Hormone Testing for patients with hormone imbalance such as menopause, perimenopause, hypothyroidism, Hashimoto’s, PCOS, Insulin Resistance, cystic acne, and hormonal acne is extremely complicated, and should therefore only be conducted only by a Naturopathic Doctor specializing in hormones and never should the labs be ordered by an MD, otherwise, the labs receive are incorrect and the patient will then need multiple appointments to review the labs that are incorrectly ordered.
Our clinic works hard to ensure that insurance covers hormone testing which would otherwise cost $800-$2000 if not paid by insurance for an initial hormone panel to determine the type of hormone imbalance. Please read the following information carefully to ensure we can process your labs accurately via your insurance.
Patients with standard insurance plans such as Cigna, BCBS, United Healthcare, Aetna, etc should call their insurance provider to determine which lab is contracted with their plan. It will be either Labcorp (preferred) or Sonora Quest (more errors, greater wait time.) For these plans, it does not matter who the ordering doctor is. It matters that the doctor has the correct diagnosis codes to match the labs that are being ordered and that the patient is at the correct lab that is contracted with their plan. If your PPO plan does not care what lab you go to we recommend Labcorp as less likely to cause errors at this time.
Patients should be fasting and go to the lab around 8am with no caffeine or AM hormones taken the day of their blood draw. If you get to the lab and realize you have taken hormones, your lab tests will be inaccurate and need to be repeated. It is best to leave and not waste your insurance opportunity on incorrect labs. Please take any AM hormones after your blood has been drawn to avoid false elevations of thyroid and bioidentical hormones. If you take PM hormones such as BHRT, Bioidentical Hormones such as estrogen, progesterone or testosterone, please take these as you normally do before bed. Patients should not have a lapse in their medication the two weeks prior to their blood draw or their labs will be incorrect. Any caffeine the day of your labs will interfere with your hormone labs, as will any biotin taken the 2 weeks prior to testing. Biotin interferes especially with thyroid tests.
Menstruating women: Should have their blood drawn days 21-25 of their menstrual cycle with day 1 being the first day that they start to bleed.
Non-menstruating women: Can have their blood drawn at any point in the month
Cash Pay Patients: For patients without insurance, we recommend cash labs at Sonora Quest as the most cost-effective option. The first panel is generally $500-$800 to determine the diagnosis of hormone imbalance, then follow-up spot checking of the imbalanced hormones is generally around $200. Patients receive the cash pay discount by paying at the time of their blood draw.
Please be advised that no MD is trained in Naturopathy and Hormones and therefore no MD should be ordering Dr. Sundene’s labs. The only exception we make to this rule is for patients with AHCCSS or Medicaid Arizona state insurance as Naturopathic Doctors are not able to order labs for these patients. Patients requiring the use of AHCCSS for their labs should always first submit the lab report from their MD to Dr. Sundene by faxing the report to 480-409-2644 prior to booking their visit so she can review that the labs were correctly ordered. There are multiple variations of thyroid and hormone tests, and MD’s including Family Doctors, Internists, OBgyns, and Endocrinologists 100% of the time do not understand the complex hormone labs needed. When patients erroneously think the MD will do a more comprehensive job ordering their labs we end up with half the information we need. It is the patient’s responsibility to ensure they are not causing lab errors by having an MD order the wrong labs. The patient is then financially responsible for multiple follow-up visits.
Patients with Medicare MUST be at Labcorp or they are 100% financially responsible for their hormone labs. Vitamin testing is not generally paid by Medicare, nor is Hemoglobin A1c. While Medicare does not deem the Hemoglobin A1c necessary, it is necessary for the hormone doctor to properly help you and you will need to pay the medicare contracted price of $40. Patients with a secondary insurance generally have this covered. The patient may also receive an additional bill of $20-$40 for each vitamin test that is not covered. Patients with Medicare should have a PCP via their Medicare to order any imaging they require as imaging is not covered when ordered by a Naturopathic Doctor such as Mammograms, X-rays, DEXA, Ultrasound, and so forth.
To set up your new patient visit to receive a lab order, please visit our SCHEDULE page.
Dr. Sundene is a Naturopathic Doctor in Scottsdale, Arizona, and is a Female Hormone Expert in Women's Health and Bioidentical Hormones. She specializes in Holistic Women's Health for Menopause, Thyroid, Hashimotos, PMS, Perimenopause, Autoimmune, Postpartum, Chronic Fatigue, Depression, Anxiety, Food Allergies, Digestion, Dermatology, Acne, Psoriasis, Eczema, and Adrenal Hormonal Conditions. In 1999 she began working for a Hormone Doctor prior to starting Naturopathic Medical School. With over 23 years of experience in both Prescription and Natural women's health and hormones, she presents to women the best-integrated health solutions for their Chronic Disease.
She has been an Herbalist for over 28 years and enjoys teaching women how to use herbs to balance their hormones, nutrition and optimize their health. Dr. Sundene relies on blood testing for her hormone metrics. The hormone testing is covered per the patient's insurance plan (not Medicaid) and conducted at certain points in the woman's menstrual cycle. To learn more about Hormone Testing for Women Visit: Bioidentical Hormones. Follow Dr. Sundene on Instagram, Twitter, and Facebook for more tips on Women's Health, Female Hormones, and Naturopathy!