Insurance, Pricing Q&A
Do you take insurance?
We are out-of-network for all private and government insurance health plans except for traditional Medicare Part B as the primary insurance. You must tell us at the time of booking whether you have any Medicare coverage.
All non-Medicare Part B primary insurance patients pay half of their visit fees at the time of booking, and pay the remainder of the fees at the time of the visit. After a visit patients are given a coded receipt that they may send to their insurer for possible reimbursement.
You are responsible for determining your own insurance coverage, benefits, or possible reimbursement rates. We do not know and we make no guarantee if you will receive any reimbursement. Please call the customer service number on the back of your insurance card to determine possible reimbursement rates for your plan.
If you have any Medicare coverage we advise you to double-check the type of your Medicare plan because you will be financially responsible to pay the entire consultation fee if Medicare Part B is not your primary plan and your primary payer.
You may also be responsible for the full consultation fee if your Medicare Part B is secondary to a commercial plan, AHCCCS, Medicaid, etc. This excludes secondary Medi-gap plans.
What do visits cost without insurance?
Initial appointments for in-state adults are 1.5 hours and cost $575, children under age 18 with uncomplicated medical issues are 1 hour and cost $350.
If you are traveling here from another state or country, we book a longer appointment time to discuss your issues. Out of state adults and medically complicated children are 2 hours and cost $750, non-complex out of state children under age 18 are 1.5 hours and cost $575.
Dr. Nemechek also does national and international Phone/Skype conferences that are 1 hour and cost $350. Please be aware that these conferences are educational in nature. Licensing and malpractice regulations limit the scope of the discussion during these visits.
Dr. Nemechek is allowed to talk about his current understanding of science, medicine, and patients he has seen with similar issues but Dr. Nemechek is not allowed to diagnose, order labs, prescribe medication, determine doses, or prescribe or sell a Vagus nerve stimulator without first seeing someone in person.
Initial office visits include Autonomic spectral analysis testing and test results (if appropriate for your health concerns and/or age 10 or older depending on the child and their health concerns), recent lab or medical records review, and an individualized treatment plan.
Follow-up visits in person are 30 ($125) – 45 minutes ($175) typically in 2-3 month intervals. Follow-up visits for out of state and international patients may be done by phone or Skype for up to one year after an in-person visit.
Dr. Nemechek may recommend a small number of nutrients or supplements which can be purchased online at Amazon and other similar retailers. Dr. Nemechek may also prescribe Vagal nerve stimulation at an in-person visit, please call the office for current price. Vagal nerve stimulators are not prescribed or sold without having an in-person visit with Dr. Nemechek.
What codes are used for self billing if I’m interested in trying that?
The most common billing codes are 99204 (new) and 99213 (follow-up) for in-person physician office visits.
The billing code for autonomic testing is 95921 and the diagnostic code often used is G90.9 (autonomic nerve disease).
We do not offer any guarantee that your insurer will accept these codes nor reimburse you.
Requesting a “Gap Extension”
Because there are only a limited number of autonomic specialists, it may be helpful to ask your insurance company for an exception to go “out of network” for autonomic testing. Some insurers refer to this as a gap extension. This is an exception the insurer might make to reimburse for my services since there are no other locally available options for autonomic evaluations.
Do you accept Medicare Part B?
Yes, we are in network for Medicare Part B but only if it is the primary insurer and the primary payer. We are not in network for any other primary Medicare plans such as Medicare Advantage plans, or if any private or government plan has over taken the role of your primary insurer.
We are able to bill to the majority of Medicare secondary insurance plans.
What forms of payment do you accept?
We accept cash, credit/debit cards, cashier checks, and payments from health savings plans.
We do not accept checks, Paypal, or bitcoin.
Do you offer payment plans?
No, we do not offer payment plans.
Will I need to purchase expensive supplements?
No. Although most patients will be prescribed nutritional supplements, these can be purchased inexpensively online from Amazon and other online retailers.
Unlike many integrative and naturopathic health practitioners, there is no pressure or requirement to purchase supplements from our office.
What takes place during a Skype session?
Skype sessions give you the opportunity to talk to Dr. Nemechek. He can provide general information regarding particular medical disorders and symptoms but because of licensing and malpractice restrictions he will not be able to make any form of diagnosis, determine doses, prescribe medications, sell a Vagus Stimulator, or order testing of any sort.
But even with those licensing restrictions, you may really want to talk to Dr. Nemechek because of his background and experience with complex issues and his work with people who may be just like you. Many healthcare professionals lack the knowledge or the experience to teach you about the Autonomic Nervous System, they do not understand the science behind the medicine, they have never achieved autonomic improvement or recovery in their patients, or they have never begun to answer your questions “why”or “how” your health may have broken.
You may also want to talk to Dr. Nemchek because he is the scientist physician who invented The Nemechek Protocol for Autonomic Recovery (Pat. Pending). Many individuals find these sessions an invaluable introductory process, making the decision to travel to Arizona for a formal medical consultation with Dr. Nemechek easier.
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Schedule an Appointment
Visits By Appointment Only
Office Hours – Mon – Thur, 9 AM – 5 PM
Clinic Hours – Mon – Thur, 8 AM – 6 PM
Phone: (623) 208-4226
Fax: (866) 480-0357
4252 N. Verrado Way
Buckeye, AZ 85396
(only 30 minutes from Phoenix airport)
Appointment Cancellation Policy
New Patient Appointment Cancellations
Because of the large blocks of time set aside for new patient visits, we require 7 day notice. Cancellations less than 7 days will be charged the full appointment fee.
Follow-up Patient Appointment Cancellations
All follow-up appointment visits require 48 hour notice. Cancellations less than 48 hours will be charged the full appointment fee.
Medicare Appointment Cancellations
Medicare regulations allow charging for late cancellations or “no show” appointments. We require 48 hour notice for cancellation of any Medicare appointment. Cancellations less than 48 hours will be charged the full fee for the visit.