Services Offered

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 (link to be posted here-coming soon-for now please email to request link aleksandragmd@protonmail).
The costs of visits without insurance is listed, as well as, membership benefits with or without insurance.



Appointments:

Billing  

As a courtesy, I bill insurance for you. Please check to see if I am in-network with your particular insurance plan. Please also check for televideo coverage. I am in most of the insurance networks and I list the insurance companies below. 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 your insurance, then please bring your insurance card to all appointments and notify me of any changes to your insurance status. Please pay your copay at the time of the visit by cash or check ideally. Please be aware that there may be a balance that your insurance deems as your responsibility (such as a deductible or co-insurance) or 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.
 
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 and Televideo visits available upon request. 
Preventative exams:                                      
Well-child exams 

Newborn, in home exam                                      
School Physicals 
Annual Physicals (biometric screen)    

Annual GYN exams
IUD placement/removals
Initial 60 min new patient visit

Common Ailments:
Allergies
Anxiety
Cardiovascular disease  
Depression
Diabetes
FatigueSleep disorder
Food intolerances/allergiesThyroid disorders
HeadachesWeight loss
Hormone imbalanceGynecologic procedures
HyperlipidemiaBasic skin procedures (biopsies & suturing)

Migraines
Nutritional deficiencies
PMDD (Premenstrual dysphoric disorder)

SIBO (Small Intestinal Bowel Overgrowth)
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Initial one-hour  & 30 min follow up appointments are possible since I keep the number of patients seen in my practice and my overhead cost 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. 
For urgent, same day concerns texting is best. 
Succinct email messages are ideal for non-urgent issues.  
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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 

30 min  $129.50    60 min  $206           90 min $241.50

Returning patient visits 

15 min  $70      30 min  $115.50     60 min  $164.50      
90 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 2019: 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.
Waiting Room
For your appointment you will receive the front door code in your confirmation email from Schedulicity soon to change to my Electronic Medical Health Records by Cerbo. When you arrive pease tex t me and have a seat. I will come for you. If it is past your appointment time please text me again. Further past the waiting area is a bathroom and hot/cold water dispenser, tea & coffee.
Parking/Transport
The clinic is located at 1923 NE Broadway Suite 2 . It is a beige 3 story house on the North side of Broadway just East of the Rose painted building next door. The house is close to Trimet bus lines #8 ,#17 and #77 along Broadway going west and #70 and #77 along Wiedler going east. Limited car parking may available in a small lot NE of the house. Bike parking is on the sidewalk.
Refills
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.
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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.