FAQ

lyme disease

Frequently Asked Questions

Is Dr. Marra accepting new patients?


Yes, currently Dr. Marra is accepting new patients. Please call our office at (206) 299-2676 to schedule your new patient consult. Patients will be seen in-office for the first visit, and thereafter once every 12 months. Interim appointments can be done via telehealth.

Does Dr. Marra treat children?


Yes, she does. Dr. Marra treats children of all ages.

Do you accept Insurance?


We do not accept insurance. The office does provide insurance-compliant superbills at every appointment that you can submit yourself. Generally, most insurance companies will reimburse you some amount for your office visit, depending on your insurance carrier and your policy. Please contact your insurance carrier directly for details.

How do I become a new patient?


Please call our office at (206) 299-2676. These appointments may last from 1 – 1.5 hours. If you need to reschedule or cancel your new patient appointment, please call the office at (206) 299-2676 at least 3 business days before the scheduled visit. We are closed on Wednesdays, Saturdays, and Sundays. For example, if your appointment is on a Friday, you will need to cancel or reschedule earlier in the week on Tuesday. Leaving voicemail messages while the office is closed is not considered part of the 3 business days. We understand life happens and we try to be as flexible and accommodating as possible, however, your appointment time is reserved for you and we would appreciate it if you give us as much advance notice as possible (3 business days) to cancel or reschedule your appointment. If you fail to cancel or reschedule within the appropriate amount of time, your deposit will be not refunded and your insurance company will not cover this fee.

How do I refill my prescriptions?


Please call your pharmacy directly for all prescription refills. Your pharmacy will fax the office and refills will be authorized within 24 – 48 hours. We are closed on Wednesdays, weekends, and all major holidays.

How should I prepare for my first visit with Dr. Marra?


For all new patients, please sign in to the secure video portal 15 minutes prior to your scheduled time. We suggest that you have a notebook with you to take notes during your 60-90 minute consult, as well as a list of questions that you may have which can be addressed during your appointment. We ask that you please have all consent forms filled out and sent back to us prior to your appointment. For all children under the ages of 18, we require all parents/guardians to sign and date each consent form, otherwise, Dr. Marra will be unable to see your child. Please have previous labs or documents (relevant and within 6 months) that you would like to have reviewed by Dr. Marra. Copies of your labs are not necessary as originals will be given back to you at the end of your appointment.

What is the cancellation fee?


Please be mindful when rescheduling or canceling your appointment. We require at least 48 hours (2 business days) notice to cancel or reschedule your appointment for established patients, and 72 hours (3 business days) for new patients. For example, if your appointment is on a Friday, you will need to notify the office on Tuesday earlier in the week. Please keep in mind that the office is closed on Wednesdays, Saturdays, and Sundays. There is no charge for appointments canceled or rescheduled within the appropriate amount of time. A fee of $400 will be charged for new patients who miss their initial appointment (late, canceling last minute, no show, or unable to return all consent forms to the office prior to their appointment). For established patients, $250 will be charged if you are late for your appointment, decide not to show up, cancel or reschedule last minute). Insurance will not cover this fee as it is the patient’s responsibility to maintain appropriate office visits. If you are running late for your visit, please give our office a call at (206) 299-26760 to determine whether or not you can keep your appointment.

frequently asked questions

Am I able to have a Phone Consult or a Video appointment with Dr. Marra?


After the first in-person appointment, all follow-ups can be conducted via telehealth. Patients must be seen in person once a year. All appointments will receive a reminder at least one day before the appointment. Fees for telemedicine are the same as in-office visits.

Do you draw blood in your office?


We do not provide phlebotomy services in the office. All labs must be done at various labs outside of the office. Labs are not included in your consult fee with Dr. Marra. Certain labs will take your insurance. Please call your insurance company for more information about coverage.

Am I able to receive my test results before seeing Dr. Marra?


No, you are not able to receive test results before they are reviewed with Dr. Marra. Please do not call the office requesting test results. Test results will not be given to you over the phone or mailed to you before they are reviewed with Dr. Marra. Please make an appointment with the office to review your test results. Thank you for your understanding.

What if I have an emergency?


Please call 911 or go directly to the Emergency Department if you have an emergency. Dr. Marra’s personal line is for medical emergencies only during non-office hours. Please be respectful when contacting Dr. Marra’s personal line, as a fee will incur for all emergency phone consults. All other non-emergent medical and administrative contact can be made by calling the office at (206) 299-2676. We ask patients/parents/guardians to please have their voicemail inbox set up and not full when Dr. Marra returns a call. We appreciate your cooperation. Please DO NOT text Dr. Marra during business hours.

How do you handle payments?


We accept payments by Cash, Check, Visa, Mastercard, and Debit. The patient is responsible to pay any billed amount by Dr. Susan L. Marra during their visit. Failure to pay any outstanding amount upon receipt of a third and final statement will subject the account to be forwarded to a collection agency, with any additional fees charged by the collection agency added to the original amount owed. It is understood and agreed that in the event that an overdue balance is referred to a collections agency or attorney for recovery of fees, the patient is fully responsible for any and all costs incurred, including, but not limited to attorney fees. At this time, we do not offer a sliding fee scale.

Where do I get supplements?

EcoMedica is the dispensary located within Dr. Marra’s practice. EcoMedica is able to mail items purchased and paid in full plus shipping & handling to all patients needing supplements. Patients are responsible during their appointments to discuss their treatment plan and supplement needs accordingly with Dr. Marra. Unfortunately, we cannot be responsible for your reception of items shipped to you. We do not refund or replace damaged or missing items.

We do provide refunds within 30 days of the purchase date with the original sales receipt. There will be a 25% re-stocking fee and item(s) cannot be damaged, opened, or altered in any way. We do not refund or exchange item(s) that we no longer carry.

Laboratory Testing

Due to the fact that Lyme Disease and co-infections are difficult to diagnose and the resulting systemic inflammation can affect many tissues and organs, we offer conventional laboratory testing through both Quest and Labcorp, as well as specialty laboratory testing. The following is a list of highly reputable specialty labs that you can request as a patient to have done to aid us in an accurate diagnosis of your condition:

Genova Diagnostic Comprehensive Stool Test, Amino Acid analysis, Bacterial overgrowth of the small intestine, Bone resorption assessment, cardiovascular health, fatty acid profiles, lipid peroxide profiles, and urine neopterin and biopterin profile

Igenex Testing for Lyme Disease and co-infections

Neuroscience Urine analysis of neurotransmitters

Realtime Lab Urine PCR analysis of mycotoxins

ZRT Lab Diurnal salivary cortisol levels

Mymycolab Blood test for IgE and IgG antibodies to 12 mycotoxins.

Additionally, imaging tests can be done including X-rays, CAT scans, MRI’s, and SPECT scans with state of the art imaging facilities

Financial Assistance

The following are a list of websites that may be of use for those who need financial assistance:

Lyme Aid 4 Kids (Part of Lyme Disease Association)

Lyme Light Foundation

Lyme Tap

Needy Meds

Prescription Hope

Rx Assist

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