Frequently Asked Questions

Do you take my insurance?

Yes most likely.  We are in-network with all major insurance companies.  However, with the software we have, we can only see if your insurance is active.  We cannot tell you if Dr. Miskell is in-network on your plan.  The easiest way to determine if Dr. Miskell is in-network on your plan is to use your online physician look-up tool for your healthcare plan or call the customer service number on the back of your insurance card.

Do you take Medicare?

Due to decreasing reimbursements, we do not participate with Medicare.  You are welcome to see our providers as a cash patient.

Do you take Medicaid?

No.  We are not a Medicaid participating provider.

Do you deliver babies (do you practice Obstetrics)?

Although Dr. Miskell is a board certified OBGYN, we do not practice obstetrics.

How much will my visit cost?

If you have health insurance that you will be using, the cost of your visit will be the applicable co-pay or deductible amount for your visit (whichever your insurance requires that we collect). If you are cash or self-pay, we offer a 20% discount on our office visit fees and extremely affordable lab prices for any labs you may need as well.

How much will my prescription cost or will my insurance cover my prescription?

This also depends on your insurance. Most of the prescriptions that our office writes are for compounded medications that can be customized for you. Some insurance plans cover compounded medications, some do not. We recommend that you call your insurance company prior to your appointment if you are concerned about coverage. If your insurance does not cover compounds and the monthly cost is over your budget, there are some (though limited) commercially available options that we can consider. We will do our best to work with you and help you get the treatment you need.

Will my insurance cover my skincare services such as Botox®?

No. We cannot file with your insurance for any of our skincare services.

What are bio-identical hormones?

Please see our website page dedicated to hormone therapy for a full explanation of bio-identical hormones.

What does your office do?

We offer a multitude of services. Please see our services page for a full list of all our services and specialty testing

Can I get my annual well woman exam at your office?

Yes! At our New Braunfels and San Antonio offices we offer full service gynecology. You can get everything from your annual exam to a NovaSure procedure to end your periods!

If my annual exam reveals an abnormality, does Dr. Miskell do surgery?

This depends on what the exam shows. Dr. Miskell can perform many minor procedures in-office, and even some more complicated surgical procedures in Christus Santa Rosa Hospital in New Braunfels. Please call our office at 210-305-5075 if you have further questions.

Can I get the results of my labs over the phone?

We recommend that all our patients schedule an office visit to go over lab results. Many tests that we offer are complex and are much easier to understand and explain in person.

Can I get my hormone lab results and an annual exam in the same visit?

Unfortunately no. Insurance only allows us to bill for one type of exam per each visit. These require two separate appointments.

Do you offer in-office lab draws and processing?

Yes. All our offices have at least one phlebotomist on site that can draw your blood. We have on-site lab machines at each of our offices that can process your labs as well. We also offer walk-in lab draws at each of our locations. The times available for walk-in labs vary in each office, please see our Contact Us page for the lab hours for the location nearest you.

Do you offer a free consultation for hormones?

All appointments concerning hormones are medical in nature (similar to going to the doctor for an ear ache) and considered office visits. These are filed with insurance.

Do you offer a free consultation for skincare services?

Yes. Our esthetician will gladly do a free 30 minute consultation to help you determine what services can help eliminate your areas of concern. Skincare services are offered in our Austin, New Braunfels, Boerne, and San Antonio offices.

Can I be seen at different offices? Will you have my records?

Yes. We use electronic medical records which means that you can be seen at any of our locations and the provider will have your records readily available.

I am a new patient. Can I have my labs drawn first and then come in for results?

No. Only a provider can determine what labs need to be drawn after you come in for your initial visit. It is also our office policy that you must be an established patient before your labs can be drawn.

My friend/relative purchases supplements from you. Can I buy them too?

It is our policy that you must be an established patient in order to purchase supplements from our office. This is due to the high quality of these supplements. They are pharmaceutical grade and have measurable effects. This also applies to vitamin injections.

Can you email my results to me?

Unfortunately no. The security of your information is our top priority and email is not guaranteed to be secure. We will gladly fax or mail you a copy of your labs. You are always welcome to come by one of our locations and we will give you copy as well.

Can you see my husband?

Yes! All of our locations see both men and women for hormone replacement, specialty testing and skincare services.

What type of testing do you do?

We offer various testing options other than just hormone testing. We offer testing for: neurotransmitters, food allergies, medication response, maintaining healthy weight, genetic markers for breast or colon cancer and much more. Please see our specialty testing page for more information on each test.

Why can’t I see my lab results in Patient Fusion?

Not all documents can be shown in Patient Fusion. Your lab results are in scanned document format (pdf). At this time Patient Fusion cannot show scanned documents.

Why can’t I log into Patient Fusion?

Your log-in and password are set by you during your initial sign up. If you have forgotten your log-in or password please use the links under the log-in page to retrieve them. If you are an established patient and have never logged in, please call the office and we will get you started.

What is a DO? Why is she not an MD? What is the difference?

DO stands for Doctor of Osteopathy or Osteopathic Medicine. There are two types of medical schools in the United States: allopathic (MD) and osteopathic (DO). Both require 4 years of medical school and extensive testing to graduate and then a residency for board certification. Most importantly, osteopathic medicine is more holistic in its approach. It is based on looking at the whole patient instead of individual organ systems.

At Focus Total Health, our goal is to help you live as well as you can while feeling good. The aging process can take a toll, but its effect can be minimized with the use of appropriate hormone therapy and excellent nutrition.

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