Frequently Asked Questions

There are a few services that aren’t included in either P3 plan, including:

• Healthcare services and procedures other than those specified above, whether provided by P3 or others.
• Services provided other than by P3, such as emergency and specialist care, will be billed to you or your insurance plan by those providers and according to their billing policies.
• Additional lab testing, if needed. P3 clinicians may recommend additional specialty testing. While some lab tests may be covered fully or partially by your health insurance, most are cash-pay. The out-of-pocket expense from most labs averages between $0 — $400, depending upon their insurance billing policy and your co-pays or deductibles. We will do our best to advise you about a lab’s billing policies prior to completing testing, but the billing policies of outside labs are subject to change without P3 being notified.
• P3 is not a 24/7 emergency service.
• Outside services, medical or otherwise, recommended by P3.
• Medications, whether prescribed or over-the-counter.
• Supplements.
• Biometric testing devices (i.e. Oura Ring, Garmin, Fitbit, or glucose monitors).

Yes, we will be glad to meet with you for a one-time visit for many of our services. However, a complete Treatment Plan is core to our philosophy. Because our Treatment Plan costs about what 1 visit does at comparable practices, we strongly encourage our continuous care plan. Our mission is to help you see results, but lasting change takes time.
We believe you deserve access to meaningful care and the opportunity to work with our team over time.
P3 does offer the P3 Intro Plan for $1,000.00 (billed in 1 or 2 payments). This comprehensive visit will include a detailed history, lab testing, lab review, body composition, EKG, and individualized treatment plan with nutritional recommendations. Because this visit is a one-time consultation, P3 providers will not prescribe medications.
You may schedule a one-time visit and then choose to convert to a Treatment Plan on the day of the appointment. Any previously applied payments will be credited toward the cost of the Treatment Plan.

We are not an emergency or urgent care center. If you require urgent care, you should immediately call 911 or contact an emergency care provider, such as a local hospital or emergency room. The costs associated with emergency care services are not covered by your P3 plan.

Similar to how concierge medicine works, whenever a patient has questions about their care, we offer unprecedented access to your provider and the P3 team (via our secure patient portal, email, and text), so you can get quick answers to your questions (allowing 48 business hours for a response). If a portal question or request is deemed by the P3 provider to be too complicated or involved for a response via email, they may require a phone, telemedicine, or in-person visit instead of responding via email.

We are not specialists; however, if you need to see an OBGYN, a surgeon, or a cardiologist, for example, you will be referred appropriately. The costs associated with the services provided by any other healthcare provider outside of P3 are not covered by your P3 Treatment Plan.

Health coaching is included in your P3 Annual Tx Plan. We want you to have the support and tools needed to achieve your wellness goals. Our Health Coach will work with you to build a plan for developing sustainable, healthy behaviors and strategies. This is done by creating realistic goals, working together to formulate small, actionable steps, and providing accountability through phone or text communication. At this time, all Health Coaching services at P3 are provided virtually.

Yes, you can use an FSA/HSA card for payment at P3. You will, however, be responsible for any charges that may be denied or rejected by your HSA plan. P3 will not write letters for medical necessity.

P3 Patient Portal:
The preferred—and most secure—communication option is through your P3 Portal at p3life.md-hq.com. You will be able to select the appropriate member of the P3 team to direct your question to. The Portal should be used for anything pertaining to your medical care.

Texting & Calling:
Our main phone number, 425.441.3330, can be used for general questions and quick inquiries during business hours. Voicemails are checked throughout the day. For messages left after hours, please expect a returned call as soon as we are open again.

In-Person:
317 4th St NW Puyallup, WA 98371
Monday – Friday: 7AM – 5PM
Please enter on the parking lot side of the building.

No, P3 doesn’t accept insurance. We see the insurance-pay system as a broken one, where profit and numbers supersede the care of human beings and sickness and pain are seen as modes of income. Our goals are to get you to a place where you come to us when you want to improve your health and wellness — not from constant illness, but from a desire to achieve your optimal levels. We want you to escape being ill.
We’re out to disrupt the broken health system, not support it. And by doing so, our focus isn’t on the bottom line. It remains where it should be: on you.

P3 keeps a copy of your insurance on file in order to facilitate claims billing at outside labs and companies with whom we refer and partner. Your insurance will be billed in accordance with their own policies.

When a guest enrolls in one of our plans, they become a member of what we call the “P3 Tribe.” This group of health-minded people has committed not only to feeling better, but they are learning what it takes to support and maintain their good health and wellness. They want to get to that point where they come to Peak Performance and Prevention for things they want to improve, not constant conditions they need to fix.
The P3 Tribe is a community — your health and wellness family — that supports your journey, joining you every step of the way.

That’s one of the amazing things about our P3 Plans: you can pay for them over time so that the investment isn’t completely upfront. We consider it our way to invest in you. We still perform the necessary lab testing in the beginning, the lab reviews, the health coaching, and the other services included with the plan as it moves forward — while you still only pay a manageable monthly amortized fee. Welcome to the family.

Absolutely. We have found that the combination of evidence-based medicine and an empowering approach hands ownership of a patient’s health back to them — the best steward.

And it works. Our data shows our patients get past chronic illnesses, insomnia, metabolic abnormalities, gut dysbiosis, hormone imbalances, genetic polymorphisms, heart disease, and autoimmunity — all while reducing the need for expensive specialists. Our success is solely dependent upon clear communication and your dedication to learn. If you ever feel overwhelmed, know that you are not alone and that this work is our joy. You will always be able to reach out and ask for help.

We are not a conventional primary care provider; however, for many of our patients, we can take the place of their PCP. Because you can call or text us during business hours, we are often able to take care of acute requests. P3 will refer out for all screening and/or preventative exams (i.e. colonoscopies, mammograms, DEXA scans), except cervical cancer screens, which can be done in-house.

We do not accept any form of insurance at P3; however, you may submit your receipts to insurance, as your policy may cover out-of-network services according to their rules. We can also accept FSA/HSA payment cards for payment when applicable.

No, HRT is only available to P3 members who are enrolled in the P3 Annual TX Plan. This allows us to truly collaborate with our members about their total health — including addressing issues caused by hormone imbalance. Most of our other treatments and therapies are available without requiring membership, but HRT is not one of them.

The fact is, as we age, most people feel a loss of their “mojo.” They feel decreases in their ability to think clearly, to function well, and to have enough energy to live their lives to the fullest. They experience increases in body fat, bone loss, mood swings, and depression.

Plus, women experiencing menopause especially feel the frustration that comes with intense hormone imbalance. Our P3 clinicians are amazing at discovering where the imbalances lie, and which HRT products and delivery options will provide the best results for your body and your lifestyle.

First, we are not a conventional primary care provider, so insurance companies don’t like us. That’s ok, because we’re not fond of how they churn patients to make money and try to control a patient’s needs.

However, for many of our patients, we can take the place of their traditional PCP. Because you can call or text us during business hours, we are often able to take care of acute requests much like a concierge medicine provider — only better, in our humble opinion.

P3 will refer out for all screening and/or preventative exams (i.e. colonoscopies, mammograms, DEXA scans), except cervical cancer screens, which are done in-house. We would be honored to replace your PCP and join your journey to the best health of your life.

If you’re suffering from any (or all) of the symptoms of a hormonal imbalance, you’re probably a good candidate for hormone replacement therapy at P3. You’re especially likely to be a good candidate if you’re above the age of 30, and if you’re experiencing perimenopause/menopause.

Candidates less likely to be right for HRT include those who:

• Use tobacco products.
• Have a family history of blood clots.
• Are prone to or have had certain kinds of cancer.
• We recommend a consultation first to discuss whether HRT sounds right for your concerns and unique situation.

The frequency of intake will depend on the hormones you’ll need. Some may require daily intake, while many only need weekly intake. There are also small subdermal “pellets” that can last from 3 to 4 months, and only require a small procedure to place. You’ll be able to discuss all the delivery approaches with your clinician prior to beginning your HRT at P3.

Absolutely, you can receive Dysport injections and have filler placed. Dysport is used to smooth frown lines, forehead lines, and crow’s feet. For the rest of your face, you can achieve both anti-aging benefits and facial feature contouring enhancements with our fillers in conjunction with your Dysport placement. We do this often, with terrific — and, importantly, natural-looking — results.

We can schedule your Dysport treatments as you wish without your enrollment in a P3 Plan. However, P3 Plan participation helps us see your full situation and create a holistic plan that not only achieves goals but supports the results. A P3 Plan means you’ll have access to our prescription services (necessary for prescribing medicine to help with any cold sore history/issues), and you can access our hormone replacement therapies.

If achieving a more youthful appearance is the goal, your P3 Plan helps you not only enjoy the smoothing, wrinkle-reducing effects of Dysport, but it also allows us to look at your body’s full function and take a science-based, systemic approach to achieving a more youthful you, inside and out.

Dysport shows results most quickly when used for aesthetic/anti-aging purposes, such as to smooth lines and wrinkles on the forehead and between the eyebrows. For other issues, achieving the desired results may take longer and require more than 1 session. Talk with your P3 clinician about your issues and your goals for using a neurotoxin so that we can make sure you’re getting the right treatment for the best results.