The number of visits vary depending upon how complex or chronic the health issue is.
For new patients, my experience has taught me that optimal outcome for a persons medical care is to have an initial appointment, thorough evaluation and treatment with at least one follow-up to ensure the initial plan is working and to adjust as needed.  Additional visits are usually needed with serious health and chronic health conditions to achieve optimal functioning and health.

We do NOT bill insurance, although many HSA plans do cover our services. Please contact your HSA manager and/or your insurance plan to determine how might be the best way to get your care covered. We will provide an invoice with CPT codes and diagnostic (ICD-10)  codes to submit for reimbursement. Some HSA programs may need this as well. There are numerous reasons we choose to discontinue our contracts with insurance companies. For example:

• Some folks are concerned about their employer finding out what kind of care they are receiving. Just as an increasing number of mental health providers and psychiatrists are leaving the insurance world, many people come to us wanting confidentiality from their Insurance Companies.
• Insurance companies are increasingly guiding care plans and the scope of assistance they will cover. Due to the intensive nature of our work we often fall outside of covered services.

We will order labs at the facility of your choice. It is ideal to check with your insurance to determine where they recommend if you are to get the labs and imaging covered. Labs and imaging facilities can bill your insurance directly or you can pay a cash based rate to the lab or imaging facility.   You may also be able to use your Health/Flexible Savings Account to cover these.  Please check the requirements of your specific HSA.
If you choose to pay out of pocket for labs rather than go through insurance, we recommend DirectLabs.  Here is a link to make it easy.  They have highly discounted labs available and all labs are processed through Quest Diagnostics and their draw sites found are conveniently found throughout the country.

Yes! Although Dr. Litov has practiced as a primary care physician, she now serves as an adjunct provider, utilized in conjunction with other providers, in order to optimize your health.  It is important to have a Primary Care Provider on your health care team. You should be seen by them annually, for physical exams, and to stay established for acute and urgent care needs. Please maintain care with your specialists.  We believe a team approach to care is vital for an individual’s optimal health and wellbeing.

If you have an emergency, please call 911. Please contact your primary care provider and/or urgent care for non-emergency urgent or acute care needs. Dr. Litov is not on-call after hours.  You can leave a message via the patient portal and/or voice mail. She recommends going to urgent care or the ER if the issue cannot wait until office hours for a response. In addition, there are resources on the resource page that include mental health hotlines.

All introductory discussion is via phone. The first official appointment is always in-person. Follow-up appointments can be in-person, telehealth/video or phone, and are agreed upon by both the patient and provider.

Integrative Medicine is defined as a method of healthcare that integrates conventional and complementary treatments for the betterment of a patient. Each individual is different, so integrated treatment often looks different from one patient to another.

Often “Integrative Medicine’ is a catch all for those medical providers practicing Naturopathic Medicine, or on a journey to integrating Naturopathic principles and treatments into their conventional practice. Integrative Health Care systems honor the importance of many types of specialties and providers in order to best serve patients health and wellbeing.

Functional Medicine is a systems biology–based approach that focuses on identifying and addressing the root cause of disease. Each symptom or diagnosis may be one of many contributing to an individual’s illness.

Naturopathic Medicine is a distinct licensed primary health care profession, emphasizing prevention, treatment, and optimal health using therapeutic methods and substances that encourage individuals’ inherent self-healing process. The practice of Naturopathic Medicine includes modern and traditional, scientific, and empirical methods.  It is sometimes referred to as ‘The original Functional Medicine system’. But a key distinction of Naturopathic Medicine is in its philosophy that a person and the planet have an innate ability to heal itself. Our job is not just to optimize function or actively treat a symptom or infection, but simultaneously help create the circumstances that will allow the person to heal…mind, body, spirit. Learn more about education, licensing, philosophy.