Does Insurance Cover Naturopathic Care in Washington State?

Most patients are surprised to learn that naturopathic care isn’t just covered by insurance in Washington State, it’s required to be covered. Washington has an “every provider mandate” law that requires insurance companies operating in Washington to cover all state-licensed healthcare providers. Since naturopathic doctors are licensed primary care physicians in Washington, your insurance plan must cover our services the same way it covers any other primary care visit.

Insurance Plans We Accept

Virtual Integrative Specialists is currently in-network with:

— Premera Blue Cross (all providers)

— Blue Cross Blue Shield (all providers)

— Regence BlueShield (all providers)

— Cigna (all providers)

— LifeWise (all providers)

— First Choice Health (all providers)

— Aetna (Dr. Kuebelbeck, Dr. Cloyd & Dr. Perez)

We do not currently accept United Healthcare, Apple Health/Medicaid, or Medicare.

Not sure if your plan is covered? A quick search on your insurance’s website will tell you.

What Does Insurance Cover?

Coverage varies by plan, but most patients with in-network insurance can expect:

New patient visits — covered at your in-network primary care copay or deductible rate. Our new patient visits are 60 minutes.

Follow-up visits — covered at your standard primary care rate.

Lab work — most labs we order are covered when medically indicated, billed through your insurance by the lab itself, the same as any other physician. Even if you don’t have ND insurance coverage, your labs are often covered because LabCorp or Quest, our 2 main labs we use, accept your insurance.

Prescriptions — our NDs have full prescriptive authority in Washington State. Prescriptions are filled at any pharmacy and billed through your pharmacy benefit.

Virtual visits — telehealth visits are covered by most Washington plans statewide.

Note: Specialty testing such as comprehensive stool analysis, SIBO breath testing, or micronutrient panels may be a higher out of pocket expense. We’ll always discuss costs before ordering.

What if I Have a High Deductible Plan?

If you haven’t met your deductible yet, you’ll pay our contracted rate directly until it’s satisfied, after which insurance covers the remainder. Our contracted rates are significantly lower than our cash pay rates, so being in-network saves you money even before your deductible is met.

Can I Use My HSA or FSA?

Yes — naturopathic doctor services are qualified medical expenses. You can use HSA and FSA funds for visits, lab work, and many prescribed supplements.

How to Verify Your Benefits

  1. Call the member services number on the back of your insurance card
  2. Ask: “Do I have naturopathic physician benefits? Is Virtual Integrative Specialists in-network?”
  3. Ask about your copay, deductible, and any visit limits

Frequently Asked Questions

Do I need a referral? No. Book directly online without a referral from any other doctor.

Can a naturopath be my primary care doctor in Washington? Yes. Washington State licenses naturopathic doctors as primary care physicians. We can order labs, write prescriptions, make referrals, and manage chronic conditions.

What if my insurance isn’t on your list? We provide a superbill: an itemized receipt you submit to your insurance for potential out-of-network reimbursement.

Do you bill insurance directly? Yes. We handle all billing. You pay your copay at the time of service and we bill the rest.

Is virtual care covered? Yes. Most Washington plans cover telehealth at the same rate as in-person visits.

Ready to Book Your First Visit?

No referral needed. We accept most major Washington State insurance plans.

Book a 60-minute new patient visit today or call (206) 801-1741.

Good Faith estimate

The rate for uninsured or those who are insured and insurance does not pay are as follows, and are based on the length of time the appointment was booked for, even if the visit ends early. You may also be responsible for fees submitted to your insurance if your insurance does not pay your doctor.

Cost of Visits:

99204 Comprehensive 60 min – New patient visit $320

99215 Comprehensive 60 min – Established patient visit $300

99214 Comp, 45 min – Established patient visit $240

99213 Detailed 30 min – Established patient visit $160

99212 Expanded 15 min – Established patient visit $90

Acupuncture – $150

Blood draw – $50

Visceral Manipulation – $100

Please keep in mind this estimate does NOT account for any potential out-of-network REIMBURSEMENTS from your insurance carrier you may receive.

Visits are expected to be more frequent in the beginning of treatment. Depending on the service provided visit frequency may range from weekly to possibly every 2-3 weeks or even monthly. Once stable, patients may require visits less frequently, as infrequent as once every 12 months for medication management patients.

We do charge $100 for missed appointments OR appointments that are NOT canceled within 24 BUSINESS HOURS of the appointment time.

Thank you!