Chronic Illness and Lyme Associated Diseases

We are pleased to offer care for borreliosis (Lyme Disease) and related conditions.

Typical Treatment Schedule:

1. Nurse Intake – New patients will be asked to schedule a phone call nurse intake with one of our nurses prior to having an appointment with their nurse practitioner. During this nurse intake, your nurse will ask about your symptoms and history. Please plan to spend 25 – 60 minutes in this appointment. The time depends how much of your history you would like to discuss. Afterwards, they may have supplement products and laboratory work recommendations for you to do before your provider appointment. Your initial appointment will happen after your results come back. If you have already done lab tests, your nurse will take that into account when ordering labs.

2. First Appointment – We ask that you come in-person to the clinic to be seen by our providers. They will review your medical history and go over lab work done. Together, you will form a treatment plan based on the results and the nature of your health concerns. Plan to spend 60 minutes at the clinic.

2. Follow-up Appointments – Your first follow-up appointment is about 1 month after your initial visit. It is designed to see how you are progressing in the treatment plan so far. Changes or adjustments may be made according to your needs. If treatment is going well, then follow-up appointments will be more spaced out. Most patients do follow up every 2 or 3 months after their first follow-up.

3. Your Medications/Supplements/Antibiotics – We do use antibiotics and medications for the treatment plans. We give supplement recommendations to support your body while undergoing the lyme disease treatment. Your provider will explain more during your initial appointment. Patients may request accommodations to their needs.

Telehealth Treatment – We ask that you be seen in-person for your first appointment so the nursing staff can see how you are doing. After that, we can do follow-up appointments virtually.

Treatment for Children – We do offer pediatric treatment for lyme disease. Pediatric patients will do treatment with Rachel Lydy Smith. We ask that you come in for the first appointment. A nurse will assist you with the in-person side of your clinical visit while Rachel Lydy Smith will join via telehealth. After the initial appointment, it is preferred that these follow-ups be done virtually. In-person accommodations can be made if needed.

Reminder about Insurance AHP Integrative Health cannot accept insurance directly. Some lab testing can be done through insurance, but all other services are due at time of appointment. Some patients take copies of their Superbill receipts to insurance for out-of-network reimbursement. Reimbursement is the policy of your insurance company and not AHP Integrative Health. We recommend contacting your insurance before being seen to see if they will offer that service to you. We do accept HSAs, Care Credit, and Health Savings Plans. Some patients also use church fund organizations. We can submit medical bills to them as well for payment.

Out-of-State Patients Patients who are outside the state of Ohio are required to have an in-person appointment when becoming a new patient. After the initial appointment, they may do telehealth for follow-up but will be required to come into the clinic one time each year for an in-person appointment.

The prices below are based on a $400 an hour rate. Most patients should expect their first appointment to be an hour long. If you are coming because of a recent tick-bite or mild symptoms that may not be very complex, your appointment may not require as much time as most patients. We will apply the hourly rate to your visit instead.

New patients should expect to spend about $600 in total for their first appointment. This does not include supplements or lab work. The $600 covers the nurse intake and your initial appointment. The nurse intake is important because it prevents the patient from having two appointments with the provider. In the end, this does save the patient money and time. $200 is due after your nurse intake and the remaining $400 is due after your initial appointment.

Type of Fee	Description	Cost
First Appointment + Nurse Intake	Your 25-minute nurse intake will happen before anything. It should last about 25 minutes and will be over phone. After your nurse intake has been completed $200 will be due. Your initial appointment is typically 60 minutes. You will meet with a provider to form your treatment plan. After completion, $400 will be due. You will meet with one of our providers: Rachel Lydy Smith, or Krista Michener.	Nurse Intake : $200 Initial Appointment : $400 Total Cost: $600
Follow-up Appointments	Price is based on complexity and time. Most appointments are 30 or 45 minutes which is $200 or $295. If an appointment is complex and reaches an hour it is $395. As your symptoms improve, follow-up appointments may become less frequent.	$200-$295
Lab testing for Lyme and related infections	We offer a variety of testing options. Read below for details	Varies widely, can range from $450 to $1,900. Medicare and some other insurance plans may reimburse for the cost of testing. Your nurse will discuss pricing and affordability prior to ordering to see what is best for you.

Lab Testing for Lyme and Related Infections

We use laboratory testing from IGeneX, Galaxy Diagnostics, and TLab. Most results are available within 3 weeks. A few tests take up to 6 weeks. The majority of these tests are blood draws.

With the exception of traditional Medicare (not HMOs or PPOs), insurance companies do not generally pay directly for specialty labs. This is not our policy, it is theirs. Payment is due at the time of service. You can be provided an itemized receipt with diagnosis and lab codes that can be submitted to insurance or other third-party payers for out-of-network reimbursement. The rate of reimbursement varies widely from plan to plan. We recommend consulting with your insurance company to see if they will provide out-of-network reimbursement for you.
To learn more about the advantages of specialty Lyme & Associated diseases testing (as well as some of the shortcomings of normal laboratory Lyme disease testing) be sure to watch episode 8 of our podcast titled, “Diagnostic Challenges and Recommendations for Vector-Borne Infections.“

Chronic Illness and Lyme Associated Diseases

Chronic Illness and Lyme Associated Diseases

Meet our Chronic Illness and Lyme Associated Disease Providers

Krista Michener

Rachel Lydy Smith

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