About Sage Rheumatology

About Sage Rheumatology

We hope to combine the strengths of modern, research-based medicine with time-honored healing practices to help you take an active role in your own recovery and whole-body wellness.

About2026-03-09T15:37:26+00:00
MEET THE PHYSICIAN

Catherine A. Lee, MD

Dr. Lee diagnoses and manages a wide range of rheumatic diseases, helping patients address symptoms like joint pain, inflammation, fatigue, and autoimmune-related challenges.

  • Rheumatologist for over 20 years
  • Board-certified in internal medicine, rheumatology and integrative medicine
  • Castle Connolly Top Doctor since 2021
  • Assistant professor at the University of Washington School of Medicine – Gonzaga University Health Partnership

“As my employer kept shortening
the amount of time I could spend with patients… I knew that I had to find another, better way.”

Dr. Catherine Lee

Dr. Lee’s Story

I was initially attracted to rheumatology because of the breadth of conditions that are treated by rheumatologists and because making a diagnosis requires thoroughly understanding the patient’s story, which is often very complex. I love puzzles, and diagnosing rheumatic disease was very much like puzzle solving.

I also felt like it was my calling to care for people who felt unseen and unheard or who felt frustrated and dismissed because their story didn’t seem to follow the textbook.

The advent of biological medications was life-changing for many patients. It was incredible seeing how these medications could not just treat but reverse many of the symptoms of rheumatic diseases. Over time though, there were many patients for whom the medications didn’t work or didn’t do enough, patients who wondered if there were alternatives to medication – especially given the costs and side effects of these medications, and patients who wanted to know if there were other things they could be doing to optimize their health.

This is what prompted me to return to school by enrolling in the integrative medicine fellowship at the Andrew Weil Center for Integrative Medicine.

The experience was transformative, and I hoped to use what I learned in my rheumatology practice but found myself stymied by the constraints of corporate medicine.

As my employer kept shortening the amount of time I could spend with patients and adding administrative and other responsibilities that took away from my ability to care for patients, I knew that I had to find another, better way.

Why Sage?

A Whole-Person Approach to Rheumatology

Traditional medical care can sometimes feel fragmented and rushed, which is why we chose a direct care model that allows us more time to focus on a whole-person approach to rheumatology.

From your first visit through ongoing maintenance, we tailor each stage of your care to your individual needs. By integrating evidence-based Western medicine with holistic, whole-person approaches, we strive to help you feel informed, supported, and empowered at every point in your healing journey.

  • More Time with Your Doctor

  • Holistic Approach
  • Optimized Health
  • Accountability
  • Self-Scheduled Appointments

  • Less Paperwork
  • Transparent Pricing
  • No Referral Needed
  • Relationship-based
  • Personalized Care

Frequently Asked Questions

What is integrative medicine?2025-12-22T18:54:03+00:00

Integrative medicine combines the most well-researched conventional medicine with the most well-researched, evidence-based complementary treatments to provide the right care for each person. Here is a great link to find out more. 

What are the benefits of membership in Sage Rheumatology?2025-12-22T18:54:27+00:00

Dr. Lee has chosen to keep her practice limited in size. This means she can spend more time with her patients during their appointments, and patients can self-schedule appointments when they need them. Because there are no insurance requirements to meet, appointments can focus on what’s important to patients – whether that is having an in-depth discussion about risks and benefits of medications, planning for pregnancy with rheumatic disease, or working together to prioritize lifestyle interventions. It also means that patients can easily communicate any concerns to Dr. Lee and get timely responses. The web portal, which is also accessible via mobile phones, allows for HIPAA-compliant secure communication such as messaging. 

What is the 15 minute inquiry call all about?2025-12-22T18:54:36+00:00

The 15 minute inquiry call is an opportunity for you to ask questions about how Sage Rheumatology works and whether it is a good fit for your needs. Questions about Dr. Lee’s philosophy of care, the membership model, how to become a patient, pricing or other logistical questions that aren’t clear from our website are potential topics. It is not intended to provide any medical advice or guidance.

Do I need a referral to see Dr. Lee?2025-12-22T18:54:48+00:00

While you don’t need a formal insurance referral, many conditions can mimic or have symptoms which overlap with autoimmune/rheumatic diseases. Therefore, it’s important to have had a baseline evaluation with your primary care physician to rule these out. Dr. Lee recommends that prior to scheduling, you touch base with your primary care physician to determine if you would benefit from evaluation at Sage Rheumatology.

Can Dr. Lee be my primary care physician?2026-01-09T18:31:17+00:00

Although Dr. Lee is board certified in internal medicine, she cannot serve as your primary care physician. 

While many of the integrative recommendations she provides may improve your overall health and not just your rheumatic disease, she believes that all patients should have a primary care physician. Primary care is essential for building a foundation for health by providing preventive care, treating acute illnesses, managing chronic conditions, and coordinating care with specialists.

Why can’t I pay per visit instead of paying for membership?2025-12-22T18:55:13+00:00

In a “pay per visit” system, people often (sometimes subconsciously) delay coming in for appointments or forgo appointments altogether unless they are not feeling well.  Or they only come in when they know they have to to get their medications refilled.

This is reactive care instead of proactive care, disease care instead of health care. 

Dr. Lee believes that it’s important to take a long-term view on management of rheumatic conditions in order to optimize your ability to live well.  The membership model reflects Dr. Lee’s sustained commitment to partnering with you as well as your commitment to working toward this goal. 

The membership model has been designed to include rheumatologic care and a comprehensive assessment of your health and lifestyle, personalized recommendations that include traditional care as well as integrative approaches, ongoing support, and regular check-ins to assess response and to proactively identify areas for focused effort. 

What if I need to end my membership?2026-01-09T18:32:06+00:00

We request a formal termination request in writing (email or letter). More details about ending enrollment can be found in the Patient Agreement.  Re-enrollment in the practice will be subject to availability at the time of the request and will require a re-enrollment fee.  

Does Sage Rheumatology accept my insurance plan?2025-12-22T18:55:31+00:00

Sage Rheumatology is a direct specialty care practice.  In order to be able to spend more time with patients, reduce administrative costs, offer pricing transparency and to be able to provide outstanding comprehensive rheumatologic care without insurance company interference, Dr. Lee has chosen not to contract with any commercial insurance plans.  This means that patients pay Dr. Lee for her services directly.  In most cases, you may still use your insurance to cover the costs of medications, laboratory tests and diagnostic studies.  

(Note: Patients with HMO plans are subject to more restrictions when obtaining care from a non-contracted provider.)

I have Medicare. Can I be seen at Sage Rheumatology?2025-12-22T18:55:52+00:00

Patients with Medicare can be seen at Sage Rheumatology, but since Dr. Lee is not contracted with Medicare, you would need to pay for Dr. Lee’s services directly.  Due to Medicare regulations, you cannot seek – and you will not receive reimbursement from – Medicare/the Federal Government/secondary (Medigap) insurance for Dr. Lee’s services. Your Medicare and secondary insurance benefits will continue to be in full effect for lab, x-rays, hospital services and for services you receive from all doctors contracted with Medicare. 

Please note that Medicare Advantage (MA) plans can restrict or limit coverage for labs, imaging, and medications prescribed by non-contracted providers

What if I don’t have insurance or I lose my current insurance, can I be seen at Sage Rheumatology?2025-12-22T18:55:40+00:00

We know that these are uncertain times. People change jobs, and companies often change the insurance plans they offer their employees.  When you start a new job,  it may take some time before you become eligible for insurance coverage. Life events can happen that result in losing insurance coverage. With direct care practices like Sage Rheumatology, once you are a member, you can stay a member regardless of your insurance status.

How it works

Get Started with Sage Rheumatology

If you’re interested, please contact us to request a 15-minute inquiry call with Dr. Lee to ask questions about the practice, memberships, insurance, and what to expect. There’s no obligation to join, and no medical advice will be provided. After this call, an initial consultation and follow up may be booked.

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