Membership information

About

Upcoming changes at NSNM

 

Since 2011, the doctors and staff at North Seattle Natural Medicine (NSNM) have been committed to providing our community with the highest quality medical care in a warm and welcoming clinic environment.  However, the rapidly increasing costs of running a small business in the greater Seattle Metro area in addition to increasing costs of medical supplies several other fees of running a business, have created a challenging environment for us to continue to provide the level of care and service to which we are committed.  This has left us with the tough decision to either close our practice, or to ask our community for support.

To address these challenges, we are making some changes designed to ensure the continued longevity of the practice, without sacrificing patient care. 

Starting August 1st 2022, a five dollar per visit Fair Wage surcharge will be charged at your time of service.  We are doing this to help ensure all members of our staff, regardless of position, are paid a living wage. Patients who are scheduled with more than one NSNM provider on the same day will only pay the surcharge once that day.  Medicare / Molina patients are exempt from the surcharge. 

Starting January 1st, 2023 Dr. Lush and Dr. Sinclair are moving to a combined membership / insurance billing model that will allow for continued quality of care while delivering added patient benefits.  Several membership tiers will be offered, intended to fit most patients’ needs and budgets. For those who elect not to participate in a membership plan, your care will be transferred to one of our other providers, of your choice, who will be ready to help you continue your health journey.  Rest assured, if you elect to transfer to one of our other providers, doctors Lush and Sinclair will be available to your new provider for consultation and case management.

 

Note that if you are already a private pay patient (no insurance billing) there will be no changes to your office visit costs if you choose not to join the membership plan with Drs. Lush and Sinclair. 


If you have a Flexible Spending Account, you may be able to pay your membership fee on your HSA / FSA.

Please see membership options below 

Palm Trees

Mission

Deluxe plan

$25/month  or $225 annual fee if pre pay in Jan 2023 (a $75 savings) Insurance will be billed for office visits as usual. 

  • $5 per visit Fair Wage surcharge waived

  • $10 B12 shots (normally $25 per shot  / a $15 value) 

  • Direct email messaging to doctor with a limit of 2 per week

  • 15% off all supplements purchased at NSNM. All supplements bought at NSNM are tax free, making supplements bought at NSNM 25% less than those bought elsewhere. 

  • $10 Rejuvenation Room visits ($25 value) 

    • Access to far infrared healing mat

    • Sound table

    • Sensate vagus nerve stimulator 

    • Light therapy

  • 15% off microneedling 

 

20% off each additional family member on the plan $18.75 / month or $168.75 annual fee if paid in full in January 2023

Vision

Optimal Plan

$15 / month or $135 annual fee if  you prepay in Jan 2023 ($45 savings)

Insurance will be billed for office visits as usual

  • $5 per visit Fair Wage surcharge waived

  • $15 B12 shots (normally $25 / shot  a $10 value) 

  • Direct email messaging to doctor with a limit of 1 per week

  • 10% off all supplements bought at NSNM. All supplements bought at NSNM are tax free, making supplements bought at NSNM 20% less than those bought elsewhere. 

  • $15 Rejuvenation Room visits ($25 value) 

    • Access to far infrared healing mat

    • Sound table

    • Sensate vagus nerve stimulator 

    • Light therapy

  • 10% off microneedling 

 

20% off each additional family member ( $12 / month  or $108 paid in full in January 2023)

Beach Chairs
Seashell
Seashell

Mission

Elemental plan 

$30 / visit ($5 Fair Wage surcharge included). Insurance billed as usual for the visit

This plan is an option for those patients we only see a couple times a year. You are welcome to subscribe into the other membership plans if you prefer the benefits that come along with them.

 What is the Fair Wage surcharge fee and what does it cover?

--Due to the quickly rising cost of living and inflation we are now implementing a $5 Fair Wage Surcharge starting August 1, 2022. This is to enable all of the office staff (NOT PROVIDERS) at NSNM to have a cost of living raise. This money is for office support staff only as insurance reimbursement does not cover their wages. This is for all 5 of our NDs and Lee Mahoney, LAc. 

 

2- What if I have 2 appointments on the same day?

--You will only pay the surcharge one time on one business day, even if you have two appointments (or more at NSNM).

 

3- What if my appointment is telemedicine?

--Telemedicine appointments will still be charged the surcharge fee, unless you have a membership plan. 

 

4- Do I have to have a membership plan in January 2023?

--If you would like to see Dr. Lush or Dr. Sinclair you will have to pick a membership plan as of January 2023. Both doctors have both been practicing nearly or over 20 years and are in such high demand that we feel this is the best next step for their practices to continue to provide high quality personalized healthcare.  Primary care medicine requires extensive time spent outside of the office visit doing refill requests, prior authorizations, medical records requests, and coordination of care with your other medical providers. This work is almost never covered by insurance and in order to continue to provide quality care, we are starting the membership plan to help cover this time spent by our doctors and staff that is not billable to insurance. They are not applicable towards your insurance coverage for any office visit, deductible or copay- those costs will remain the same. 

 

5- Can I see another ND if I do not want a membership with Dr. Lush or Sinclair?

--Just like with any patient switching care at NSNM, the ND that you will be seeing have full access to your prior doctor and we work hard to coordinate your care.  We do have 3 other exceptional NDs who will not be participating in the membership plan next year. Neither of our acupuncturists will be participating either. 

 

6- How many patients will be members of the Drs. Lush and Sinclair?

--The physicians will limit the number of patients according to how many sign up. But the goal is that they are able to have smaller practices with more focus on the patients who have joined. However, the elemental plan is a pay as you come in so those plans should typically always accommodate patients as long as the physicians' schedules do not fill to fast. Signing up earlier in the month of January 2023 is recommended though to ensure your spot!