If you still have question after reading our FAQ and financial policy, please request more info here.

What is the best way to get started?

We offer a 20 minute optional complimentary consultation where we can meet and discern your next step to greater health and wellbeing. The consultation can be done via phone or in-office. Please note that our providers won’t review your records or give medical advice until your New Patient Appointment. We treat patients ages 11 and up with the exception of Dr. Lotito who sees patients 4 years old and up.

To schedule your free consultation OR Skip the consultation and start treatment right away., simply complete our scheduling form or call us today!

What are the appointment costs?

At Philadelphia Integrative Medicine you receive the undivided attention of your integrative provider, and root cause recommendations to help you better understand your body and move forward. You have direct access to our providers for quick conversations between appointments. We offer individual appointments or an Annual Comprehensive Membership program. 

New Patient Appointments:

  • $650 with Annmarie McManus, Functional Physician Assistant

  • $650 with Lauren Houser, Integrative Nurse Practitioner

  • $895 with Pat Lotito, MD

  • $995 with Georgia Tetlow, MD

Please note: a $300 deposit is taken at the time of scheduling. This will apply towards your first appointment, the remaining $350 is due at the end of your new patient appointment.

Follow-up appointments*:

  • $300 with Annmarie McManus, Functional Physician Assistant

  • $300 with Lauren Houser, Integrative Nurse Practitioner

  • $375 with Pat Lotito, MD

  • $400 with Dr. Georgia Tetlow, Integrative Physician

*Extended follow-up appointments are also available. They are equivalent in time and cost as two follow-up appointments.

Nutrition Appointments:

  • $225 Initial 90 minute visit

  • $150 45 minute follow up visit

What is the Annual Membership?

Becoming a PIM Member gives you maximum benefit with enhanced access to our clinical team.  This annual program includes one year of appointments with Lauren Houser, CRNP or Annmarie McManus, PA-C, PT, IFMCP or Rachel Hershberger, MS, CNS, LDN, significant discounts, and access to our monthly integrative classes.

We have noticed that when patients commit to our annual membership, they seem to get better faster.  We’ve designed this program to put you on the path to healing well within one year’s time! You can choose to pay upfront and receive a greater discount, or finance for low monthly payments at a lower cost than purchasing individual appointments. However, Membership is optional and you are welcome to pay as you go.

Click here to become a member today!

What is the cost of testing?

We utilize both insurance-reimbursed and specialty lab testing as part of your comprehensive treatment plan. Personalized testing is recommended by your PIM provider during your new patient visit. At that time we can also provide you with upfront payment options to be paid directly to the testing company. We strive to keep costs as low as possible for our patients. If you do receive an unexpected bill from a testing company, please always email a copy of the bill to dani@philly-im.com and we are happy to do everything we can to possible reduce or eliminate the bill for you.

Read more about testing information.

I received an EOB from my insurance company, what should I do?

We are aware that some patients receive an Explanation of Benefits or EOB from your insurance company and this resembles a bill or notes that you (the patient) may be responsible for a certain amount and this can be alarming. Rest assured that an EOB is NOT a bill. We are able to provide upfront amounts for all specialty testing in order to avoid surprise bills.

LabCorp and Quest testing costs vary depending on your coverage and we always suggest calling your insurance company to inquire about costs before completing your test.

Please wait until you receive a bill. If you do receive an unexpected bill from a testing company, please always email a copy of the bill to dani@philly-im.com and we are happy to do everything we can to possible reduce or eliminate the bill for you.

How do I contact my provider, get my results and visit notes?

In order to provide you with the best care possible and ensure security, we require use of our free online medical portal to all patients. Power2Patient or P2P is where you will access visit notes from your provider including vitamin and supplement instruction, receipts for insurance reimbursement, lab orders, and send messages to the PIM team. Please reference our quick 2-3 minute demo videos if you need help using the portal.

What is the cancellation policy?

Out of respect for our patients' and practitioners' time, please note that we require a 2 business days' notice for ALL appointment cancellations. If you do not provide this notice, you will be charged:

  • $300 as a cancellation fee for a new patient appointment (deposit is forfeited)

  • $100 cancellation fee for a follow up appointment.

Note: If you provide 2 business days' notice, your deposit will be applied to your rescheduled appointment or refunded (upon request only).  A $25 fee applies to all refunded deposits.

Are you covered by my insurance?

PIM is an out of network provider. Our patients with PPO insurance share that they have received 70-80% reimbursement after deductible for all Philly Integrative Medicine appointments, including their initial and all follow-up appointments.

The number one reason so many patients join our practice is because we have the freedom to  offer you quality time with our providers, so that you feel heard and are treated as an individual.  Unfortunately, most insurance companies only cover very short visits (5-10 minutes) with a  healthcare provider.

For this reason, we offer something slightly different: direct reimbursement.

You pay in full at the time of your appointment. The business day after your in-office appointment, we will post a coded receipt to your patient portal which you can send to your insurer.

If your policy provides out-of- network coverage, you receive reimbursement according to your policy, after you meet your deductible.
Your insurer reimburses you directly-- expect a check in the mail. 

Note: Because each insurance policy is unique, we encourage you to call your insurer to inquire about reimbursement-- please find the list of appointment codes below. You do not need to have an appointment scheduled to check your reimbursement rate.

Appointment Codes

Insurance companies require a physical exam to submit for reimbursement. If your appointment is not in-office, it is not eligible for reimbursement.

Are you covered by Medicare and Medicaid?

PIM welcomes you as a patient, but we are sorry to share that Medicare and Medicaid patients are not able to receive reimbursement for PIM appointments. When Medicare or Medicaid patients receive Medicare/Medicaid covered services, providers are legally obligated to bill according to the government’s time frame and specifications. We are not only not able to comply with these billing practices-- we do not have a billing department or trained Medicare/Medicaid billers-- but we intentionally design our practice so that we can spend time with you, hear you and not rush you out of the office. Your PIM appointment is counted as non-Medicare/non- Medicaid covered service.

Why can’t Philadelphia Integrative Medicine be my primary care physician?

All of our integrative practitioners are considered specialists and work in partnership with your primary care physician (PCP). They are well versed in primary care concerns, however we cannot act as your primary care doctor. Many patients identify a primary care doctor for referrals and emergencies, but rely on PIM for health care appointments and simple questions between appointments.

How can I purchase Vitamins and Supplements?

PIM has an in office and online supplement dispensary with trusted brands and formulations handpicked by your PIM providers. We recommend our clinic supplements and online supplement store because we feel they are the safest and most effective products.  We strive to keep our costs as low as possible, however, all prices are dictated by the supplement companies themselves. You can stop by the office from 9:00 am-12:00 pm and 1:00 pm- 4:00 pm on Tuesdays, Wednesdays and Fridays to purchase or you can access our online dispensary at:


Order by phone or reach FullScript’s customer service for help M-Th 9 am – 8 pm, Fri-Sat 9am- 5pm (1-877-941-1449)

We do receive a compensation from the time spent selecting, stocking and maintaining our in office and/or online store. You are not required to purchase supplements from PIM. You are free to search for viable options elsewhere. Our in-office and online store are provided as a convenience for patients to easily find what has been recommended from a trusted source that offers fast shipping and exceptional customer service. Any returns must be unopened and unexpired.

Medication Refill Policy

We want to provide you with accurate medication refills in a timely fashion. It is your responsibility to notify your provider via the online portal or at your appointment in a timely manner when refills are necessary. Approval of your refill may take up to three business days so please be courteous and do not wait to call. If you use a mail order pharmacy, please contact us fourteen (14) days before your medication is due to run out. 

It is important to keep your scheduled appointment to ensure that you receive timely refills. Repeated no shows or cancellations may result in a denial of refills. All prescriptions require a follow up appointment at least every 3 to 6 months.

If you have any questions regarding medications please discuss these during your appointment. If for any reason you feel your medication needs to be adjusted or changed please contact us immediately. 

New symptoms or events require a clinic appointment. Your provider will not diagnose or treat over email or over the phone.

What’s the difference between functional and integrative medicine?

Integrative medicine includes modalities such as botanical, mind-body, somatic and other evidence based therapies, including the most effective treatments from both traditional medicine and complementary medicine to create a plan which to heal mind, body, and spirit. Functional Medicine is included in Integrative Medicine. At PIM, we incorporate both integrative and functional medicine treatments to give you the most personalized plan to improve your health.

Functional medicine is quite specific in its scope. It aims to:

  1. Find the underlying/root cause of the problem.

  2. Use lab analysis to figure out exactly what is wrong.

  3. Use supplements to correct the problem, using medications only as needed.

  4. Incorporate lifestyle changes such as diet, exercise, stress reduction, and sleep.