01 · Begin
Initial consultation
We review your concerns and medical history, assess your needs, and discuss next steps.
You may choose a consultation on its own and decide about ongoing care afterward.
EastWestMD · Vienna, Virginia
Care Pathway & Fees
Start with a thoughtful evaluation. If ongoing care would help, we will develop a plan together.
We accept Medicare for covered medical visits. The medical fees and care plans below are for self-pay patients and do not apply to Medicare patients. Call us with coverage questions.
You can begin with a consultation. Enrollment in a care plan is optional.
- StartStart with a consultation
- DevelopDevelop a three-month plan when appropriate
- ReviewReview progress and decide what comes next
Your care, step by step
02 · Develop a plan, when appropriate
Three-Month
Comprehensive Care Plan
$2,100Total for three months
- One 80-minute initial rheumatology consultation, including a Chinese herbal medicine consultation.
- Five medical follow-up appointments, 30–60 minutes each, according to clinical need.
- Herbal consultations during follow-up visits, when appropriate.
The initial consultation is included in the $2,100 total. It is not an additional charge.
Care continues between appointments
The early months often involve diagnostic assessment, lifestyle education, and treatment decisions. The plan also supports work between visits: ordering and reviewing tests, adjusting medications, preparing educational materials, and handling medication prior authorizations, denials, and appeals when needed as part of your care.
Three months gives us time to put recommendations into practice, assess your response, and adjust the plan. Treatment response and timing vary by patient.
03 · Continue when helpful
Six-Month Continuing Care
$1,200Total for six months
Six medical follow-up appointments, 30 minutes each, over six months.
Visits focus on monitoring progress and adjusting your established plan. We discuss this option after reviewing your response to the initial phase.
Optional · Billed separately
Acupuncture, cupping & gua sha
Sessions with our licensed acupuncturists, tailored to your needs.
$150 per sessionUp to one hour each · Care-plan rate
- During the three-month plan: $150 per session without purchasing a separate five-session package.
- During the six-month plan: up to six sessions at $150 each; additional sessions are $200 each.
Available without a medical care plan
Individual sessions are $200 each. After the initial acupuncture visit, a five-session package is available for $750 ($150 per session).
Acupuncture, cupping, and gua sha sessions are not included in either medical plan’s total. Your practitioner recommends the approaches appropriate for your session.
Before you book
Do I have to enroll in a care plan?
No. You may begin with an initial consultation and discuss next steps with Dr. Zarbalian. Enrollment in the three-month plan and continuation into the six-month plan are optional.
Can I pay for individual medical follow-ups?
Yes. Individual medical follow-ups are $250–$500, depending on duration. We can discuss whether individual visits or a comprehensive care plan better fits your anticipated needs.
Is the initial consultation an extra charge?
The Three-Month Comprehensive Care Plan includes the 80-minute initial consultation within its $2,100 total. It is not $2,100 plus the cost of that consultation. If you first pay $500 for a standalone 50-minute consultation and later enroll in the Three-Month Comprehensive Care Plan, your $500 payment is credited toward the $2,100 plan total.
What costs should I plan for beyond medical visits?
Acupuncture, cupping, and gua sha sessions, herbal products, supplements, laboratory tests, imaging, and other separately billed services are additional. We review anticipated additional costs before enrollment and discuss recommended services as your care develops.
Why begin with three months?
For patients who need ongoing care, three months allows time for assessment, education, treatment adjustments, and review of progress. Your needs and response guide the plan; improvement within a particular timeframe is not guaranteed.
Do I need acupuncture or herbal treatment to participate?
These approaches are considered according to your needs and preferences. Acupuncture is optional and billed separately. Herbal consultation is included as described above; herbal products and supplements are additional.
Before enrollment, we review anticipated additional costs and payment and cancellation terms. Your enrollment agreement contains the full terms.
INSURANCE & PAYMENT
Insurance and payment.
We accept Medicare for covered medical visits. The medical fees and care plans above are for self-pay patients and do not apply to Medicare patients. Coverage is not guaranteed for every visit or service.
Acupuncture sessions are offered by Anna Kim, LAc and Shinyi Lee, LAc. Call to confirm provider availability.
Questions to confirm
- What will my visit cost, including extra time or services?
- Does the clinic participate in my plan for this visit type?
- Will the clinic provide claim documentation?
- Are lab work, medicines, products, or follow-ups billed separately?
- What are the payment, cancellation, and rescheduling policies?
The clinic and your insurer confirm coverage and reimbursement. No reimbursement is promised.