cases your employer’s health insurance plan is based in another state, and may not have coverage for naturopathic providers or acupuncture providers despite being fully licensed and credentialed in Washington State.

Personal Injury / Worker’s Compensation / L&I / 3rd party billing available.
Premera Blue Cross
Lifewise
Regence / Uniform / Regence Group Administrators
Blue Cross Blue Shield
First Choice Health
Molina silver/gold plans & Apple Health Medicaid*
Coordinated Care / Ambetter (not apple health)
Kaiser PPO (formerly Group Health)(office visits only for ND)
Anthem Blue Cross
United Healthcare Commercial & Apple Health*
Aetna / Mertain
Cigna (through American Speciality Health)
ANY PERSONAL INJURY PROTECTION/MOTOR VEHICLE INSURANCE

*Apple Health plans only cover ND providers, no acupuncture benefits available. Non-Covered Service waiver required for any services not covered under Apple Health at a 50% sliding scale fee, 40% for acupuncture.

Starting 2020:
Medicare Supplemental Plans
Humana
Regence
Aetna

ABN required for non-covered services

NON-COVERED SERVICES

We have many popular services here at Rebel Med NW. However, they are not always covered by insurance. Some examples include: Craniosacral therapy, Visceral Manipulation, Vitamin Injections, Biofeedback, Spinal Manipulations, Ultrasound, Electrical Stimulation, Massage Therapy, Weight Loss, Acupuncture and Cosmetic Acupuncture, Acupuncture related to Fertility or any condition other than pain, Tui Na Massage, and Herbal medicinals and supplements.

Insurance may not cover these services for any variety of reasons. Any services not covered by a patient’s insurance benefits is the patient’s responsibility to pay.

OFFICE POLICIES & PROCEDURES
OFFICE VISIT

Office visit fees are determined by a combination of complexity of visit, procedures performed, and time spent.  Because of this, it is difficult to give an exact amount charged per office visit. We have Direct Patient Pay pricing that is a discount from the amount we charge to insurance since it helps us reduce cost of associated processing fees.  Additionally, there is a sliding scale available for patients who are on a fixed or low income. Please contact office for details at 206-297-6013.

Current Discounts Available at Rebel Med NW:

Direct Patient Pay: 20%

Senior Discount:
30%-Office Visits, 20%-Supplements

Income Based Adjustment:
50%-Naturopathic Visits, 30%-Acupuncture, 20%-Supplements

Military: 30%

PROCEDURES

Additional procedures and codes may be used depending on the complexity of chief complaint and what the practitioner deems appropriate to achieve the desired health goals of the patient. However, it is important to understand that not all procedures are covered by your insurance plan. We can assist patients in this process and help patients with understanding their insurance policies and financial responsibility.

Common additional procedures and associated fees are standard medical procedures and are priced accordingly. Some examples include blood draws, vaccinations, vitamin injections, in-house lab testing, outside lab fees, etc. Other procedures are more comprehensive and require specialty medical knowledge including acupuncture, bodywork, spinal manipulations and are also priced accordingly. Please review our Fee Schedule.

INSURANCE

Patients have the option to bill their insurance company for their visits and any procedures performed during the visit. It is important for you “The Patient” to understand your insurance policy and benefits before proceeding. For your convenience, there is an Insurance Eligibility & Benefits Checklist that you can print out and use to navigate with your insurance company for the relevant insurance information you need to proceed with your healthcare.

Having insurance is not a guarantee of coverage for services or procedures performed. Insurance plans and benefits vary widely and change often. Any Office Visits or Procedures performed that is not paid by insurance will be your financial responsibility. You may have great coverage and need only pay your copay, you may have partial coverage and have a remaining balance for Non-Covered Services, or you may have no coverage, in which case you would be subject to our Direct Patient Pay rates. You may also be required to meet your deductible before your full insurance benefits are active.

If you have a payment card stored in our database, we will charge the card on record. Usually we send out an invoice ahead of time and we offer flexible payment options, so please contact us if you need flexibility with paying your invoice.

INSURANCE ELIGIBILITY & BENEFITS CHECKLIST
INSURANCE PLANS

The providers at Rebel Med NW are in-network with many major insurance companies. However, not all providers are in-network with every company, so please check accordingly. Most insurance companies also have out-of-network coverage available which is a nice option for patients who want to see a specific provider who is not in-network with their insurance. Often, the copay or co-insurance is slightly higher than in-network costs, but still much less than full patient responsibility. Please be aware that in many cases Naturopathic providers and acupuncture providers are considered specialist providers and may require a higher copay. In some cases your employer’s health insurance plan is based in another state, and may not have coverage for naturopathic providers or acupuncture providers despite being fully licensed and credentialed in Washington State.

Personal Injury / Worker’s Compensation / L&I / 3rd party billing available.
Premera Blue Cross
Lifewise
Regence / Uniform / Regence Group Administrators
Blue Cross Blue Shield
First Choice Health
Molina silver/gold plans & Apple Health Medicaid*
Coordinated Care / Ambetter (not apple health)
Kaiser PPO (formerly Group Health)(office visits only for ND)
Anthem Blue Cross
United Healthcare Commercial & Apple Health*
Aetna / Mertain
Cigna (through American Speciality Health)
ANY PERSONAL INJURY PROTECTION/MOTOR VEHICLE INSURANCE

*Apple Health plans only cover ND providers, no acupuncture benefits available. Non-Covered Service waiver required for any services not covered under Apple Health at a 50% sliding scale fee, 40% for acupuncture.

Starting 2020:
Medicare Supplemental Plans
Humana
Regence
Aetna

ABN required for non-covered services

NON-COVERED SERVICES

We have many popular services here at Rebel Med NW. However, they are not always covered by insurance. Some examples include: Craniosacral therapy, Visceral Manipulation, Vitamin Injections, Biofeedback, Spinal Manipulations, Ultrasound, Electrical Stimulation, Massage Therapy, Weight Loss, Acupuncture and Cosmetic Acupuncture, Acupuncture related to Fertility or any condition other than pain, Tui Na Massage, and Herbal medicinals and supplements.

Insurance may not cover these services for any variety of reasons. Any services not covered by a patient’s insurance benefits is the patient’s responsibility to pay.

PATIENT RESOURCES
SUPPLEMENTS & HERBS

Prescriptions for nutritional supplements by a Naturopathic Physician at Rebel Med NW are not charged sales tax* if they are deemed medically necessary for your care. If a prescription refill has run out or expired, a visit or phone consult is required to determine if the nutritional supplement is still medically necessary. At Rebel Med NW, we believe it is important to have an awareness about what you are taking to minimize the use of excessive or unnecessary supplements and to make sure you are taking the safe, researched, and therapeutic dose that is best for your care.

*Recommendations from acupuncturists, nutritionists and massage therapists not applicable for sales tax exemption.

For Seniors age 65+ and for Medicaid or Income-based Adjustment patients, Rebel Med NW offers a 20% discount on supplement purchases made in office. If a Rebel Med physician has prescribed an item, it should be available on one of Rebel Med NW’s online dispensaries.

PRESCRIPTIONS

Please contact your pharmacy to initiate prescription refill requests. The pharmacy will send us a request via our fax or our EHR system, and this will provide us with a necessary action trails to document the refill. Please allow up to 2 business days to complete request. If you have not been in for 6 months or more, or you would like a prescription for a new medication, then an Office Visit is required to re-evaluate for proper medical decision making.

**Members of the Rebel Med NW Membership Program do not need an Office Visit. Please initiate Rx refill via your pharmacy and message your provider through the patient portal. For information about our Membership Program, please contact our office.

MEDICAL RECORDS

Your medical records are kept in the strictest of confidence in accordance with the Health Information Personal Privacy Act (HIPAA). No individuals have access to your medical records without your prior written authorization.

Any medical records cannot be released until a signed Medical Records Release Authorization form is submitted. Please note that although the staff at our office will do their best to fulfill any medical records request as quickly they can, it can take some time. Please allow up to 30 days for medical records to be processed and plan accordingly.

You can view our Privacy Policy.

FORMS PROCESSING FEE

At Rebel Med NW, we do our best to accommodate all patient requests in a timely fashion. However, medical bureaucracy takes time and resources, therefore, we do have a Form Processing fee in place.

The processing fee covers administrative costs, costs for duplicating pages, and protecting your privacy when maintaining and transferring medical records. This fee is applied to all forms processing orders such as sending out medical records requests, filling out medical forms such as Family Medical Leave (FMLA) forms, or any other administrative forms.

Form Processing Fees are the following:

When requesting Document Processing in conjunction with an Office Visit:

  • $26 administration flat fee
  • Additional $1.17 per page applied to the first 30 pages
  • $0.88 per page beyond 30 pages
  • This is in accordance with the WAC 246-08-400 for form processing fees.

Medical Letters and Admin Forms processed without an office visit have a flat fee of $35.

CONTACTING PHYSICIANS

We communicate exclusively through our patient portal. This ensures that patients’ concerns are addressed in a timely manner while respecting our physicians’ times and ensures the security of patient privacy. New patient and new treatment authorizations require a full office visit. Any phone calls with a physician or provider requires the use of that person’s medical knowledge and medical decision-making therefore phone calls are considered a Telemedicine Visit and will be billed as such.

Please call us at 206-297-6013 to schedule an office visit or schedule online directly. You may also reach out to us if you need assistance in setting up your patient portal.

EMERGENCIES

The physicians at Rebel Med NW have an online messaging system for our established patients that will notify us in the event of an acute emergency. Since we currently do not provide acute wound care or minor surgical procedures at Rebel Med NW, it is best to contact 911 or go to Urgent Care to address the issue.

If it is not an acute emergency and you are an established patient please use Rebel Med NW’s online portal to communicate your situation and needs, or leave a voicemail at 206-297-6013 and an attending physician will contact you at their earliest convenience.

Please note that any phone calls with a physician will be subject to a Telemedicine Visit Fee per the phone policy stated under “Contacting Physician”. If you have a Primary Care Physician from another facility, please contact or notify them.

FREE 24 HOUR CONSULTATION LINES:
Swedish Medical Center Nurse Consulting Line (206) 215-2100
Harborview Community Care Line (206) 744-2500
Evergreen Medical Center in Kirkland (425) 899-3000

NURSE TRIAGE LINES BY INSURANCE PROVIDER:
Generally their number can be found on the back of your insurance card
Kaiser Health Consulting Nurse Line (206) 326-3225‎
Patients with Premera/ Lifewise can download a Nurse Line App for their phone.

REFERRALS

The providers at our office can make medical referrals on your behalf. However, a referral from a medical providers does not guarantee coverage form your insurance. Please use the Insurance Eligibility & Benefits Checklist that we have provided for your convenience to get the information you need from our insurance company to understand your insurance plan. You can then use your insurance plan to find if the medical providers that you want a referral to is in network with your insurance plan or not and plan accordingly.

Rebel Med NW also has a list of local providers in the area that we can refer to. We try to send patients to places where we know their insurance is accepted but it is still important for the patient to understand their individual plans when it comes to benefits for the particular procedures and modalities being applied, because we cannot guarantee anything that your insurance company chooses to do.

SUPPLEMENTS & HERBS

Prescriptions for nutritional supplements by a Naturopathic Physician at Rebel Med NW are not charged sales tax* if they are deemed medically necessary for your care. If a prescription refill has run out or expired, a visit or phone consult is required to determine if the nutritional supplement is still medically necessary. At Rebel Med NW, we believe it is important to have an awareness about what you are taking to minimize the use of excessive or unnecessary supplements and to make sure you are taking the safe, researched, and therapeutic dose that is best for your care.

*Recommendations from acupuncturists, nutritionists and massage therapists not applicable for sales tax exemption.

For Seniors age 65+ and for Medicaid or Income-based Adjustment patients, Rebel Med NW offers a 20% discount on supplement purchases made in office. If a Rebel Med physician has prescribed an item, it may be available on one of Rebel Med NW’s online dispensaries.

PRESCRIPTIONS

Please contact your pharmacy to initiate prescription refill requests. The pharmacy will send us a request via our fax or our EHR system, and this will provide us with a necessary action trails to document the refill. Please allow up to 2 business days to complete request. If you have not been in for 6 months or more, or you would like a prescription for a new medication, then an Office Visit is required to re-evaluate for proper medical decision making.

**Members of the Rebel Med NW Membership Program do not need an Office Visit. Please initiate Rx refill via your pharmacy and message your provider through the patient portal. For information about our Membership Program, please contact our office.

MEDICAL RECORDS

Your medical records are kept in the strictest of confidence in accordance with the Health Information Personal Privacy Act (HIPAA). No individuals have access to your medical records without your prior written authorization.

Any medical records cannot be released until a signed Medical Records Release Authorization form is submitted. Please note that although the staff at our office will do their best to fulfill any medical records request as quickly they can, it can take some time. Please allow up to 30 days for medical records to be processed and plan accordingly.

You can view our Privacy Policy.

FORMS PROCESSING FEE

At Rebel Med NW, we do our best to accommodate all patient requests in a timely fashion. However, medical bureaucracy takes time and resources, therefore, we do have a Form Processing fee in place.

The processing fee covers administrative costs, costs for duplicating pages, and protecting your privacy when maintaining and transferring medical records. This fee is applied to all forms processing orders such as sending out medical records requests, filling out medical forms such as Family Medical Leave (FMLA) forms, or any other administrative forms.

Form Processing Fees are the following:

When requesting Document Processing in conjunction with an Office Visit:

  • $26 administration flat fee
  • Additional $1.17 per page applied to the first 30 pages
  • $0.88 per page beyond 30 pages
  • This is in accordance with the WAC 246-08-400 for form processing fees.

Medical Letters and Admin Forms processed without an office visit have a flat fee of $35.

CONTACTING PHYSICIANS

We communicate exclusively through our patient portal. This ensures that patients’ concerns are addressed in a timely manner while respecting our physicians’ times and ensures the security of patient privacy. New patient and new treatment authorizations require a full office visit. Any phone calls with a physician or provider requires the use of that person’s medical knowledge and medical decision-making therefore phone calls are considered a Telemedicine Visit and will be billed as such.

Please call us at 206-297-6013 to schedule an office visit or schedule online directly. You may also reach out to us if you need assistance in setting up your patient portal.

EMERGENCIES

The physicians at Rebel Med NW have an online messaging system for our established patients that will notify us in the event of an acute emergency. Since we currently do not provide acute wound care or minor surgical procedures at Rebel Med NW, it is best to contact 911 or go to Urgent Care to address the issue.

If it is not an acute emergency and you are an established patient please use Rebel Med NW’s online portal to communicate your situation and needs, or leave a voicemail at 206-297-6013 and an attending physician will contact you at their earliest convenience.

Please note that any phone calls with a physician will be subject to a Telemedicine Visit Fee per the phone policy stated under “Contacting Physician”. If you have a Primary Care Physician from another facility, please contact or notify them.

FREE 24 HOUR CONSULTATION LINES:
Swedish Medical Center Nurse Consulting Line (206) 215-2100
Harborview Community Care Line (206) 744-2500
Evergreen Medical Center in Kirkland (425) 899-3000

NURSE TRIAGE LINES BY INSURANCE PROVIDER:
Generally their number can be found on the back of your insurance card
Kaiser Health Consulting Nurse Line (206) 326-3225‎
Patients with Premera/ Lifewise can download a Nurse Line App for their phone.

The providers at our office can make medical referrals on your behalf. However, a referral from a medical providers does not guarantee coverage form your insurance. Please use the Insurance Eligibility & Benefits Checklist that we have provided for your convenience to get the information you need from our insurance company to understand your insurance plan. You can then use your insurance plan to find if the medical providers that you want a referral to is in network with your insurance plan or not and plan accordingly.

Rebel Med NW also has a list of local providers in the area that we can refer to. We try to send patients to places where we know their insurance is accepted but it is still important for the patient to understand their individual plans when it comes to benefits for the particular procedures and modalities being applied, because we cannot guarantee anything that your insurance company chooses to do.

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