• Insurance coverage:

    Mountain Sage Medicine is contracted with many insurance companies. As coverage varies from plan to plan it is important that you inquire with your insurance company about your specific coverage before coming in for an appointment. To help you ask the right questions we have created a “Understand Your Plan Worksheet”. Please bring this worksheet filled out with you to your visit.

    As of January 1, 2014 under the Affordable Care Act, sec.2706 Non-Discrimination in Healthcare, Insurance companies can no longer deny coverage to practitioners practicing within the scope of their license. This means that by law licensed Naturopathic Doctors practicing in Washington and Oregon State (among others) can be your primary care physician and have equivocal coverage to a Medical Doctor (MD) and Osteopathic Doctor (DO) without different limitations and caps.

    Jennifer Silapie, ND / Mountain Sage Medicine is contracted (In-Network) with:

    • Amerigroup (WA medicaid)
    • Apple Health- Washington State Medicaid (Fee for Service)
    • Community Health Plan of WA (WA medicaid)
    • Cigna
    • Core Source (Multi Plan)
    • First Choice
    • Lifewise
    • Moda/ ODS
    • Molina (WA Medicaid)
    • Premera
    • Pacific Source (Reliant Behavioral Health)
    • Regence
    • United Health Care (Optum)

    Out of network DOES not necessarily mean no coverage. Health Management Administrators, Aetna, and Providence plans have been known to cover between 60-100% out of network. Know your plan by using the Understand Your Plan Worksheet.

    Unfortunately, we cannot bill Medicare at this time. We can, however, provide you with superbills and information to submit medicare claims to your plan B.

  • Fees:

    All visits will be billed for time of service and/or procedures performed during an office visit. Initial visits are usually 1-1.5 hours and the bill usually ranges between $200-$300. Follow-up visits are usually 45-60 minutes and the bill usually ranges between $130-$230. Your insurance will be billed accordingly. You are responsible for deductibles, coinsurance, copays, or denied insurance charges.

    You are responsible for all charges incurred from labs (usually direct payment is made to the laboratory). You are responsible for all charges associated with supplements, medicines, and medical supplies obtained from Mountain Sage Medicine directly or used on your behalf during the visit. If a payment is made on your behalf such as laboratory expenses or shipping fees, etc, you are responsible for prompt payment. All missed appointments or late cancellations are $50. Any email or phone call requiring more than 5 minutes of the doctors time and/ or and clinical decision making will be billed in 15-minute increments at $50/15 minutes; this is not covered by insurance.

    All payments are due at the time of service. At your initial visit you can read the full financial policy.

    We are more than happy to address any questions you have regarding the cost of your visit and we strive to keep all costs incurred transparent. To avoid surprises we suggest verifying insurance coverage before your visit.


    Please refer to your account advisor if supplements are an allowed expense. Copays, co-insurance and deductibles are allowed expenses.


    We accept Visa, Mastercard, Cash, or Checks. We appreciate your effort to help us keep money local by paying with cash or check when possible.

Get in Touch

We’d love to hear from you. Give us a call if you have any questions or would like to schedule an appointment, or schedule an appointment with our online patient scheduler!

(509) 808-6364

410 E. Jewett Blvd
White Salmon WA 98672

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What Our Patients Have Been Saying

""Dr. Silapie has treated my self and my entire family. I appreciate her empathetic and objective approach. I've benefited from the insights, guidance, treatments and resources she has provided." "