Patient Portal
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primary care or functional Medicine Consultations.

Functional Medicine is, a systems approach to healthcare that looks for root of health problems unlike traditional western medicine.  https://www.ifm.org/functional-medicine/what-is-functional-medicine/

Tele Health/In Person/ Functional Medicine Appointments:

Hall by my office door
As a courtesy, I bill insurance for you, even for functional medicine visits, which in others offices in the US may cost up to $5000 with tests & follow up visits. 
Please check to see if I am in-network with your particular insurance plan and check for televideo coverage. I am in most of the insurance networks and insurances may change coverage for visits, labs and more without informing us, which generally can happen on their new calendar year. 
If you plan to use health insurance, please fill out the info on the patient portal where you also may make changes to your insurance status. Your copay is due at the time of the visit, cash or check ideally. You may have a deductible or co-insurance or for be charge for full payment of non-covered services.  Some insurance plans do not cover annual physical exams or certain vaccinations. Please take the time to understand your insurance coverage and what is covered.
If you do not have or don't want to use insurance, please see my rates below. 

Billing  

One physician focusing on you and your health concerns to develop a strong and lasting patient-physician relationship with extended visits, same day appointments, 24 hour phone availability, and coordination of care that you may receive from other medical providers and specialists.
An option for Membership Benefits with Insurance allowing for unlimited e-mails, phone calls and Televideo visits :Download the Spruce Health app: https://spruce.care/aleksandragiedwoyn.
The costs of visits without insurance is listed, as well as, membership benefits with or without insurance.


Insurance
Insurance companies offers a large number of plans/networks, so I advise that you check directly with your insurance to verify that I am In-Network for your specific plan that year. I am in-network for most plans on: Aetna, Coventry/First Health, Blue Cross Blue Shield, Cigna, First Choice, Liberty Share, Moda (Beacon, Connexus, & Synergy), PacificSource (not Legacy network), Providence PPO & EPO, Regence, some UMR networks and United. I may also bill other out-of-network plans for you. If your insurance is not listed then please use your consumer influence and call them to add me. Some have refused stating that they have enough providers already, ie Legacy under Pacific Source and Health Net.
Out of Network
I may also bill your insurance when I am not a contracted provider. You will remain responsible for any charges not covered by your insurance. I will bill you for these charges once your insurance has processed the claim. Payment of outstanding charges is due within 30 days of notification. If I have not received payment for outstanding balances by 30 days, a $15 fee will be added to your account, and will be added again for every 30 additional days the account remains unpaid in full. If you are suffering financial hardship, please contact me directly well in advance of the 30 day period, and we can negotiate a payment plan with waived late fees. A fee of $30 will be imposed for a bounced check.
Trading Services/ Self Pay
Alternatively, patients may trade skills such as gardening, produce, plant starts, handy person skills, housecleaning, massage, yoga/pilates or other instruction or donate handmade items to a gift basket. Nobody is turned away for lack of money. If you are without insurance, you can receive a 30% discount by paying with cash or check in full on the day of your appointment. Please call me if you have specific questions about my rates.
Same day, next day, early morning, evening, weekend, family, couple visits available upon request. 
Preventative exams:          
Well-child exams                                        
School Physicals 
Annual Physicals (biometric screen)    
Annual GYN exams
IUD removals
Initial 50 min new patient visit

Functional Medicine may address:
Headaches                Fatigue        Overweight
Sleep                           Anxiety       Depression
Reflux                         Diabetes     Female hormone imbalance
Allergies                     Asthma       ADHD/ADD
Crohn's Disease       Ulcerative colitis
Rheumatoid arthritis                   Hypolglycemia
Food intolerances/allergies       Optimizing health/athletes   Nutritional deficiencies              Thyroid disorders
IBS                                

Allopathic Traditional Treatments for above and below:
Cardiovascular disease  
Gynecologic procedures
Hyperlipidemia       
Basic skin procedures (biopsies & suturing)
Migraines
PMDD (Premenstrual dysphoric disorder)
SIBO (Small Intestinal Bowel Overgrowth)
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Initial 50 min  & 25 min follow up appointments are available since the number of patients seen in my practice and my overhead cost are both low. This allows for a relaxed, unhurried face-to-face interaction, ensuring that you will be seen on time, without having to waste your day in a waiting room.

Communication

Routine phone calls can be returned within one business day. 
For more pressing health issues, established patients may call me 24 hours a day, seven days a week. 
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Cost of Office Visits/Membership

Patients not using insurance (30% discount already applied to the prices below for same day cash/check payments):

New patient initial visit   No one will be turned away if unable to pay.                                15 min  $70  
30 min  $129.50    60 min  $206           90 min $241.50

Returning patient visits  No one will be turned away if unable to pay.
15 min  $70      30 min  $115.50     45 min  $164.50      
60 min  $220.50
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Monthly Membership 
DPC (Direct Primary Care) w/o insurance
Up to 6 hours (360 minutes) of office or Televideo visits & unlimited phone calls/emails.

Adults 26+  $99 mo ( $990 yr )    
Couples $170 mo ( $1700 yr )   
Child $49 mo ( $490 yr )
Family $245 mo ( $2500 yr )  
Young adult 
age 18-25 $65 mo ( $650 yr ), ( $49 mo $490 yr, if within family)  

Yearly rates apply when paid up front. 
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Membership w/insurance  
Starting 2020: Benefits: Televideo visits & unlimited phone calls & emails.    
Adults 26+ $10 mo ( $99/yr )    
Couple $15 mo ( $149/yr )   
Child $5 mo( $49/yr )
Family $25 mo ( $249 yr )   
Young adult 
18-25 $7mo ($69 yr), $5 mo ( $49 mo ) if w/in family       
        
Yearly rates apply when paid up front. 
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NO SHOW FEE $75  
Also applies to rescheduling or canceling appointments  <24hrs prior to scheduled appt.
Square payments HFA HSA
Waiting Room
For your appointment you will receive a confirmation email.
When you arrive please wait with a mask in the waiting room & I will come for you at the time of the appointment.  If it is past your appointment time please call 503 662-1971.
Parking/Transport
aleksg515@gmail.com
My office is located in the Heart of Tabor Clinic at 736 SE 60th ave. It is close to Trimet bus lines #15 and #71. There is plenty of car parking, and along the fence for bikes.
Refills $15 fee unless done at appt
Please request refills during our office visit. If you run low or are out of your medicine then you are likely due for a follow up appointment. I will disregard pharmacies contacting me for refills. Instead please contact me personally. if you need an emergency refill outside of an office visit there will be a $15 administrative charge per medication refilled.

Communication

Phone / Texting
I am available to guide you for urgent and emergent concerns 24 hours/ 7 days a week. Between the hours of 8pm and 7am, please call with only urgent issues. I will not be checking texts or e-mails between those times. If you have an emergency then please call 911.
E-mail / Secure Messaging
Please use secure messaging via the Patient Portal (found at top of page) for non-urgent messages: to schedule appointment, receive normal lab results, look up billing issues.
While I am Unavailable
If you have an urgent health question or need to be seen while I’m away an on-call doctor will be assigned to take your phone calls. You will be notified if you call, send an email or secure message or If they are not available, then please go to an Urgent Care. For emergencies call 911.