Functional Labs

Functional Labs2018-09-20T04:42:19+00:00

Labs

~ Labs serve as a means to see the total picture of your physiological health. ~

At ASKDRSKIP.COM, PLLC, we strive to make your health care experience the best it can possibly be, restoring you to complete wellness with true integrative care.  In order to do that, Dr. Skip, O.M.D., must have the proper tools available to properly determine the right course of action and the proper therapies to deploy. For this reason, Dr. Skip often requests that his patients undergo laboratory testing to get a more complete picture of a client’s health.

These functional labs might include any or all of the following:

See the linked pages for more information on any of the above testing.

Insurance Billing:

Our office does not participate in any insurance networks and we do not bill insurance companies for our clients. Our billing system provides clients with receipts upon payment so that you may file a claim with your insurance company. However, since we do not process claims, our billing system does not utilize ICD-10 or CPT codes.

Out of Pocket Lab Cost:

Our ‘markup’ on labs is negligible compared to our insurance accepting colleagues. Lab prices are set so we are able to run ample tests affordably and cover operational costs of having the accounts, while not emptying your pockets unnecessarily or price gouging. This enables us to run expansive blood panels that get to the root of any heath issue as fast as possible.

We do not want to dismiss anyone’s concern regarding the potential costs of laboratory testing. They can be costly and sometimes retests are necessary. But when there is something chronically wrong and the body is in a state of stress, Dr. Skip wants to leave no stone unturned in searching for the cause of the problem.  We feel, and you may agree, that it is less costly in the long run to order a complete set of lab tests at the outset if this allows Dr. Skip to deploy proper therapies in a timely manner. Better to gather full data then attack the problem head-on than to do piecemeal testing and throw darts, hoping the remedy will hit the target sooner rather than later.

Please keep in the mind the following is just a guideline for illustrative purposes only and does not reflect a specific type of insurance or coverage.  There is a great deal of variation by insurance carrier and plan.  We encourage you to always check with your insurance provider directly. We can provide you a list of lab panels, so you can check with your insurance for what is cheaper.  Functional Endocrinology Labs List

Our office can always provide you with the specific list of tests recommended by Dr. Skip. You can use this list to pre-authorize these tests through your insurance company and/or your primary care provider directly. One caveat, however is understand this may be very frustrating for you, as insurance company red tape can be challenging.  Our office can also give you receipts to enable you to have documentation of services provided, should you need them for taxes and your direct dealings with the insurance company and out of network providers and services.

If you wish to order your labs through an in-network lab that will bill your insurance company, and you have a high deductible, beware.  Recently, a client of ours ran a panel of blood tests (very similar to those we order in our functional endocrinology labs test) with their local provider in Georgia. They billed her insurance company over $3,000 for a panel that costs our clients around $500 at my office.  If this happens to you and you have not met your deductible, you will end up spending much more than the $500 discounted price we have negotiated. I myself have insurance which does not kick in until my deductible is met.  This means that if I allow the insurance to run the labs I will end up paying their high negotiated rate of several thousand dollars rather than my cost of several hundred.

The chart below illustrates this example another way.  Please make sure when you talk to your insurance company you take note your deductibles and understand your coverage, so you can make an informed decision.

Type Cost of Labs Deductible Insurance Coverage Out of Pocket Expense
Out of Pocket w/ASKDRSKIP.COM, PLLC, $500 N/A N/A $500
Insurance $3000 $1000 $1000 $1000

When you use insurance, the insurance company may decide that a lab test, therapy or procedure is not necessary regardless of what the doctor wants or feels is most beneficial for your health.  If this happens, the insurance company may require additional documentation from your doctor to verify the medical necessity of the procedure. If the insurance company feels this additional information still does not prove medical necessity, they may deny coverage for part or all of the labs.  This will mean that you are responsible for the retail price of the denied services.

Unfortunately, there is no way to know what they will cover until you submit the charges. And by this time, you have already agreed to pay the lab whatever portion of their charges are not covered by insurance.  You may decide that it is less troublesome and costly in the long run to use our lab, at our low negotiated rates (forgoing possible insurance reimbursement) than to go through your insurance company and roll the dice.

Dr. Skip evaluates all lab tests for informational purposes only, with no implication of diagnosis of any disease whatsoever. Dr. Skip will not suggest that you discontinue any medications or therapies that were recommended by another practitioner.

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