What services are provided as a part of my annual fee?

Membership includes FIRST comprehensive medical and biomarker tests, including body fat analysis. Follow-up visits or additional sick visits are billed to insurance.

Professional services that are covered by Medicare or a commercial insurance plan will be billed separately, and you will continue to be responsible for any applicable co-payments or deductibles relating to those services.

At which hospitals are you on staff?

All of the local hospitals now utilize hospitalists which means we do not admit to any hospital. Should you need to be hospitalized, we will be able to communicate with the hospitalists who care for you and we will do our best to be available to communicate with you and to serve as an advocate on your behalf.

Who will cover for when you are not available?

Our goal is to be available to patients 24 hours a day, 7 days a week. However, there will be occasions when we are out of town or otherwise unavailable. In these situations, a trusted colleague will serve as a covering physician.

Do I still need health insurance if I enroll with you?

Yes. Your annual fee only pays for the non-clinical, non-covered amenities and FIRST comprehensive exam. Neither the fee nor the amenities take the place of general health insurance coverage. You are advised to continue your Medicare or other health insurance program coverage.

Will you be a provider on my insurance plan?

We remain in-network providers for many major insurance plans and will bill your insurance directly for professional services that are covered by those plans. (Professional services are not covered by your annual fee.) If the terms of your insurance plan require a co-pay, we are obligated to request payment at the time of service. Even if we are not providers for your insurance plan, we will attempt to refer you to in-network physicians for any necessary consultations and to in-network facilities for diagnostic tests and hospitalizations as medically indicated. Those services will likely be covered by your insurance plan.

Will you be a participating provider for Medicare?

Yes. Our office will file your claims with Medicare as well as with your supplemental insurer on your behalf, as required by law. Office visit fees that are not reimbursed by insurance will be the responsibility of the patient.

Will my private insurance or Medicare reimburse my annual fee?

No. The annual fee is not covered by private insurance or by Medicare.

Is the annual fee tax deductible or reimbursable through my HSA or FSA?

In some instances, the annual fee, or part of the fee, may be payable through your HSA or FSA. You are advised to consult with your HSA or FSA plan administrator, employer, HR representative or tax adviser to clarify qualification in your particular circumstance.

What are my annual fee payment options?

Your annual membership fee may be paid by ACH (electronic bank transfer) or credit/debit card, in quarterly, semiannual, or annual installments. The first payment will be processed upon receipt of enrollment. Subsequent payments will be processed automatically, according to your selected terms. Unless we hear otherwise, payments will be processed on a continual basis.

What about labs, X-rays, specialists' fees and hospitalization?

All medical procedures and services, whether performed in the office or by other providers or health care facilities, will be billed by the performing physician and/or entity.

Will I be required to pay my annual fee even if I do not use your services?

Yes. Paying your annual fee allows you to be a member of our practice and to be in touch with us whether you are sick or well. We strongly encourage you to utilize the benefits offered, regardless of your state of health, to proactively safeguard your well-being.

What happens if I move out of the area and need to terminate after I enroll?

Your membership agreement may be terminated after the initial one (1) Service Year, upon 30 days' written notice to our practice.

What if I have an emergency?

Please know that you can contact us at any time. However, if you have a life-threatening emergency, call 911 immediately. You can then call us or ask the hospital personnel to contact us so we may assist in your care. If you have a non-urgent problem, feel free to contact us first.

What should I do if I become ill while traveling or away on an extended vacation?

If the problem is minor, call us first. However, if you have a life-threatening emergency, call 911 immediately - then you can call us. With the exception of controlled substances, we will seek to accommodate your prescription requests if state/local law allows. If you seek care at an emergency room or urgent care center out of the area, you should feel free to ask the doctor seeing you to call us for coordination of your care. If you should require hospitalization while away, at your request, we will attempt to establish regular phone communication with you and your attending physician(s) to ensure continuity of care.

What if I need to see a specialist or a surgeon?

Should you request, we are available to help you decide which specialist to see and to coordinate such consultations. This will ensure the most appropriate resource is used, the earliest arrangements are made, and your applicable medical information is sent in advance of your specialist visit.

What if I have questions about my concierge membership after I enroll?

You can access your membership payment information, track invoices, download receipts, or update credit card information quickly and easily, at any time, by using our Concierge Membership Portal located at the top-right of our website.