Wellness searches for new levels of excellence.

Digital Requirements

Dr. Karney uses an electronic medical record, and communicates mostly through a patient portal.  She provides summaries of her recommendations on the patient portal.  Please make sure you are comfortable with this.  You will need a valid email address and have just enough computer savvy to check your email and log-in to the patient portal in order to get the most benefit from her practice.

Virtual visits are an option, and are scheduled exactly like regular in-office visits.  Make sure to check with your insurance company regarding their rules on reimbursement for virtual visits, as not all insurances cover them.


SaluGenesis is not contracted with insurance companies, and is an out-of-network provider. If you have a PPO insurance, you may submit a form to your insurance to recoup a portion of your costs. Dr. Yvonne will provide you with the necessary codes in the form of a “super bill”. HMO insurances do not reimburse for out-of-network providers.

Medicare Information

SaluGenesis does not participate in Medicare. If you are a Medicare Part B beneficiary and wish to become a patient of SaluGenesis, per Medicare guidelines you are required to accept the terms and conditions set forth in a Private Contract between you and Dr. Yvonne. This Private Contract provides that absolutely no Medicare payments will be made to you or to SaluGenesis for the services provided, even if such services are normally covered by Medicare. Under the Private Contract, you acknowledge that you accept full responsibility for the payment of charges for all services rendered by SaluGenesis.

Lab Testing

Most insurances will cover testing from conventional labs. Dr. Karney may also recommend testing from research and functional-medicine lab companies, which may not be covered. You will be advised of the reason for the testing and possible out-of-pocket expenses of functional-medicine labs prior to committing to do them.  Insurance companies may deem that some labs are “experimental” and deny coverage.  If coverage for labs is crucial to you, you should contact your insurance company to inquire.  Dr. Karney does not do pre-approval requests for labs, as it has been her experience that if the company requires this the answer is universally “not covered” for reasons of being considered “experimental”.

Late Arrival/Cancellation

At least 2 business-days notice is required for cancellations.  Dr. Karney understands that emergencies happen and are unavoidable.  However, she is reserving time for you in her schedule, and potentially turning patients away to give you a reserved appointment time.  If an emergency happens that results in a cancellation less than 2 business-days before your appointment time, or you no-show an appointment, you will be asked to provide a credit card guarantee prior to rescheduling.  This information will be kept on file, and $100 will be charged for future no-shows or late cancellations.

Test Results

Dr. Karney will notify you if any of your lab results require urgent action. Otherwise, test results will be reviewed at your next scheduled appointment. Results for test kits that are sent to specialized labs generally have a 3-4 week turnaround time, so please be sure to schedule a follow up appointment approximately 4 weeks from the time you submit test kits.

Primary Care Physician

Please note that while Dr. Karney is not a primary care physician, she will gladly coordinate care with your other healthcare providers.

I offer complimentary phone consultations to make sure we both think my practice is a good fit for you.

Expect to spend about 20 minutes discussing your concerns and I will give you an honest assessment of whether I think I can help you achieve your goals.

Book a Free Discovery Call