Frequently Asked Questions

In this role, Dr. Horton serves as your guide, or consultant.  She does not provide traditional primary care services covered by your traditional health care insurance such as vaccinations, Pap tests, mammograms or colon cancer screening.  

Functional/Integrative medicine is not a substitute for these valuable primary care services.  Dr. Horton does not serve in the role as your primary care physician and it is expected that you will continue to have a primary care physician to address acute concerns/illnesses, emergencies, prescriptions and routine health maintenance.  

Conventional health insurance programs often do not cover Functional Medicine consultative services.  Dr. Horton does not participate with health insurance programs (including Medicare/Medicaid), or bill health insurance for  services.  She can provide paperwork to submit for an insurance claim/health savings account/or high deductible plan.  HSA cards are accepted.  

It is important to note the following:

1. Dr. Horton/Peace and Calm Health Functional Medicine, does not fulfill an insurance company’s requirement for an in-network primary care physician and is not in-network with any insurance plan.
2. Dr. Horton/Peace and Calm Functional Medicine, is not available for same-day acute emergency appointments, please call 911 or your primary care doctor.
3. Dr. Horton/Peace and Calm Functional Medicine,  does not have a 24-hour answering service and does not take calls on weekends or holidays. If you need to be seen urgently or have a medical emergency, you would need to visit an ER or urgent care center.

Peace and Calm Health Functional Medicine will not submit a medical claim to insurance on your behalf. We cannot assist you with claim resolution for our services.

Non-Peace and Calm Health Functional Medicine medical expenses such as lab tests and prescription medications may be covered by a member’s health insurance plan per that plan’s rules.

We will provide you with a detailed billing summary that you may submit to your insurance for reimbursement. There may be procedures or lab tests that are not covered depending on your plan’s rules.

• Functional Medicine lab testing may not be covered by your insurance company.  It is recommended you check with your insurance company about coverage.  If they do not cover the test, you will be billed at the cash price by the lab company directly.   There is an option on the requisition form to “bill to insurance first,” but every insurance company is different  and it is recommended you check with them before the lab is billed, as in some cases it will be cheaper for you if the cash price for the lab is paid up front.  
• The specific tests ordered will be personalized to you based on your initial evaluation with Dr. Horton and may include blood, saliva, urine and/or stool testing.
• We will make every effort to make you fully aware of any additional lab fees that may be incurred and to give you the opportunity to choose which lab tests you feel comfortable paying for.
• You are under no obligation to purchase any specialty testing.
• Should any lab results indicate you may need further testing,  you will be directed to continue your care with your primary care physician or a relevant specialist, or should you choose, you may continue to work with Dr. Horton if this is appropriate to your clinical situation.  
• Dr. Horton is able to order conventional lab testing through facilities such as Lab Corp and Quest.