Information | Wasatch Pain Solutions

Information

Below is a diagram of what may be covered by insurance. We accept most insurance plans, including Medicare. If we do not participate with your insurance plan, you will be quoted our current consultation price on request or at time of evaluation.
insurance_coverage

The Cost of Treatment

Regenexx Stem Cell Therapy

The initial consult & diagnostic evaluation will billed together to your medical insurance (if we are participating providers) however payment for most other Regenexx lab draws and procedures will be due at time of visit. Our cost in providing most of the Regenexx Stem Cell Therapies are not covered by any insurance companies to the extent necessary to meet expenses. Therefore, we do not participate in any insurance plans and will not bill them on your behalf. We will provide you the necessary forms for you to submit to your insurance company after treatment for reimbursement to the extent that they will cover this service.

Caveats to this rule involve procedures like spine injections with platelet lysate in which these procedures may be billed to your medical insurance however there will be a lab draw & processing fee for your platelet/stem cell therapy that is due separate to this insurance claim. We accept cash, cashier checks and all major credit cards. Please contact us for cost and to schedule your appointments.

Alternatively, we do offer some attractive financing options if you qualify that might allow you No Interest Financing options.

Ketamine Infusion Therapy

The initial consult & diagnostic evaluation will billed together to your medical insurance (if we are participating providers), however payment for all ketamine infusions will be due at time of visit.

Our cost in providing ketamine infusions is not covered by any insurance companies to the extent necessary to meet expenses. Therefore, we do not participate in any insurance plans and will not bill them on your behalf. We will provide you the necessary forms for you to submit to your insurance company after treatment for reimbursement to the extent that they will cover this service.

The initial consult and first treatment is billed together and all additional infusions will be billed per session due at time of visit. We accept cash, cashier checks and all major credit cards. Please contact us for cost and to schedule your appointments.

Alternatively, we do offer some attractive financing options if you qualify that might allow you No Interest Financing options.

Most Insurance Plans Accepted

  • Aetna
  • BlueCross
  • BlueShield
  • United Healthcare
  • Beech Street
  • Cigna
  • Educators
  • First Health
  • Great West
  • Health Utah
  • Humana
  • Select Health
  • Select Care/Care+
  • Select Choice
  • Medicare
  • Medicaid – Interventional Treatments Only
  • Molina
  • PEHP
  • GEHA
  • United Health Care
  • Wise Network

Out Of Network Plans Accepted

  • Select Med/Med+
  • Altius
  • Deseret Mutual

If we are not contracted on your insurance plan, we may still be able help you with pain relief as an Out of Network Provider. Please contact your insurance to verify that you have Out of Network Benefits so that we may be able to help you.
(Currently We Do not Participate in Healthy U and Select Value Networks)

We appreciate you choosing us for your medical care and treatment. Our goal is to treat your condition using multidisciplinary approach with input from all of the specialists in our group. We are committed to providing you the best possible care and service.

Opioid pain medications are NOT prescribed at the Initial Consultation Visit. Patient must agree to the Opioid Pain Contract and Initial Evaluation/Testing must be complete prior to any changes or prescribing of opioid medication prescriptions.

So that we may provide you the best possible treatment options we ask that on your first visit you please bring along with you the following :

  1. All current medications as well as a list of past pain medications and allergies
  2. All pertinent and related lab work, X-Rays, MRI’s and CT scans, both reports and imaging (on a disc preferably) if possible.
  3. Any previous related medical records and doctor consults.
  4. Current and valid insurance cards and driver’s license.
  5. Completed Initial Visit Patient Questionnaire.

On your first visit you can expect to have a thorough history and physical exam performed by our ACGME fellowship trained pain management physician. After the initial consultation, recommendations and treatment options will be discussed in detail.

Please arrive 30 minutes prior to your scheduled appointment. If your initial questionnaire is not completed prior to your arrival for this consultation, please plan to arrive 60 minutes early to complete this form.

Although we understand that sometimes you may be delayed, please notify our office immediately of any scheduling conflicts so that we may prevent any delay in your visit. If for some reason you cannot make your appointment, please contact us within 24-48 hours to reschedule. We look forward to seeing you soon

Traditionally, pain medications are filled at your monthly office appointment visits. However, if you are allowed to obtain refills in between these appointments then please follow the instructions below.

YOU must call the office 2 BUSINESS DAYS before the medication runs out. We do not allow others to call for you.

Prescription refill requests can be made 24 hours a day by leaving a message for your provider’s medical assistant.

Refill requests are processed Monday to Friday 8:30 a.m. to 3:30 p.m., not including holidays. Requests made Friday before 3:30 p.m. will be ready the following Tuesday.

The following information must be left when calling in a prescription refill:

  1. First and last name (spoken clearly and SPELLED OUT)
  2. Phone number (we will call you back only if there is a problem)
  3. Prescriptions needed, with strength and date medication runs out.

When can I pick up my scripts? 

You may call the front office 2 business days after your request to make sure the written prescription is ready for pick up.

Some patients may be allowed to appoint someone else to pick up their prescription by calling ahead to the front office with the name and relationship of the pick-up person. The appointed person must show picture identification at the time of pick-up.

No routine prescriptions will be refilled on the weekends.

Do not call providers with these requests.

PLEASE NOTE: Wasatch Pain Solution’s policy is to generally NOT prescribe or refill medications which are not directly related to treating pain.

You may be instructed at the time of your appointment to obtain such medications in the future from your primary care provider.

If you are having a life-threatening medical emergency, dial 911 immediately!

For non-life-threatening medical emergencies requiring the immediate assistance of your Wasatch Pain Solutions provider, please call our office and follow phone instructions in order to reach your usual provider. Every effort will be made to assist you. Our office number is (801) 302-2690.

Please note that failure to plan ahead for prescriptions does not constitute an emergency.

Our clinic is open Monday through Friday from 8:30am to 5:00pm.

We have two clinic locations for your convenience. Our primary clinic location is inside the Riverpark Corporate Center characterized by convenience, we are located in South Jordan, Utah alongside the Jordan River Parkway which is close to freeway access, shopping, golfing, restaurants, and hotels. Our newest location is in northern Utah County in Pleasant Grove, Utah just a few blocks south of the American Fork Hospital on 1100E. Please look at the Contact Us tab on the menu above to get exact address locations for these clinics.

We are contracted with most insurance plans, however at this time we are considered Out of Network Providers for Altius, Select Med and DMBA members. You may still be able to be seen at our clinic. If you have any of these three plans, we would encourage you to check with your plan to see if you have Out of Network Benefits. If these are available options for the you, we may still be able to provide care for you with good coverage by your insurance plan. If you would like to be seen by our clinic and you do not have out of network coverage we do offer a discount on self-pay situations. Often if you advocate for care to be provided by us, your insurance plan may allow you coverage as an in-network provider on a case-by-case basis.

We do accept cash/self-pay situations, however these are typically reserved for interventional pain treatments only. We do not typically see cash/self-pay patients for prescriptions only. Typically, there is a discount given for full payment on date of service.

Yes, almost all treatments we provide are covered by your insurance. Please, remember that your specific plan may have a yearly deductible and that deductible has to be met prior to your plan covering treatments. If you are unsure, we would recommend you contacting your insurance carrier to find out the specifics of your health care plan. Sometimes these procedures require a prior-authorization that our staff will complete before scheduling your procedure. At this time if a procedure is not covered by your insurance, you will be notified up front and can have that discussion with the doctor to discuss your options or costs associated with the treatment plan.

Yes, we provide IV sedation at your request for comfort during the procedure as long as you are medically fit to receive this. There is a fasting requirement of no food for 6 hrs prior to and no liquids 2hrs prior to your procedure which must be completed. You will also be required to have a driver to take you home afterwards and your driver must be present at all times during your procedure. Typically an IV is placed prior to your procedure and sedation is administered right before the procedure as you enter into the procedure suite. Please remember the sedation does not make you sleep, it is meant to help with anxiety and comfort during the procedure.

Yes, however the blood thinner or Coumadin must be stopped roughly for 7 days prior to the procedure to make it safe to proceed with interventional treatments. You may need to discuss with the doctor who is managing your coumadin whether it is safe to stop or do you need a bridge with lovenox to limit any concerns. We can discuss this more in detail at your visit prior to scheduling your procedure.

When evaluating Pain or Spine issues, often there is more than one pathology that is noted to be source(s) of the pain issues. Many times we employ the least amount of treatments to get the best long-term outcome, however when there is limited relief we may offer other treatment options to maximize efficacy. Our goal is to reduce your pain to a reasonable level and hope to reduce opiate pain medication usage along the way, if both instances happen we consider that a win-win.

That is the million dollar question… It is hard to predict how anyone will respond to treatment options. Usually when we have success with treatments, most can expect months of relief, but it can be normal for some treatments to only last a few days or a few weeks. We can discuss your expectations in more detail at your visit.

Generally they are safe to use. Typically cortisone (steroid) is used to reduce inflammation in the body where it can cause pain and avoiding over-exposure to these medications will limit any lasting side effects. We recommend only the needed injections to provide sustained relief and generally perform only up to 3 cortisone (steroid) procedures in a 6 month period, which can mean a possible 6 steroid-based injections per year. Most patients need less injections to get relief and therefore exposure is limited. However, if you would like alternative options for the cortisone (steroid) we use, please ask about our non-steroidal options. Generally, the non-steroidal options can be as effective, however your insurance may not approve them as covered treatment option. We can discuss this in more detail at your visit.

Yes, we are providing this new and innovative approach in Stem Cell therapies as Regenexx providers. It is an exciting time in which regenerative medicine is just starting to gain momentum as an alternative to the current treatment protocols. These treatments can actually offer you real healing possibilities by using your own blood and stem cells to repair damaged tissues so that surgery may be avoided all together. Typically you will need at least 1-2 treatments to gain benefit of healing the damaged tissue areas, however each person will be given a tailored treatment plan which may involve other therapies as well. Please ask and we can discuss these options fully at your visit. At this time, insurance plans are NOT covering this innovative and amazing treatment option however we are offering some financing options if you qualify.

Unfortunately pain medication usage is on the rise, along with overdoses and deaths associated with these powerful medications. The problem with these as a sole treatment is that these opioid medications don’t really address the actual issue(s) that can be the source of your pain. Almost all people will develop tolerance to these medications requiring higher doses to provide the same relief. Often increasing dosages will put you at risk for side effects from the pain medications such as reduced breathing abilities, increased sedation, urinary retention and constipation. The research is clear that as doses elevate, opioids can make your pain worse, cause metabolic and hormonal imbalances and weaken your immune system resulting in increased infections. Therefore, we recommend using the lowest medication dose possible and plan to improve your pain with other techniques/procedures so that we may be able to reduce or even discontinue these powerful medications when not needed.

No. Our clinic must perform appropriate and required diligence to investigate each patient’s claim regarding their medication prescriptions. This process will require confirmation of the medication regimen with the original prescriber of the medication. Documentation regarding the data of the most recent prescriptions(s) with the number prescribed and any refills noted will be reviewed. Issues of previous noncompliance with opioids or medications prescribed will need to be reviewed. A written note from the patient’s prescribing practitioner or PCP requesting Wasatch Pain Solutions to assume care of the opioid pain medication regimen may be required. This process will require up to two weeks depending on the ease of access to the information. Wasatch Pain Solutions WILL NOT prescribe a opioid pain medication regimen until the appropriate investigation is complete.

Most patients do not need a referral to be seen at our clinic. We do require patients that are on Medicaid get a referral from a primary care physician and have appropriate tests and treatment requirements completed prior to being considered for evaluation at this clinic.

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