Frequently Asked Questions
What if I already have insurance?
Regarding your existing insurance, we strongly encourage you to continue with your insurance coverage to protect you in the event of a health crisis which may involve hospitalization or the need to see a specialist. The new practice model requires me to terminate my agreements and contracts with all insurance companies. In some cases, they will ask you to choose a new primary care doctor. This is a formality and in no way affects your ability to be a part of our Innovative Direct Primary Care practice.
What is the term of my membership?
The term of our Direct Patient Care Medical Home plan is a one year. To keep it simple, the plan renews automatically at the end of each year (unless you tell us not to). Any plan that lapses more than one month may incur a re-registration fee.
How do I pay for my membership?
When you register, you will tell us which credit card or checking account you would like us to use. Then, at the beginning of each month, the membership fee will be charged automatically to your credit card or withdrawn from your checking account. The monthly rates for singles or couples are $45 each and $25 for each dependent child of a registered parent, age 10 thru 21.
Can I prepay the yearly membership?
Yes, and as an added benefit, patients who wish to pay all twelve months in advance will not be charged for the optional annual physical, a $99 value.
Are there other charges?
Each time you come into the office, there will be a low $25 visit charge (or scheduling fee as we call it). Basic lab work is included, but certain specialty lab work or procedures may have additional charges but at lower cost than you are likely to find anywhere and we will always advise you of those deeply discounted charges in advance if you desire.
Can I pay later?
All charges will be posted, to the account you specify, at the time of service. Our billing software has no provision for delayed billing or open accounts. By removing the overhead of billing and collection efforts, we are able to keep the cost to you as low as possible.
Can I file my own insurance?
In order to reduce cost and give you the freedom to decide about your own health care, we have opted-out of all insurances. As a result, we will no longer be preparing invoices or coding procedures the way the insurance companies require. The federal government, Medicare/Medicaid and other commercial insurance companies will be requiring a new complex and burdensome coding system called ICD-10. Our Direct Patient Care Medical Home contract specifically asks you to agree not to submit any charges from our office.
Can I use my Health Savings Account or Flex Account?
We would suggest contacting you own tax advisor regarding this question and your particular situation.
Can I still use my insurance elsewhere?
Most of your pharmacy needs are not effected by being a member of a Direct Primary Care practice. Your insurance coverage still covers medications, specialists and hospitalizations.
How can I get more information?
You may e-mail your questions to firstname.lastname@example.org. We will do our best to answer your questions as quickly as possible.