Frequently Asked Questions

For many of our patients, we can take the place of a primary care physician.  You can reach us by phone or message us online during business hours,  and we are often able to take care of acute requests, such as prescribing an antibiotic for a minor infection like a sinus infection.

It is important to note the following however we do not accept insurance of any kind.

Shine Functional Health is not a Medicare Provider. Per Medicare rules and regulations, any charges or orders from Shine Functional Health, such as office visits, routine and specialized labs, and even necessary imaging such as an X-ray will not be covered under Medicare and patients  are not allowed to submit claims for reimbursement.

The cost of any services provided by Shine Functional Health will be billed to you directly.

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

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

It is the patient’s responsibility to know and understand their medical insurance plan and coverage.

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.

• Most lab tests ordered by Shine Functional Health will be billed directly to your insurance by the lab.
• Specialized lab tests we offer as part of our functional medicine testing program may not be covered by insurance and in these cases you will be charged a fee for a particular test by the lab or through Shine Functional Health.
• The specific tests ordered will be personalized to you based on your initial evaluation with a Shine Functional Health doctor and may include blood, saliva, urine, 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 your Shine Functional Health physician.
• At home test kits: If a lab test kit is mailed to you by Shine Functional Health,  you will be charged the day the kit is mailed.
• If your particular insurance company only pays for blood work done at a particular lab facility like LabCorp, you must inform us of this in advance of having blood work done. We partner with several lab companies, including Quest and HealthLab.

Shine Functional Health utilizes specialized labs. These tests are either billed directly from the individual lab providers, and may or may not be covered by insurance. Most patients can expect to spend $150-$500 per specialized diagnostic test, depending on the complexity of your condition.

*For standard blood work, we work with Quest and HealthLab.  If you provide us your insurance information, we can pass this information to the lab providers. However, providing insurance information does not guarantee coverage. You will be responsible for any charges not covered by your insurance plan.

The most effective and therefore least expensive way to move through your case is to do the things necessary for you to see real improvement. Dr. Lechner recommends quality evidence based supplements.  Supplement use at the start of a functional medicine program can be heavy, and every case is different. On average, patients spend around $200 – $700 a month on supplements.  You are not required to purchase supplements through Shine Functional Health.