Hosseinion Family Medicine, LLC. – Office and Billing Policies

Insurance accepted:

Dr. Hosseinion is in network with most insurance plans, but you need to call or visit your insurance website to confirm, searching by his last name only: Hosseinion.  

Dr. Hosseinion is out of network for most Kaiser plans.

Dr. Hosseinion is currently not taking new Medicare or Oregon Health Plan patients.

Missed Appointment & Late Arrival Fee:

There is a $75 charge for the first missed appointment not cancelled or rescheduled 24 hours in advance (unless there are extenuating circumstances)

Arrival for an appointment late by 20 minutes or more will be considered a missed appointment

If there is more than 1 missed appointment per year, the fee is $175 per missed appointment.

Prescriptions and prescription refills:

-All new prescriptions are done in appointments only.
-If you have an urgent prescription that needs to be refilled and you are out of town, or there is not appointment availability, please contact the doctor on his cell phone (see Phone Calls, below).
-It is my preference and request that all refills are done as part of an appointment, and that patients schedule an appointment before their prescription/refill expires.
-If you or the pharmacy ask for your medication to be refilled outside of an appointment, I will need to review your chart, review the medication, make a decision about refilling, and process the refill if appropriate to prevent your medication from running out.  -There is a charge to your insurance for this service; charges not covered by insurance are the patient’s responsibility.  
-If you would prefer that we NEVER authorize a refill outside of an appointment, please let us know and we can mark your chart accordingly.

Referrals:

If you need a referral to another doctor or practitioner, you must make an appointment with Dr. Hosseinion to process this.

Lab, Imaging, or other test discussion:

I recommend discussing all lab or test results in an appointment. Most labs offer a patient portal where you can log in to see your results. I usually use legacy, quest or providence lab unless you request otherwise.  If you can’t access your results this way and would like a copy, you can email my medical assistant by clicking here to request your results.

Phone calls & Text Messages:

-For administrative questions, please leave a message on my office voicemail 503-234-2070, which is checked every couple days. Your call will be returned; this line CAN receive text messages as well. -For urgent medical issues, contact me on my cell phone (503-706-6491) via call or text.

Keep in mind that if I am out of cell phone range, and have a doctor on-call for me, the text message will not be received on time; if there is no response, you should call (and not text) to get the on-call doctor’s info.

A bill will be sent to your health insurance (or to you, if you don’t have health insurance) for urgent calls or texts to my cell phone for medical decision making (no charge for just making an urgent appointment).
-If you need to be seen in an appointment urgently, and there is no availability on my online schedule, you should call/text our office line at 503-234-2070.

Email & Text Messages:

-By making your appointment, you consent to receiving secure email and online communications from us -You can email our medical assistant at ma@elderflowermedicine.com
-All routine medical questions/discussions/issues should be addressed in an appointment (not over email). -Semi urgent medical care questions discussed over secure email portal will be billed as an online visit unless it is within 7 days of an appointment and is a continuation of unfinished appointment discussions (email the medical assistant to be invited to the portal if you haven’t received your invite).

-The bill for these services could be up to $66 or more if not covered by insurance, depending on the amount of time spent by the doctor.

Appointments:

-Scheduling appointments
All appointments are scheduled online through the link on www.elderflowermedicine.com

If you need to be seen in an appointment urgently, and there is no availability on my online schedule, you should call/text our office line 503-234-2070.

Keep in mind that if I am out of cell phone range, and have a doctor on-call for me, the text message will not be received on time; if there is no response, you should call (and not text) my cell phone 503-706-6491 to get the on-call doctor’s info.

-Well Visits / Wellness visits / Well Adult visits / Well Child Checks / Preventative Health visits It is recommended that babies be seen by their healthcare provider at the following intervals:2 days, 2 weeks, 2 months, 4 mo, 6 mo, 9 mo, 12 mo, 15 mo, 18 mo, 24 mo, 30 mo.

It is recommended that children and adults 3 years and up have a yearly wellness checkup and physical exam. I recommend scheduling this appointment around the time of your birthday (so you can remember, every time you turn a year older, “Time for my yearly checkup!”

Failure to come in once a year for your wellness exam may result in your losing your status as an established patient of the clinic.

Wellness visits are to discuss preventative care only; visits where medical problems are discussed are considered regular office visits.

For adults and children 3years and older, health insurance will not cover more than one wellness visit per year (except for a second women’s wellness visit yearly for gynecologic care). Any visits after the yearly wellness visits are billed as a regular office visit.

Wellness visits for children under 3 years old are covered every 2-6 months.

Supplement purchases:

If you would like to purchase a vitamin/herb/supplement/etc, please email our medical assistant ma@elderflowermedicine.com to pay for it online and it will be put in our pickup box for you to pick up.

Billing Policies:

If you don’t have health insurance, you may pay for your visit at the time of service with cash, check, or credit card.

Insurance billing details:

Copay is due at time of visit, the bill is sent to the insurance.  If your insurance holds you responsible for a portion of your visit, we will email you a billing statement with your balance due.  

-If you have a question about your bill, please contact us via email by clicking here.

Medical Services which are usually, but not always covered by insurance:

Some insurances will not cover all parts of services provided by your doctor.
To assist you in determining your coverage for services, you should call and ask your insurance if these services are A)covered or B)have a deductible or not:

1. Prolonged physician service (CPT code 99354 or 99355) is billed to insurance in addition to the office visit code to cover the cost and time associated with prolonged appointments that extend to 1 hour in length or longer.
2. Removal of skin tags (CPT 11200)
3. Biopsy (CPT 11100)
4. Ear wax cleaning (CPT 69210)
5. Abscess drainage (CPT 10060)
6. Ingrown toenail removal (CPT 11730)
7. Laceration requiring stitches (CPT 12001)
8. Wart removal by freezing (CPT 17110)
9. Freezing moles or pre-cancerous skin lesions (CPT 17000)
10. Surgical Mole removal (“excision”) (CPT 11400 or 11401)
The procedures listed above are the most common ones that end up in this category, but other procedures could fall in this category as well.
 
-Shahram “Shay” Hosseinion, M.D
updated 10/03/2023