Fees

My fee for a craniosacral therapy session is $250. My fee for trigger point/NPT injections is $250. If both craniosacral therapy and injection therapy are provided during the same visit, the fee is $375.

Insurance

I am a preferred provider with Regence Blue Shield, Uniform Medical Plan, Premera Blue Cross, and Lifewise Health Plan.  I will bill your insurance for you if you have one of these plans. I will also bill your auto insurance for treatment of injuries sustained in motor vehicle accidents.

Coverage for Naturopathic Physicians varies by plan.  It is up to you to understand your benefits.  You are responsible for charges not covered by your plan. Please contact your insurance company with questions about your coverage.

Dr. Coshow does not accept or bill Aetna, United Healthcare, Cigna, Medicare, Medicaid, Labor and Industries, Community Health Plan of Washington, Kaiser, First Choice, Molina, or Apple Health. If you have any of these plans, we recommend you see a provider who is “in network” with your plan.

Please note that Dr. Coshow has no financial connection to medical laboratories, imaging centers, pharmacies, or hospitals; charges for any procedures, products, or services received from these types of providers do not come through this office.

Billing

Statements are sent through email via PayPal invoicing or (rarely) paper invoices via USPS. Statements are due upon receipt. Payments can be made online directly through PayPal invoicing, or the statement attached to the invoice can be printed out and payment can be mailed to the address on the statement. There is a $5 rebilling fee added to any unpaid balance every 30 days unless payment arrangements have been made.

The complete financial policy can be reviewed here.

Emails and Phone Calls

Dr. Coshow responds to emails as promptly as possible, but is often inundated with requests. If you haven’t received a reply in a timely manner, please resend your email.

Please note that diagnosis or treatment recommendations cannot be made via email. If you have questions that require diagnosis and/or treatment, we will need to schedule a virtual or in-person appointment.

Prescription Refills

Your primary care provider, or your specialist, needs to manage medications, with a few exceptions. If you have a refill request for a medication Dr. Coshow has prescribed, call your pharmacy and they will contact us to review whether the refill is appropriate.  Please allow 48 hours for refills to be processed and plan accordingly. 

Medications for chronic medical conditions require intermittent monitoring.  Please plan on visiting the office every 3-6 months. 

Dr. Coshow does not prescribe controlled substances (opiate pain medications, ADHD medications, benzodiazepines such as xanax and lorazepam, sleep medications such as Lunesta and Ambien).

For additional information regarding prescription medications, click here.