Financial Policy

I created Whole Health Family Medicine so I can provide you with the highest quality of care.  In order for me to have the time to spend with each of my patients, I need to make adjustments on the business side of the practice. By limiting the number of insurances, it enables me to keep my billing obligations to a minimum and keep my focus on practicing medicine.

Whole Health Family Medicine (Dr. Lechner) is a preferred provider for  most Blue Cross/Blue Shield (BC/BS) PPO. A deductible and/or co-payment may be required. BC/BS pays for most laboratory tests, but some of the specialty tests may not be covered.  We are not a preferred provider for BCBS Blue Choice Plans.

For all other PPO insurances, you will be directly reimbursed from your insurance company if you submit the documentation that will be provided to you at the end of your visit. Your insurance carrier can provide you with their coverage of services provided by an out of network physician.

Whole Health Family Medicine is not enrolled in any HMO program.

Payment for services are due at the time services are rendered. The patient will also be expected to pay for any services not covered, which include but are not limited to functional medicine consultations, some weight loss visits, and specialty labs. There will be a $75.00 cancellation fee for all appointments not cancelled with 24 hour notice.

For patients 65 years and older, I am offering a subscription membership program.  Subscriptions are for 1 year, with a fee of $150/month.  All physician fees are covered with this monthly fee.  Many of the labs and tests ordered will be covered by Medicare.  However, some specialty labs and tests may not be covered by Medicare, and will be the patients’ financial responsibility.

Given the recent changes in Medicare reimbursement that started January 1, 2017, Dr. Lechner is unable to accept Medicare patients. In compliance with federal legal guidelines, you will need to sign a waiver stating that you will not submit any claims for services provided by Dr. Lechner to Medicare. This complies with federal legal guidelines. However, many of the lab tests ordered by the doctor may be covered by Medicare.

Health Savings Accounts and Flexible Spending Accounts often pay for healthcare services and products that your health insurance will not cover. Because of this, we encourage patients to enroll in HSA’s when they are offered by your employer. We will provide documentation of medical necessity to facilitate reimbursement.