Office Policies
Hours:
Monday 9:30AM – 6PM - La Jolla/UTC
Tuesday 9:30AM- 2:30PM La Jolla/UTC
Wednesday 9:30AM – 6PM - La Jolla/UTC
Thursday 9:30AM – 6PM - La Jolla/UTC
Friday 9AM – 3PM - La Jolla/UTC

Office visits are by appointment only.
Fees and Payment:
  • $450 for a comprehensive, holistic first office visit, which is typically 60 minutes.
  • Follow up, and acute care run from $75-$285, depending on complexity and time spent in the appointment.
  • Payment is due at the time of service and a credit card is needed to hold the scheduled time as this time is set aside for you. Please discuss any fee questions with the office before your appointment so you can know what to expect.
  • You may pay with Visa, MasterCard, cash and check.
  • These fees do not cover lab testing, although Dr. Handwerger uses labs that PPO insurance can cover, depending on individual plans. TriCare and Medicare not accepted. 
  • Dr. Handwerger does not take insurance. However, a "Superbill" will be provided after every visit for you to submit for out-of-network reimbursement. See Insurance below.
  • Refunds requested on unopened items or labs not done will incur a 10% processing fee.
Appointments:
  • First appointment: It is recommended that all initial paperwork be completed, signed, and received by our office preferably 2 business days prior to your scheduled appointment. You may fax or email these forms, but the originals will need to be delivered on the day of your appointment.
  • Please check in 15 minutes before your scheduled appointment. Please do not wear any scented products, as many of our patients are chemically sensitive. These include lotions, cologne, perfume, hair spray, etc.
  • Follow-up consults may be scheduled in 30, 45, or 60-minute blocks of time depending on your needs and the cost ranges from $75-$285
  • All consultations are charged for the actual time used, not the time blocked.
  • Any research requested by the patient are billable services and will be charged at the hourly rate.
Cancellations:
  • If you cannot keep a scheduled appointment, you must notify us a minimum of 48 hours prior to your scheduled time, or you will be charged for the missed appointment ($150 new patient and $75 return visit). You can reschedule and not be charged when you come in. If you miss your rescheduled appointment you will have to pay for the full price of the visit.
  • If your appointment is on Monday, please notify our office no later than noon on the previous Thursday if you cant make it.
  • As a courtesy, our office will send you an email and call you to confirm your appointment 2 business days in advance.
Prescription Requests:
Prescriptions refills on already established medications from an original pharmacy carrying that prescription are performed at no charge. However, requests for a new prescription or a change in prescription type or transfer to a different pharmacy may incur a $25 prescription handling charge.
Phone Consultations:
  • Please call at the time of your scheduled consultation.
  • All appointments are scheduled for the Pacific Standard Time zone.
Medical Letters:
Medical letters to schools, insurance companies, disability, etc. are a billable service. If these items are requested there may be an additional charge based on the time involved at the hourly rate per doctor to complete your request.
Questions and Follow-up:
You may email or call Dr. Handwerger with follow-up questions. Questions must be brief and concise. The office staff and/or clinic physician will determine if a phone or office consult is needed to answer your question(s). Otherwise, a member of our office staff will respond to your inquiry. When leaving a voice mail message, please be brief and concise, and always include your name and phone number, including the area code.

Please Note: We try to accommodate questions regarding treatment clarification at no charge. Simply put, if you have a quick question about a supplement or diagnostic test we recommended or a therapy reaction you may be experiencing, then by all means contact us. However, if the response to a question you submit requires doctor research and/or review, you may be billed for the time involved at the doctor’s hourly rate.
Follow-up Consultations:

  • We generally recommend that all patients minimally have an office consultation every 3 months.
  • If there are abnormal results from recent lab testing, that need to be reviewed, a follow up consultation is required withing 15 days of receiving the abnormal results. (This allows for quality care.)
  • If prescription medication is being provided for yourself or your child, a office consultation is required in the following manner:
    • Every 3 to 6 months – Southern California region
    • Every 6 to 12 months – Central and N. California, Out of State.
  • The reason for these office visits is for the doctor to physically see you or your child and adjust as necessary based on current needs.
Insurance

At this time, we are not able to bill any insurance plan as an in-network provider.

We will not bill insurance directly.  For office visits, we are considered

out-of network for all insurance plans. Very few insurance plans cover naturopathic doctors as out-of network doctors in California.  

 

Check to see if your insurance does, and ask for coverage benefits in writing. You can however submit a claim with a superbill (given to you after the visit and payment) and if insurance will reimburse, they will reimburse directly to you.  Blue Cross/Blue Shield plans in California and United Healthcare do not cover our office visits even as an out-of network provider.

If you have Cigna PPO your plan may cover our office visits, but it would require that your "Out of Network Deductible" has been met as we are not considered "In Network."  If you do have a Cigna PPO plan we will provide you with a superbill that you can submit to your insurance for reimbursement, however payment will be due at the time of service.  We will not bill insurance directly.

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Tricare and Medicare

 

We do not participate in any federal programs and are not able to bill for any services or have our services reimbursed. We DO NOT order any lab testing on federally insured individuals using their insurance but do offer a self pay option that is affordable. We can also provide a list of lab testing that can be performed by the in network PCP.