What can I expect to get from my first visit?
The first appointment is my opportunity to get to know you as a whole person. In order to serve you best, I want to gain an in-depth understanding of your current concerns, as well as your personal and familial medical history. We sit and talk for nearly two hours, leaving time for physical examination and creating a treatment plan. I may order lab tests for you to get done before your next appointment. We will discuss dietary recommendations, herbs and supplements, as well as do physical adjustments if needed. In addition to laying a strong foundation of a healthy diet and lifestyle, I usually make an individualized prescription of a homeopathic remedy for you to take.
Will my insurance company cover your services?
The Maine Association of Naturopathic Doctors (MAND) is working toward full and fair insurance coverage for our patients. Here’s the great news: The federal Affordable Care Act requires insurance companies to cover services from licensed healthcare providers, including NDs in Maine, and we are seeing progress on that front.
Here’s the not-so-great news: Many insurance companies have been slow to comply, and some have not complied at all.
Here’s what you can do: Ask your insurance company if office visits and other services from a licensed Naturopathic Doctor are covered. If the answer is no, you can register a complaint. Tell them federal law supports your right to choose healthcare providers.
We do not bill any insurance directly and are not in-network with any insurance companies. After your visit with Dr. Kotzur we will give you a billing summary which you can send to your insurance company with a request for reimbursement.
Please be advised, if you have a phone or Skype appointment your insurance may not cover it. You can call your insurance provider to be sure.
What do I need to bring to my first appointment?
Please bring the bottles of any supplements or medications you are currently taking. As well as copies of labs you have had done in the past. Please also plan to arrive 15 minutes early to fill out paperwork.
Do you have a Payment + Cancellation Policy?
Payment is expected at time of service using cash, check, or charge.
Appointments changed with less than 24 hours notice, or missed, will be billed at 50% of the rate of your scheduled appointment. Cancellation fees are billed via email and are due upon receipt.
What is a homeopathic remedy and what does it do?
A homeopathic remedy is an ultra-dilution prepared from a single natural substance such as plant, mineral or animal product. A single remedy is given at a time, in pill form. Remedies are prescribed based on the scientific process of “provings”, whereby the medicinal properties of a substance are demonstrated in healthy subjects. A remedy is curative when the patient’s disease is matched to a remedy that causes similar symptoms in a proving. Remedies act on the body’s inherent self-healing mechanism and bring about health naturally.
What can a homeopathic remedy treat?
Homeopathic remedies are used for acute problems like colds, flues, accidents or injuries. They are also effective treatments for chronic problems such as anxiety, depression, insomnia, hormone imbalances, hot flashes, high blood pressure, thyroid disease, infectious diseases, digestive disturbances and many others.
Are homeopathic remedies safe?
Yes, homeopathic remedies are safe for everyone, even children. As they are ultra-dilutions, there is no interaction with prescription medications, herbs, vitamins or supplements and no risk of toxicity.
How often do I need to follow up?
We usually have you come back every 4-6 weeks in the beginning to see your progress. After a while, visits are scheduled for longer intervals.
How often is a homeopathic remedy teken?
Most people can take two doses of pellets and the remedy will continue to act for 4-6 weeks. People taking medications or who drink coffee daily are given homeopathic drops to take nightly, in addition to the first two doses of pellets.
Do you have to take a remedy indefinitely?
No, usually once a remedy has had a curative action, you do not need to continue taking it.
How much do homeopathic remedies cost?
We sell remedies for $10 for pellets and $10 for a bottle of drops. Usually patients spend less than $25 for 4-6 weeks supply. You can also buy them directly from health food stores or high quality homeopathic pharmacies like our favorite, Hahnemann Labs, depending on which remedy and dosage you need.
How is lab work done?
We work with you to make lab work as affordable as possible. We have two different labs locally that we typically work with for basic blood tests, NorDx and Mercy Diagnostics.
If you would like to have lab work done before your first follow-up you must bring copies of your past labs (if you have any) to your initial appointment. If you do not have copies you can fill out a records request form when you are here in the office to get records from your past providers. We’ll then be able to give you a lab order at your next visit. Labs done within the past 3-5 years are typically helpful.
Blood tests often need to be fasting, make sure to make note of this on your lab order to adequately prepare.
Occassionaly more specialized lab work will be called for, in which case specimens are sent out to another lab. These types of tests may include food sensitivity testing and adrenal stress index testing. When a test is ordered we will walk you through all the details of having that test done.
Are Naturopathic Doctors, NDs, real doctors?
No offense taken, we get this question a lot! Yes, we’re real doctors. To practice in Maine, NDs must graduate from one of four in-residence, doctoral-level naturopathic medical schools accredited by the U.S. Department of Education. Graduates of the Canadian College of Naturopathic Medicine are also eligible. These schools require more than 4,000 hours of education and training. We are educated in the same basic Western medical sciences as MDs, including physiology, microbiology, immunology, gastroenterology, obstetrics, and more, as well as areas specific to Naturopathic Medicine.
What sets you apart from other types of doctors?
Naturopathic Doctors are distinguished by our unique approach to wellness. We seek to find and treat the underlying causes of illness, rather than simply managing symptoms. We respect and treat the whole person.
Are NDs licensed and regulated in the state of Maine?
Yes. NDs have been licensed since 1996 to practice Naturopathic Medicine by the State of Maine’s Complementary Health Care Providers Board. We must pass rigorous professional board exams before we are eligible to be licensed.
If I choose to come see you, do I have to give up my other doctor (MD or DO)?
Absolutely not. You can continue to see any doctor of your choosing, while also receiving care from a Naturopath. In Maine, many families are seeing Medical Doctors, Naturopathic Doctors, and other providers such as Chiropractors and Licensed Massage Therapists, depending on their individual needs. This is the new model of integrative medicine, as consumers and providers are realizing the benefits of both natural and conventional care.
Will you refer me to a conventional doctor if necessary?
Yes. I refer patients to Medical Doctors, surgeons, specialists and emergency services when they are best suited for the task at hand. On the flip side, MDs, DOs, and others often refer patients to NDs for a variety of reasons.
Is Naturopathic Medicine based on scientific evidence?
Naturopathic Doctors increasingly embrace evidence-based medicine, while recognizing there is much about the human mind, body, and spirit that remains beyond the understanding of scientists. We also consider the fact that over time, the best medical practices as supported by science are often later viewed as ineffective, or even harmful, to health. Today NDs strike a balance between respect for the healing power of nature — much of which science has yet to be able to fully understand or measure — and the best available research in our fields.
What is LD 1030? LD 1030 is a bill that requires private insurance companies doing business in Maine to have Naturopathic Doctors (ND) in network.
When Does This Go Into Effect? January 1st, 2019
Does That Mean My ND is Now Covered Under My Insurance? It depends. Your ND can choose if they want to contract with insurance companies. No one is required to contract in network with insurance companies. Therefore, they might be covered at the out of network rate if they are not contracted with a particular insurance company. You need to ask your Naturopathic Doctor is they participate in network with your insurance.
Is Medicare and Mainecare Covered? No, these are federal programs and not private insurance companies.
What about the ACA and Section 2706? You may have heard of this section of the Affordable Care Act. It bans discrimination of provider type by private insurance companies. LD1030 is a better, Maine state specific law, that won’t be affected even if the ACA is removed or changed at the federal level.