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FREQUENTLY ASKED QUESTIONS:

Q: What is Concierge Medicine?
Concierge medicine is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer in exchange for a more personalized medical relationship than is available in traditional medical practices. Concierge physicians commit to fewer patients in order to ensure accessibility, and more attentive care.


Q: Do I still need insurance?
Yes. Concierge medicine is not a substitute for insurance. Insurance is necessary to cover costs related to blood work, imaging, specialist appointments, and hospitalizations. However, you may choose a high-deductible insurance plan with a health savings account.

Q: What is the cost?
Cost is based on patient age, health risks and patient expectations (such as home visits).


Q: Will my insurance reimburse me for the retainer fee?
No. The retainer fee may not be submitted to your insurance provider or Medicare for payment or reimbursement. You may be able to submit your expenses to a health savings account for partial reimbursement, but this varies by plan.


Q: How do I pay the retainer fee?
The fee may be paid annually, semi-annually, or in monthly installments (with a credit card on file).


Q: Will Dallas Comprehensive Medical Care still be a part of my in-network insurance plan after the transition to the concierge model?
No. I have opted out of commercial insurance plans, as well as Medicare. I am an out-of-network provider. I will submit claims to commercial insurance plans on your behalf, and you will receive reimbursement according to your out-of-network insurance benefits. Reimbursements will be mailed directly to you.


Q: What if I have Medicare?
Patients with Medicare may join the practice and receive all of the same services provided to non-Medicare patients. However, I have opted-out of Medicare. This means Medicare cannot be billed for any services. Medicare payment for medications, blood work, imaging tests, or specialty referrals will continue according to your specific plan, without change.


Q: Is there a discount for spouses?
Yes. There is a 25% discount for spouses and children.


Q: Who will take care of me when you are on vacation?
In the event that I am on vacation, I will still be available by phone or email for your urgent needs. You will be notified prior to any absences. In the rare event I am not available by cell phone, a covering physician will be designated for all urgent matters.


Q: If I get sick, will you admit me to the hospital?
Hospitalists are physicians who specialize in caring for patients in the hospital. Since hospitalists are on site 24-hours a day, seven days a week, they are able to provide you with around-the-clock care. However, the concierge framework will allow me to commit a portion of each day to hospital rounds at Presbyterian Dallas which will facilitate coordination of care. I will act as your advocate.


Q: What do I do if I want to join the program?
Please contact our office, and we will be happy to answer any questions you may have and send you a contract for your review. We are happy to arrange consultations for new patients over the phone or in person, free of charge. Upon execution of the contract, we encourage you to schedule your comprehensive exam at your convenience.

 

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