With the exception of Medicare, Dr. Piker is considered an “out-of-network provider” for the commercial and state-sponsored insurance plans.

The prices for our services are listed on the booking page​.

• The prices listed do not apply to Medicare recipients. Please see Medicare Policy for details.

We ask ALL clients (including Medicare recipients) to provide the credit or debit card information to reserve appointment.

• We use the Stripe online payment processing for all transactions.
• We do not charge your card at the time of booking.

Your card will be automatically charged the full amount of the listed visit price at the time of your appointment.

• This does not apply to Medicare recipients. Please see the Medicare Policy for details.

The appointments can be rescheduled or cancelled online up to 24 hrs in advance.

• Please see the Rescheduling, Cancellation, and No-Show policies for details.

Your insurance carrier may provide partial reimbursement of services by out-of-network providers. Please keep in mind that the PPO plans are more likely to reimburse the services of an out-of-network provider than the HMO plans.

• Reimbursement rates vary, with an average being around 60%.
• If commercially insured clients wish to be reimbursed for visits with Dr. Piker, we will provide them the so-called “superbill” which clients can submit to their insurance carrier for reimbursement.
• The clients bear sole responsibility for knowing the specific rules of their insurance carrier.
• It is highly recommended that clients consult their insurance company regarding coverage of out-of-network providers prior to scheduling appointment.

Dr. Piker is participating provider with the Medicare, and he accepts rates assigned by Medicare. The actual amount to be submitted to Medicare will be determined on the day of the visit.  

The Medicare recipients will be billed whichever amount remains after reimbursement by Medicare and supplemental insurance (if applicable).

The Medicare recipients will be required to sign the Advance Beneficiary Notice of Noncoverage (ABN) form prior to procedures informing them of the estimated costs in case Medicare does not cover a particular procedure. 

To avoid late cancellations and not showing up for the scheduled appointments, we ask ALL clients (including Medicare recipients) to provide the credit or debit card information at the time of booking your appointment. 

• We do not charge your card at the time of booking.
• Please see the Rescheduling, Cancellation, And No-Show Policies​ for details.     

We do not double-book or stack appointments as our clients deserve undivided attention and adequate time during the visit. When someone cancels with little or no notice or simply does not show up for their appointment, that time is wasted and there is no one to fill the empty slot. 

At the same time, we understand that life happens and, depending on the circumstances, it may be necessary to cancel or reschedule an appointment on a short notice. 

Therefore, we implemented the following rescheduling, cancellation, and no-show policies:

Rescheduling, Cancellations policy

• You can reschedule or cancel your own appointments without a penalty by visiting returning client page up to 24 hrs before the scheduled visit.
• If you need to reschedule or cancel your appointment with less than 24 hrs remaining, it is best to contact our clinic by calling 425-655-0700, messaging us via secure portal, or emailing us at info@ihclinic.org.
• The ‘LATE RESCHEDULE / LATE CANCELLATION’ fee is 50% of the listed service price, charged to the card provided at the time of appointment booking; this fee does not apply to nerve blocks or trigger point injections.

No-Show policy

• You are considered a ‘no-show’ if you do not show up for your appointment without prior notification.
• You may be considered a ‘no-show’ if you arrive more than 15 min late for the 30 min appointment or more than 30 min late for the 90 min appointment without prior notification.
• The ‘NO-SHOW’ fee is 75% of the listed service price, charged to the card provided at the time of appointment booking.

The clients are financially liable for fees incurred for late cancellations, late arrivals, or missed appointments as these are not covered by either private or government insurances.

Thank you in advance for your understanding!