Medical Management of Eating Disorders

Premier Care – Concierge Medicine

Greenlake Primary Care is excited to offer Medical Management of Eating Disorders to our community through Premier Care, a Concierge Medicine program. Naomi Busch, MD, and Melissa Holmes, PA-C, have been practicing primary care providers for over 20 years. They have worked together for the last 10 years providing personalized care to a diverse community of patients and have become the local experts in the medical management of eating disorders including anorexia nervosa, bulimia nervosa, ARFID, and binge eating/compulsive overeating disorder (HAES philosophy).

In addition to their outpatient practice, they provide medical consultation to several local eating disorder companies including Evidence Based Treatment Centers of Seattle, Opal: food and body wisdom, Center for Discover, The Emily Program, and other local experts. Melissa and Dr. Busch have experience in all levels of care from residential through partial hospitalization, to outpatient.

Clients with eating disorders have unique and complex medical and psycho-social needs. The goal of Premier Care is to provide a personalized experience for the patient and their outpatient team. Melissa will interconnect the team via HIPAA compliant email and text. The hope is that by improving communication between the various team members, RD, therapy, psychiatry and medical, the client will have more support and increase the chance of success in treatment, maintaining recovery and relapse prevention.

Plan details:

60-minute initial consult $300

New patients are offered an initial one-hour appointment with Melissa to discuss their unique medical needs, with no commitment to join. During this initial visit, Melissa conducts a full medical and eating disorder history, orders relevant blood work, and performs an EKG. This, along with the patient’s medical story, will help her develop an individualized care plan that will include an assessment of the risk of medical complications and recommendations regarding exercise, vitamins, electrolyte replacement, and an appropriate level of care. Melissa will share this care plan with the client’s primary care provider (with appropriate release on file) and will be available for consult for that first month. If the client chooses to have their ongoing care with Melissa, they may join Premier Care. The first month is included in the consult fee.

Premier Care at GPC is $75/month

The concierge fee is not covered by insurance. Premier Care allows for continued medical management outside of the office visits. Specifically, clients are connected to their provider via text message to allow for ongoing conversation. Care is individualized for each client and often includes weekly vitals with a certified medical assistant, regular check-ins with Melissa via text/email/phone, and ongoing communication/coordination of care with the treatment team. Other Premier care benefits include access to our monthly wellness newsletter, discounts on a vitamin/supplement shop, and weekly seated yoga with meditation.

Visit fees for Telemedicine or In-person visits

In-person or telemedicine visits with Melissa incur a visit charge that has been discounted for our concierge clients. We are an out-of-network provider with all commercial insurance companies, so you will be responsible for this fee at the time of service. As a courtesy to you, we will provide you with a copy of your paid invoice which you can submit to your insurance for reimbursement. A typical onsite follow up visit is booked for 30 minutes and the charge is $150. Telemedicine visits (20 minutes) allow you the flexibility of receiving care where and when you want, and the charge is $60.

We would be happy to discuss our program with you or your patients.  Melissa can be reached at  Dr Busch can be reached at