These are commonly asked questions about our practice. Please click on any of the question titles below to see the answer. If the question you need to have answered is not listed, call or email us so we can answer it directly!
- For appointments call us at 425 454-8684; we do not have online scheduling.
- Refills of medications
How do I obtain renewals on my medications?
- * Allow 2 days for renewals to be generated, don't cut it too close...
- * Stimulant RX on paper have to be hand-signed OR can be sent electronically directly to most pharmacies; they cannot be sent by FAX or phone, THEY WILL NOT BE REFILLED BETWEEN FRIDAY NOON AND MONDAY MORNING.
- * Best to check first with your pharmacy; send a Portal message if your pharmacy does not have an RX on file for you. Electronic RX are set up at your visit to be sent on future dates, about 28-29 days after the previous one. The day before that, the pharmacy does not even have it. At times the pharmacy isn't aware an RX is waiting in their system.
Please request refills from your pharmacy for medications other than stimulants; they contact us if necessary. Schedule II medications (ADD stimulants, or any narcotics) cannot be refilled by phone or FAX; they can be sent in electronically or on paper to pick up/be mailed. Refills will NOT be available after hours nor on weekends, not even by phone; please plan accordingly ! Friday 1 pm is the deadline for refill requests for the week. Any coming in later will be acted upon on Monday following. If you have not had an appointment in over 3 months, or had been having problems with medications or dosing at your previous visit, you will need to be seen first in the office. MEDICATIONS CANNOT BE EXTENDED BEYOND 90 DAYS FROM YOUR LAST APPOINTMENT - FEDERAL DEA REGULATIONS.
- Refill or appointment?
Will I need to make an appointment to get a refill on my medication?
That depends. If it has been over 3 months since you have been in the office to discuss your condition, including self-care measures and medications and possibly to have your blood pressure/wt checked, you will need to make an appointment for a recheck. Give us a call at 425 454-8684. Stimulant medications for ADHD can only be prescribed for up to 90 days after the previous visit. THIS IS A FEDERAL DEA REGULATION. NO EXCEPTIONS CAN BE MADE! For this reason it is STRONGLY suggested you make your follow-up appointment at the time of your appointment. Immediate and same week appointments will probably not be available if you need one in a hurry.
Please request refills from your pharmacy for medications other than stimulants; they contact us if necessary.
Schedule II medications (ADD stimulants, or any narcotics) cannot be refilled by phone or FAX; they can be sent in electronically or on paper to pick up/be mailed.
Friday 1 pm is the deadline for refill requests for the week. Any coming in later will be acted upon on Monday following. If you have not had an appointment in over 3 months, or had been having problems with medications or dosing at your previous visit, you will need to be seen first in the office.
MEDICATIONS CANNOT BE EXTENDED BEYOND 90 DAYS FROM YOUR LAST APPOINTMENT - FEDERAL DEA REGULATIONS.
- New patient appointments
I have not seen Dr. Pomeroy as a patient before, what do I need to do to make an appointment as a New Patient?
- * Call to set up an Initial Visit appointment. You will have to complete some questionnaires on ADHD and anxiety/depression issues in addition to usual registration info. Until March 2018, our Charting system only allows this within 10 day before your appointment. NJ will send you a reminder at that time with instructions on how to do this.
- * We need this basic information before your appointment; you will be asked to re-schedule if it is not complete by one full business day BEFORE your appointment.
- * PLEASE BRING ANY RECORDS OF PAST EVALUATIONS - school or psychologist testing, doctor's records of medications prescribed especially ones you are currently taking.
- * PLEASE ARRIVE AT LEAST 15 MINUTES PRIOR TO YOUR APPOINTMENT TIME so we can verify some information, have you read and sign the basic consent forms and HIPAA forms, and attend to insurance or payment details. OTHERWISE TIME COMPLETING PAPERWORK WILL REDUCE YOUR APPOINTMENT TIME; THIS CANNOT BE EXTENDED AS OTHER PATIENTS HAVE APPOINTMENTS FOLLOWING YOURS.
- Can Dr. Pomeroy or Annelise Joslin P-ARNP see me for conditions other than ADHD?
New Patient appointments have to be limited to conditions related to or associated with ADHD, except by specific referral AND DISCUSSION WITH REFERRING PROVIDER BEFORE APPOINTMENT IS MADE?
I have chosen to limit my practice to ADHD and associated conditions. Anxiety, panic attacks, depression, behavioral issues in children commonly go along with ADHD, and all are within the area of my training and my experience of 26 years in general Family Medicine. We do not provide any Primary Care services.
- * We are no longer enrolling New Patients as Primary Care Provider, nor do we provide general medical care for acute illnesses nor injuries.
- * We do not do evaluations nor treatment of conditions related to accidental injuries, car accidents or otherwise.
- * Our office is not contracted with the Dept of Labor & Industries for any work injury claims.
- * We have no equipment to give injections, administer vaccines or perform any office surgery or skin procedures.
- Billing other insurances
Why doesn't ADD Center of Bellevue accept more insurances than just Premera and Regence PPO? Are you planning to do so in the future?
- The more insurance contracts a physician carries, the more personnel it takes to process the information and paperwork (yes, even in the electronic age). Each insurance has different idiosyncrasies about billing and the codes to be used, about referrals and how they work, and different formularies of "preferred" medications.
A guiding principle in a small business of any kind, especially a medical practice, is to Keep It Simple. In order to maintain lower fees and lower overhead, I decided to have a contract with only Premera and Regence plans (and they keep sneaking in ones that don't work, for you or me).
Can you bill my health insurance if I do not have Premera or Regence? If not, can I do it?
ADD Center of Bellevue does not have contracts with any health insurers other than Premera and Regence. That contract specifies that we must bill Premera or Regence first, and accept their determination of how much gets paid and by whom, for their clients. WE DO NOT BILL OTHER INSURERS. Our office is not on their provider panel, so any billing sent in by us will be rejected. You will be expected to PAY AT THE TIME OF YOUR APPOINTMENT and bill your own insurance. If you have a different health insurance, you can staple the billing form we will give you at the end of your visit to the Claim Form from your insurer, and submit it to them per their instructions. They will review the claim, and make payment to you according to the rules of your health plan. Our billing form contains all the items insurers require, including dates of service, diagnosis codes (ICD-9 system) and charge codes ("cpt coding"), and your insurance information.
- Health Information Privacy Practices
This is a statement about Privacy Practices used in connection with your Personal Health Information (PHI), with changes as mandated by the HIPAA Omnibus Bill of 2013. It outlines our responsibilities and your rights with respect to your health information. See full details on the page under New Patients (above).
- Medical rationale on refills
Why does it seem to be a big deal to refill a prescription if I have been on the same dose for months and it seems to be working well?
One of the primary reasons that most medications are available only by prescription is that there are risks associated with taking them (as with anything in life, even not taking medications at times). While you may feel fine, your physician is trained to look for signs of problems before they become symptoms to you. Stimulant medications can increase blood pressure or pulse rates, or lead to a drop in weight for a few months or more. These effects and others need to be monitored, and documented by your physician, as part of the generally accepted "standard of care" for prescribing medications of any type. Some medications (not stimulants !) need periodic blood tests done to check for any effects on liver or kidney function. These side effects are rare, usually (not always) detectable early, and can become serious enough that checking every so often is worthwhile. So if you feel fine, that's great. I want to be sure you will continue to do so, and that all is as well as you feel. That's my training and my part of our partnership - I do the doctor stuff. Part of your job is to let me know when you do not feel well, so we can sort out why together.
- AND - the DEA (Drug Enforcement Administration aka "the Feds") regulations require that I see a patient before writing for any stimulant meds if it has been more than 90 days since the previous appt. I can't write for "a few" until the next appt.
Frequently Asked Questions