FAQs Page

It is recommended if at all possible that patients elect into some type of health insurance plan that makes sense for each personal life situation, especially to aid in covering catastrophic or emergency events and additionally any other external medical services desired/needed under insurance coverage rather than self-pay. Potential examples include but are not limited to: specialist care, surgery, screenings, medications, labs, and care related to severe chronic conditions. 

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If you are under a health insurance plan you want to use, it is strongly advised that you verify  that there are no restrictions significant to you against coverage of ordering, prescribing, and referring for external services and for medications by out-of-network healthcare providers, as we have no power over insurance coverage decisions for any medical services that occur outside of our practice.

Our services are out-of-network from health insurance plans as a self-pay, direct care medical practice. We do not participate with, nor bill insurance. This is true for both our member and non-member services.

Please Note: If you are not enrolled in a government-sponsored health coverage program (such as Medicare, Medicaid or TRICARE) we can provide a superbill upon request for you to submit to your insurance carrier for potential reimbursement for OMT, Pessary Care, and some other procedural/diagnostic/screening services directly received by the practice but not membership plans, nor services included in your membership if you are a member. We cannot guarantee reimbursement. If you are interested in submitting  a service for insurance reimbursement or utilizing your existing HSA/FSA account to pay, please first check with your insurance carrier to discuss the best option. ​

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We do accept referrals to Dr. Marshall for osteopathic manipulative treatment (OMT) for L&I-covered workers injuries.

If you have insurance it will likely still provide some level of coverage within the scope of their policy for labs, studies, medications, specialist referrals, and other services performed or provided outside of our practice, though we have no relationship with nor can we guarantee what your policy dictates it has been designed to cover. 

Yes, absolutely! As life goes, it is usually full of surprises, including little ones, and in the health department this is no exception. Maybe you are someone who is visiting WA State temporarily for only a few months or so and therefore not eligible for your in-network nor local insurance. Perhaps you are in the position of being uninsured. 

It is wise to have a physician “in your back pocket” who understands who you are and is ready to care for you. Why not choose that physician to be a direct primary care physician who can make that attainable and be able to spend more personable time improving their skills and addressing health maintenance needs? 

We do still recommend that you secure appropriate additional coverage for protection in the case of unexpected medical expenses due to emergency and special needs events. 

Yes! We are able to see Medicare, Medicaid or other government-sponsored health coverage program enrolled patients, as long as it is agreed upon that any service delivered directly by our practice cannot be billed or submitted for reimbursement/payment by you as the patient or by us as the service provider. Any service that is NOT directly delivered by the practice our patients can still submit for reimbursement as they would normally cover (such as labs or imaging done elsewhere that participates with Medicaid, or medications at an outside pharmacy that participates with Medicaid).

Yes! We cannot participate with TRICARE in our practice, however, we are able to see TRICARE enrolled patients, as long as it is mutually agreed upon that any service delivered directly by our practice cannot be billed or submitted for TRICARE reimbursement/payment by you as the patient or by us as the service provider. Any service that is NOT directly delivered by the practice our patients can still take to TRICARE for reimbursement as they would normally cover (such as labs or imaging done elsewhere that participates with TRICARE, or medications at an outside pharmacy that participates with TRICARE). 

Dr. Marshall is now able to offer L&I-covered osteopathic manipulative treatment (OMT) only, by referral. The practice is not set up to serve as primary attending on workers' injuries cases, even for members, and does not accept transfers for this. 

The Problems:

Traditional healthcare models are burdened by:

• High costs and hidden fees.

• Limited access to direct patient-physician interaction.

• Non-medical, administrative opinions that do not guarantee a priority of the interests of patient health and safety first.

• Overextended physicians that lead to long wait times and rushed appointments.

• Healthcare providers who may be out of scope of care.

• Delayed care due to insurance and administrative hurdles, which also often compromises quality.

Our Solutions: 

The DPC and DSC models allow us to eliminate these obstacles by:

• A direct care model that prioritizes quality over quantity.

• Offering affordable, transparent membership plans that directly reduce exorbitant healthcare industry costs.

• Discounted rates on outside services such as outside labs, studies, and imaging.

• Maintaining a small, personalized patient panel.

• Providing timely and direct access to physicians.

• Emphasizing holistic, preventive, and patient-specific care.

• Mitigating insurance-related complexities and barriers, allowing our direct care to be guided solely by medical expertise and patient needs.