These are some of the mostly commonly asked questions about our practice, the care we provide, and the direct primary care model.
Concierge or direct primary care (DPC) medicine, is a model of healthcare that puts patients first by eliminating red tape that constrains traditional practices. How? It's simple: we do not accept or bill insurance. Your yearly fee pays for all the care that we personally provide for you.
You will not pay a co-pay for any office visits with me. Also you will likely be able to avoid many visits altogether by sending your questions directly to us via email, text, or call– something you won't get from a traditional practice.
More importantly, since you are getting all this amazing care from us, you can cut back on your insurance premiums. Most DPC patients find a high-deductible, low-premium insurance plan so they're covered in the case of a major health issue. Avoiding one ER or a couple urgent care visits can save you a bunch.
Everyone benefits from a service tailored directly to them. That’s why Your Doctor offers truly custom healthcare. We’re here for you not only if you're sick or hurt, but we also help you proactively maintain good overall health. Every visit with us will be thorough, relaxed, and as long as you need to address your health concerns. The longer you are our patient, the more we learn about your health and lifestyle, and the better we can help you maintain that health.
Here’s a few articles and resources with more information:
The fee covers the introductory/yearly physical exam and all office visits for a year with no other bills from us. I will be available by phone, text, email, Skype, etc. for immediate, and efficient communication. I will strive to avoid ER or Urgent care visits, but when necessary, I will communicate and coordinate your care with the physicians involved. This will include the hospitalists, specialists, surgeons, nurses and other important members in your care team. I will be present with you at important specialty consultations so that we both understand more fully your needs and plans.
For starters, having such unprecedented direct access to your doctor will prevent hospitalizations and specialty referrals in many cases. However when those types of care are required, we will certainly continue to work with your hospitalist during your hospital stay as well as work closely with any specialist. Depending on the level of care and the sorts of expertise required, we may rely on those specialized caregivers to manage your treatment, while always being involved and assisting the effective and efficient flow of your care to achieve the best outcome possible.
Absolutely! Physician access is one of the great benefits of the direct primary care model. Because illness and injury do not respect regular office hours, you may call, text, or email your physician whenever you need.
Absolutely! – this sort of care is "baked in" to the DPC model. Because you'll have your doctor's email and phone number, you can reach out to us whenever you need, wherever you are. Many illnesses can be diagnosed and treated with a simple conversation. We’ll also locate the nearest pharmacy and order the medications most appropriate for your circumstances.
We maintain high standards of patient privacy. We will never provide your health information to any third party unless you specifically ask that we do so.
We expect to have an open, honest, respectful relationship with you. If you have voiced a complaint that we cannot satisfy together, we will gladly allow you to terminate your membership. We realize this care might not be what everyone is looking for.
I plan to provide a bill for the introductory/yearly physical that will state that $1500 is for this medical service, and the rest of the total will be for continued access to me at your physician. As such, it is possible that the $1500 cost for the physical exam and labs can be applied to your FSA or HSA accounts. Please confer with your tax consultant to clarify tax consequences in your particular circumstances, and review the document in the “Want to Learn More?” tab.
The answer is that I do not ever bill your insurance, and therefore insurance does not pay me to take care of you. Perhaps the most critical distinction in our model of care centers on a direct, personal relationship between you and your doctor.
Yes, we take care of any patient regardless of your insurance situation. Since we work completely outside of the insurance system, none of the billing for care here is eligible for insurance reimbursement. However, we recommend that everyone have insurance coverage, which is still important in the event of a major health issue.
Yes. We recommend our patients continue a major medical plan with a high-deductible and health savings account. If you experience a major health issue, you will still need insurance to help cover it. We’re happy to refer you to insurance representatives who can help customize an insurance plan to your specific needs.
Yes. You need only sign a one-time waiver declaring that neither you nor your doctor will directly bill Medicare for our services. Even though Medicare will not pay us for any services you receive in our practice, your Medicare benefits will otherwise remain unchanged and can continue to be used for all other medical care received outside of our practice. Medicare will still cover any laboratory testing, imaging, medications, or hospitalizations prescribed by our offices.
You may want to check with your human resources department regarding the use of Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) as possible payment options for your membership. If you are unable to use these funds to pay for the membership fee directly, there is a good chance that you can still use your HSA/FSA as reimbursement for certain services provided through our office.
I plan to provide a bill for the introductory/yearly physical that will state that $1500 is for this medical service, and the rest of the total will be for continued access to me at your physician. As such, it is possible that the $1500 cost for the physical exam and labs can be applied to your FSA or HSA accounts. Please confer with your tax consultant to clarify tax consequences in your particular circumstances, and review the document in the “Want to Learn More?” tab, or click on this link.
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