Questions and Answers
No, and we’re excited that we don’t. We forgo insurance payments in order to save our patients from the arbitrary, intrusive decisions that inevitably follow when the government or private insurers tell all of us what we can and can’t do. A direct membership arrangement frees us from the typical contractual agreements that prevent physicians from offering wholesale prices on laboratory tests, imaging, and medications.
Zero. Your monthly membership covers the cost of office visits as often as they are needed (as well as technology visits like email, patient portal messaging and telemedicine visits). We only charge an additional fee (due at the time of service) if we provide you medication, discounted labs or we perform a procedure requiring out of the ordinary supplies (for example there is no physician charge to do a skin biopsy but there might be a charge for the supplies used to perform the biopsy). We will always tell you ahead of time what any additional charges you would be responsible for — imagine that, knowing what a medical service costs right up front!
Absolutely. We want to provide your primary care for years to come, especially as more and more family doctors are refusing to accept new Medicare patients. You do need to sign a waiver declaring that neither you nor your doctor will directly bill Medicare for our membership services. Medicare and supplemental insurance will still cover medical costs that you incur outside of Vintage Direct Primary Care. For example, prescriptions that you fill at an outside pharmacy, or labs run at an outside lab, or hospital charges, physical therapy and imaging are covered, just to name a few. You do not lose your Medicare coverage for other medical needs just because you are a patient in a Direct Primary Care clinic.
Unfortunately, not at this time. Your retainer is not yet defined as a “medical expense” in most states and as such is not deductible. The American Academy of Private Physicians, however, is lobbying hard to win rightful deductibility for these expenses. In the meantime, consult with your tax consultant to clarify tax consequences in your particular circumstances.
By all means, yes! Because illness and injury do not respect regular office hours, you may call your physician any day, at any hour. We invite you to arrange for home visits, schedules permitting. If you prefer, you may also use our secure patient portal to access your medical record and then e-mail your physician.
We maintain scrupulous standards of privacy. We are never obligated to provide any third party with a copy of your records, unless you specifically ask that we do so.
Yes. We aim to provide the majority of the care you will need, but medical conditions and illnesses can arise that require specialty care, hospitalization or surgery. Direct Primary Care is not intended to take the place of health insurance.
Not for our services at Vintage Direct Primary Care, but you can use it anywhere else you might receive care or medical services. We offer greatly discounted lab tests (sometimes 90% less than what you might be charged under insurance) as well as inexpensive, in house generic medication dispensing but these are not a requirement for membership. We always want you to get the most for your health care dollars. If we can provide a lab test or medication more affordably than what you could obtain elsewhere with insurance we’re glad to provide it.
If you require a consultant for specialty medical care, Vintage Direct Primary Care will work closely with that specialist. Because we are not affiliated with any other healthcare system, we can decide together who will best serve your needs.