What you should know

Health insurance is a contract between you and your insurance company. It is best if you know which services your insurance will cover before you receive care. That way, there are no surprises for either of us. If you are not sure about your coverage, please contact your insurance company to verify parameters of coverage, including whether or not you have naturopathic benefits, the differences in benefits for “in network” and “out of network” providers, as well as gaining an understanding of your policy’s particulars including deductibles, copayments, and coinsurance.


Dr. Milkis is currently contracted with Regence BlueShield Insurance as a Preferred Provider. If you are using Regence Insurance, Dr. Milkis agrees to bill Regence on your behalf. You would be responsible for all copayments, coinsurance costs, and meeting your deductible.

Personal Injury Protection/PIP – Dr. Milkis would be happy to work with you on this and will bill your PIP insurance provider directly for services rendered. Note that this would not include medication or supplement prescriptions.

Please be aware that at this time, Dr. Milkis is not contracted with any other insurance companies or plans beyond Regence. As such, we can not bill any other insurance plan directly and our services would be considered “out of network”.

Dr. Milkis will provide you with a “Superbill” after your appointment, which will detail the charges for the visit and billing codes used. You can submit the Superbill to your insurance company for direct reimbursement. Please remember that insurance coverage can vary from plan to plan and reimbursement will depend on your individual plan and the specific coverage your plan provides. It is up to you to check directly with your insurance company to verify if your plan will reimburse for our services as well as determining the extent of that reimbursement.


Payment is expected at the time of service unless insurance is being billed as specified above, or other arrangements are made. We accept cash, checks, debit cards, and credit cards. Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) can be used for payment as our services should qualify under these plans. We do recommend you check with your plan administrator to verify this in your individual case.

Note: there will be a fee of $50 charged for any returned checks. This fee and the unpaid bill must be paid prior to booking your next visit.

Visit Fees

The cash fee for an initial visit is $400-500, depending on time spent and complexity of the visit and will typically run 90-120 minutes. Return office visit fees are set at $150 for 30 minutes, $225 for 45 minutes, and $300 for 60 minutes. Physical medicine procedure fees vary based on the service provided and time spent.

If we are billing insurance directly, they will be billed as appropriate based on time spent and visit complexity.

For non-insurance situations, we are willing to discuss modified fees on a case-by-case basis based on income and ability to pay. Proof of income will need to be provided.


While we endeavor to be as flexible as possible for our patients, please know that the doctor’s time is valuable and he has set aside a large block of time specifically for your needs. As such, there is a 48 business-hour cancellation policy (we are not open Sat or Sun). If an appointment is cancelled within that 48-hour window or if the patient does not show up for their scheduled appointment, the patient will be sent a letter reminding them of the clinic policy regarding missed/late appointments. Additionally, there will be a charge of 50% of the scheduled visit fee for the late cancellation or a charge of 100% of the visit fee for a no-show. This charge must be paid in full prior to the patient booking another appointment.