We have intentionally limited the size of our practice to devote more time to each patient’s care and individual needs.

The patients will have little to no office waiting room time.

Appointments will start promptly.

We can schedule longer appointment times and both the physician and the patient will feel less rushed and more connected.

Patients can contact Dr. Tyler on her personal patient-dedicated cell phone and email, making it easier than ever to communicate.

For new patients as of January 1st 2026, the Annual Concierge Fee for Gynecology (non-pregnant) care is $2500 per year.

Our pricing is simple and transparent. You will receive no more bills or costs from us for Dr. Tyler’s Professional services for the remainder of the year, no matter how many times you need to see us for your medical care.

We are Out of Network with all insurance plans, but you can use your insurance plan (such as Aetna, Premera, Regence, United, Kaiser, Cigna, Uniform, First Choice) to get reimbursed for your visit with Dr. Tyler. At the end of your first visit, we will give you a Super Bill which you can submit to your insurance carrier for Out of Network coverage reimbursement. Historically, most patients get reimbursed between $200 – $600 for this. Please check with your individual insurance plan regarding your Out of Network benefits. Please ask us if you would like the CPT codes for your visit, so you can have a better idea of your Out of Network coverage.

The Annual Concierge Fee is renewable yearly.

Yes. You can use your insurance coverage for all of your lab work, routine cervical screening, ultrasounds, mammogram, hospital services, or any other specialists you would need to see. Your Annual Fee to Dr. Tyler is NOT covered by your insurance. However, you can use your Out of Network benefits to get reimbursed for the CPT codes used for your visit. You can also use your HSA and FSA cards to pay for your fee to Dr. Tyler.

We are Out of Network with all commercial insurance plans. You can use your medical insurance (such as Aetna, Regence, Premera, Cigna, United, Kaiser, First Choice, Uniform) to get reimbursed for your care with Dr. Tyler by requesting a Super Bill from us after your visit. You can then easily submit this online to your insurance plan to get reimbursed. To get an estimate of how much your plan will reimburse you, please call them and ask for what your Out of Network coverage is for specific Obstetrical (if pregnant) or Gynecologic (if not pregnant) CPT codes. Please let us know if we can provide you with the specific CPT codes you would need, before you call your insurance plan.

You will use your Medical Insurance for all of your care otherwise – lab work, ultrasound, mammogram, hospital stay, labor and delivery bill, surgery, etc. just like you would with any other medical office.

The Annual Membership Fee is not reimbursable by your insurance plan.

Your Annual Membership Fee must be paid in full by either check or credit card. Your fee must be paid in full before we can schedule your in-person appointment with the doctor.

The Annual Concierge Fee for Obstetrical (pregnancy) Care is $12,000.

Our pricing is simple and transparent. You will receive no more bills or costs from us for Dr. Tyler’s Professional services for the remainder of the year, no matter how many times you need to see us for your medical care.

We are Out of Network with all insurance plans, but you can use your insurance plan (such as Aetna, Premera, Regence, United, Kaiser, Cigna, Uniform, First Choice) to get reimbursed for your visit with Dr. Tyler. After your baby is delivered, we will give you a Super Bill which you can submit to your insurance carrier for Out of Network coverage reimbursement. Historically, most patients get reimbursed for Pregnancy Care between $2,000 – $5,000 for this. Please check with your individual insurance plan regarding your Out of Network benefits. Please ask us if you would like the CPT codes for your visit, so you can have a better idea of your Out of Network coverage.

The Annual Concierge Obstetrical Fee covers the following:

• All routine Prenatal, Intrapartum (labor) and Postpartum Care. This includes:

• Initial 60 minute visit with a complete medical and obstetrical history, review of genetic testing options, physical exam, bedside ultrasound, prenatal lab work orders and thorough review of all patient questions.

• Regular prenatal visits (usually between 10 – 13 visits). These are usually during the following weeks of your pregnancy – 8, 12, 16, 20, 24, 28, 32, 34, 36, 37, 38, 39 and 40. There may be some variation in the appointment frequency if you prefer or if complications arise.

• Ongoing education about your pregnancy and any questions / concerns you desire to discuss.

• Care at the hospital throughout your labor and delivery, and at a minimum daily postpartum care in the hospital until discharge home.

• One postpartum Virtual visit between 7 and 10 days after you give birth, at your convenience.

• One postpartum office visit at 6 weeks after you give birth, which includes a physical exam and contraception counseling, as well as addressing your recovery, both physical and mental / emotional.

• After hours and weekend phone call availability to address urgent and emergent concerns.

• Referral to specialists as indicated or desired, such as Maternal Fetal Medicine specialists, Massage therapy, Nutritionist, Acupuncture, PT, Lactation, Private Childbirth classes, Newborn Photographer.

• Arrangement for back-up physician group coverage in the event of Dr. Tyler’s absence due to Vacation, Family Emergency, or Illness.

Issaquah Concierge OB GYN is located at 450 NW Gilman, Issaquah, WA. We are affiliated with the Swedish Issaquah campus at 751 NE Blakely Dr, Issaquah, WA 98029. This is where we conduct all of our OB care, deliveries, and Gyn surgeries.