Transparent Pricing
Expect check in and check out to take 15 minutes respectively in addition to your scheduled time with your provider.
The following prices apply whether appointments are held in-office, by phone, or video.
Introductory Pricing for a Limited Time:
New patient 15 minute consultation:
Free - 15 min consultation to see if we are a good fit for your healthcare journey.
New patient visits:
$350 for 60 minute session for establishing care and to begin development of your care plan. Will involve a record review and comprehensive plan.
Return patient visits:
$300 for 50 minute session - great for seeking stability with chronic health conditions, following up on health plan goals, needing extra supportive counseling for stress and other mental health issues, &
Healthcare Provider Rejuvenation Package:
If you are feeling worn down or burn out and need a reset in a non-judgmental, caring space with no shame, please reach out. We have a discounted package available to you - $900 for four 50-minute sessions and well-being plan. Please send an email if interested in this plan.
Please note: a $100 deposit may be taken at the time of scheduling. This will apply towards your first appointment, the remaining balance is due at check-in at the time of your appointment. Save time by paying in advance. Your appointment invoice is emailed to you at the completion of the visit. You can pay online any time.
Testing + Supplement Costs
Personalized testing may recommended by Dr. Abraczinskas during your new or return patient visit and costs vary depending on your health goals. At that time we can also provide you with upfront payment options to make an informed decision. All testing is optional. To keep testing costs as low as possible for our patients, depending on the company, you pay the testing companies directly or you may pay Spring & Spruce directly. Testing costs are not included in appointment costs.
TESTING INFO + PRICING
On average a patient tend to spend $150 per month on supplements, this amount may fluctuate, for example you may need a more aggressive amount of supplements upfront and taper off as you heal.
Navigating Insurance Reimbursement
How it works:
Pay in full at the time of your appointment.
You will be emailed an itemized sales receipt - please keep this for your records. This is NOT what you use for insurance reimbursement.
A coded receipt, called an Invoice Fulfillment will be uploaded to your Patient Portal in your "documents" section" that you can send to your insurer. This will include the necessary CPT, ICD10/Diagnosis codes and PIM's Tax ID number.
If your policy provides coverage, you receive a reimbursement check by mail!
Patients with PPO insurance report 70-80% reimbursement for out-of-network services after your deductible is reached, and HMO reimbursement is less. Many receive even better reimbursement than predicted because our providers are credentialed with most insurers to decrease your out of pocket expense. We see many Medicare and Medicaid patients but unfortunately Medicare and Medicaid reimbursement is not possible at this time.
Because each insurance policy is unique, we encourage you to call your insurer to inquire about reimbursement-- please find the list of appointment codes below. You do not need to have an appointment scheduled to check your reimbursement rate.
Phone and video appointments are now eligible to be submitted for reimbursement.
Appointment Codes
Questions to ask your insurance company:
Does my plan provide any out-of-network coverage?
If so: How many visits are covered during my benefit period? When did my benefit period start? When does it end?
What is my deductible?
What is my reimbursement rate for a new patient appointment (see above link for CPT codes)?
What is my reimbursement rate for a follow up appointment (see above link for CPT codes)?
Are specific diagnosis codes needed in order for these services to be covered? If so, what are they?
Do I need a referral for these services? (please note it is your responsibility to receive any referrals prior to your first appointment)
Why We Do Not Accept Insurance
Many people who have contacted our office for services have asked us why we do not bill insurance directly when other medical and chiropractic providers do. We fully understand the financial challenge this presents to some patients, and we wish there were a way for us to bill your insurance company. Unfortunately, at this time, there is not.
Did you know, The average insurance-covered visit with a physician is ONLY 7 minutes!
Insurance companies are more focused on the conventional model of health that too often relies on drugs and surgery as opposed to preventative and wellness services. When clinics bill health insurance companies directly, the doctors must sign a contract that allows the insurance company to determine which services they will and will not provide and how much they can charge for those services.
A participating provider must agree to accept the fees the insurance company establishes, regardless of whether the fees are reasonable or applicable to that practice.
Most doctors and clinics cope with the requirements and costs of being participating providers by keeping their office visits very brief, so that they can see many patients within a given time frame. Unfortunately, we have found that we cannot be “within network" and provide time-intensive, well-researched and expert care.
Medicare and Medicaid Are Not Able to Reimburse You
If you are a Medicare or Medicaid patient and are being treated for a Medicare or Medicaid covered service, all providers are obligated to bill Medicare/Medicaid according to their time frame and billing specifications. Spring & Spruce is not able to comply because we do not have a conventional billing department. To respect the law, Medicare/Medicaid appointments at Spring & Spruce address only non-Medicare/Medicaid covered services. As a Medicare/Medicaid patient, you cannot apply for or receive reimbursement from Medicare/Medicaid for your appointments. We are sorry, but this is the best we can do at this time given Medicare/Medicaid guidelines. We are confident that if you try Spring & Spruce, you will be happy with your care and health outcomes.
Cancellation Policy
If you do not cancel or reschedule your appointment within 24 hours and are unable to attend, you will be charged a $100 cancellation fee.
Thanks for helping our business grow by keeping us up to date on your availability and needs during hard times.
Email info@springandspruce.com if you need any further assistance.