Patients at Encompass receive comprehensive, evidence-based primary care using accepted insurance — annual visits, sick care, chronic conditions, labs, and more. Here's exactly how it works.
Currently in-network with these plans. Coverage can vary by plan and eligibility, so I'm always glad to verify your benefits before you schedule.
Not sure about your plan? (303) 531-0023 or verify your benefits →
Insurance is designed to reimburse medically necessary primary care — and you'll receive comprehensive care much like you'd expect from any established primary care practice.
The care itself stays personalized and evidence-based. The primary difference is that visit structure, communication, and follow-up are guided by what your health plan reimburses.
Insurance generally doesn't reimburse providers for these — which is simply why membership exists as a separate option.
Extra time simply because it would help — beyond reimbursement guidelines.
Ongoing clinical communication between visits.
Work that happens outside a billable encounter.
Longevity- and prevention-focused care.
Structured, longitudinal root-cause care.
DUTCH, GI Effects, OAT, and similar.
Same evidence-based medicine, same provider. The difference is the experience — how much time, communication, and continuity each one makes room for.
Membership is not health insurance.
It doesn't replace your coverage — insurance is still used whenever appropriate. Insurance reimburses individual encounters; membership supports an ongoing relationship.
Many patients later choose functional medicine — and insurance keeps working right alongside it, used whenever appropriate.
Advanced specialty testing and structured programs are generally separate self-pay services, since insurance typically doesn't reimburse them.
I'm currently in-network with Aetna, Anthem / Blue Cross Blue Shield, Medicare, and Colorado Medicaid in Colorado; and Aetna, Anthem / Blue Cross Blue Shield, Medicare, and Cigna (telehealth only) in Connecticut. Participation varies by state and service, and plans change — so the surest answer is to let me verify your benefits before you schedule.
You have a few options. You may be able to use out-of-network benefits if your plan offers them, schedule self-pay visits, or choose the Integrative Primary Care Membership. For patients who want ongoing care without accepted insurance, membership is often the simplest and most predictable option.
Yes. For participating plans, Encompass Care submits claims directly to your carrier. You remain responsible for copays, deductibles, coinsurance, or non-covered services as determined by your plan.
Accepting your insurance doesn't mean every visit is fully covered. What you owe is determined entirely by your plan, and may include copays, deductibles, coinsurance, or services your plan doesn't cover. Your carrier makes those determinations — not the practice.
It's the amount you pay out of pocket for covered services each plan year before your insurance starts paying its share. Until you've met it, you generally pay your plan's negotiated rate for a visit rather than a copay. Deductibles reset at the start of each plan year.
It's worth thinking about. With a high-deductible plan, you typically pay the negotiated insurance rate for visits until your deductible is met. If you expect several visits over the year, or you value longer appointments, secure messaging, continuity, and proactive care, membership may give you a more predictable experience. Whether it works out financially depends on your plan and how often you need care — worth walking through together before you decide.
No. Membership is not health insurance and doesn't replace your coverage. Insurance continues to be used whenever appropriate for covered medical services — labs, imaging, medications, specialists, and hospital care.
Most functional medicine programs and advanced specialty testing aren't reimbursed by insurance. But your insurance is still used whenever appropriate throughout:
Many patients use insurance and functional medicine together.
Absolutely. Many patients begin with insurance-based primary care and later move into membership or functional medicine as their needs evolve. You won't be starting over with a new provider.
Insurance, membership, and functional medicine aren't competing options — they're different tools that work together depending on your goals, health concerns, coverage, and the level of support you're looking for. I'll help you find the best place to begin.
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