FAQ

  • Conventional medicine (ie. a regular, insurance based primary care office) often focuses on symptom management, controlling disease by masking symptoms or signs of illness mostly through use of prescription medication, while integrative medicine focuses on finding the root causes of illness or symptoms. For example, doctors prescribe powerful anti-inflammatory medicine for arthritis pain rather than looking into why you are experiencing inflammation and pain in the first place.  A truly integrative approach combines the best of conventional medicine with a personalized, lifestyle focused approach.

  • Integrative medicine requires a deep investigation into your personal history and habits. This approach demands time that insurance companies do not allow doctors in typical family practice settings to spend with patients. Dr. Gould has chosen to open a private practice that does not accept insurance to combat the United States “sick-care system.”

    Dr. Gould is an out-of-network provider. This means that no billing of insurance will occur, and payment is due in full at the time of service. This enables Dr. Gould to spend the time she needs with patients rather than being limited by insurance companies, allowing us to keep our overhead low for a small private practice. If you have private insurance however Dr. Gould will write you a "superbill" to submit to your insurance for reimbursement (not available for membership payments).

  • Osteopathic doctors are fully licensed physicians in the United States with extensive training in the musculoskeletal system and hands-on healing approaches. As an osteopathic doctor, Dr. Gould approaches wellness from the perspective that the human is an inseparable unit of body, mind, and spirit.  

  • No. Membership gives you direct access to a highly trained physician for all your health care questions and needs. It does not qualify as health insurance. Most patients continue to carry major medical insurance or health shares in case of a catastrophic event.

    Labs and imagining may be billed through insurance depending on your insurance plan.

  • New patient appointments are extensive and up to 90 minutes. This includes a full, comprehensive history, physical exam and structural exam. Osteopathic treatment may be included if there is time. Dr. Gould will usually recommend basic labs (if not done recently) and a food journal to be completed for the most complete look at your current health and habits.

  • Please wear comfortable, loose fitting clothing such as what you might wear to a yoga class.

  • Every patient and every condition is an individual so this will be determined on a patient to patient basis. Often we will see each other more frequently in the beginning with the goal of stretching out appointment times as conditions improve.

  • Because Osteopathic manipulative medicine functions as a "reset" to re-distribute tensions in the system we recommend you "take it easy" for 1-3 days after treatment. You may even experience some soreness after a treatment as certain muscles that have been inhibited or under-working come back online and over-active muscles and tissues are relaxed. Dr. Gould will recommend stretches or strengthening as needed on an individual basis.

  • Your Base Membership ($120/month) includes everything you need for high-quality, integrative primary care with time to go deeper than the standard medical model allows.

    Included:

    • A comprehensive 90-minute intake to review your health history, labs, and goals

    • 1 annual wellness visit with routine labs

    • 3 quarterly follow-up visits (total of 4 comprehensive visits per year)

    • 2 brief or virtual check-ins for acute issues

    • Secure messaging access for non-urgent questions

    • Hormone therapy (HRT) management included

    • Discounted OMM visits: $100 per session

    • Access to member pricing for labs, supplements, and functional testing

    This tier is perfect for adults who want personalized, integrative care and ongoing connection with a physician who actually knows them — without the limitations of insurance visits.

  • We treat patients of all ages with a wide variety of illnesses, conditions and symptoms. Integrative medicine includes a deep dive into your personal history and lifestyle habits. Often we use a combination of targeted lifestyle approaches and coaching, supplements, herbs or homeopathy, testing, and osteopathic treatments in our wellness approach. Occasionally we will recommend or refer you to other practitioners as needed.

  • Yes!. Hormone therapy management is part of the Base Membership and above. Dr. Gould does bio-identical FDA approved hormone therapy that is individualized to you and is working toward menopause certification.
    If your plan requires more frequent visits for dose adjustments or follow-up, a simple per-visit copay may apply. Lab costs are typically covered through your insurance or billed directly at member pricing.

  • Currently Dr. Gould does extensive diet and lifestyle counseling for patients struggling with weight issues. She is working on bringing in a specific weight loss program that will include individualized nutrition plan, labs, monthly check-ins, a “psychology of change” mini-course and compounded GLP-1 as needed. This will be available soon. Can be in person or Telehealth (CO only currently).

  • Yes. Dr. Gould has some training in functional medicine and is pursuing certification with the Institute for Functional medicine. She does do some functional medicine testing but focuses first on lifestyle basics; she does not believe in thousands of dollars of unnecessary testing if the basics are not dialed in. Testing may have additional charges to cover the testing itself and for additional office time if needed.

  • Yes. Dr. Gould offers integrative medicine wellness consults, wellness child visits or WCC, and osteopathic visits at a one-time office visit fee.

    Non—member pricing for consult services:

    • New patient OMT adult (75 minute appointment): $350 

    • Follow up $215 (45 min)

    • New patient OMT pediatric (<18) (45 minutes): $250

    • Follow up pediatric OMM $165 (30 min)

    • New patient integrative/functional medicine consult $550 (90 min adults)

    • New well child consult/ WCC $425

      • Follow up integrative visits for adults and children vary and are billed for time*.

    • Medicare patients: $275 new pt (up to 90 min), $150 follow-ups (up to 45 min) *can be Osteopathic or integrative consults

    • Telehealth consults available upon request for patients who do not live locally*

    *Billed time includes after hours work and may not be the same as face to face time

    Physician will not be available for messaging between visits other than to answer brief follow-up questions. Extensive messaging will be billed according to time unless you are a member.

  • Often yes — many patients successfully use HSA/FSA funds for direct-care memberships and visits. Please confirm with your plan administrator for your specific coverage.

    You can absolutely use HSA/FSA for pay per visit prices.

  • Dr. Gould will coordinate all of that for you. Labs can often be drawn locally or through direct-pay partner labs. For imaging or specialist referrals, Dr. Gould will help connect you with trusted providers and ensure continuity of care. Labs, imagining and specialist care can usually be covered by insurance depending on your plan.