Fees: your way

There are two ways to hire us:

• Pay by the visit, 

            or 

• Monthly ongoing direct primary care.

If you chose to pay by the individual visit, we'll work on your immediate medical issue which may include your exam, labs, orders for imaging and follow up phone consults.  OR you may try us and -- when you love our team -- join a monthly subscription plan.  It's your choice.  Find more details about the subscription plan on our Direct Primary Care web page

Fees vary depending on travel time to your location and the level of treatment needed. Most of our local area house calls are between $300 (straight forward pediatrics) and $700 (complex intake exam with imaging orders, follow up, visiting nurse and DME orders).  

That is similar to many urgent care centers or Emergency Room copay -- and ours include follow up questions after the appointment .  We are FAR less once all the extra ER charges hit your deductable.   

New patients pay their fee via credit card when the appointment time is set for you. Concierge and ongoing patients may apply for other payment methods. (Via check, monthly payments, ….otherwise we would have to discuss Roosevelt-era style payments of two chickens or your favorite horse.)

We discovered that many people can actually save money as soon as they remember the size of their deductible.  It’s clearly more satisfying medical care.

Yes, you may use the credit card tied to your Health Savings Account or your Flexible Spending Account to pay for our out-of-network services.  

You pay us and submit the paid invoice (superbill) for out-of-network reimbursement to your individual,  employer or group plan.  Patients report everything from zero to 80% reimbursement by their insurance company.  In almost all cases we are less than your deductible and co-pays through an ER.

The government does not pay for our professional time in your home -- but plain standard Medicare does cover any medications, therapy, durable medical equipment and referrals to specialists on the orders we write for you.   Many folks find that means we are less than their deductables, and FAR less than a non-admission ambulance ride to the ER.  We save Medicare millions in ER costs -- but they still don't pay enough for a doctor to travel to your home.  

The good news: Medicare covers all the expensive things we order for you (labs, visiting nurses, therapy, specialists...)  Plain vanilla Medicare actually works reasonably well for homebound patients.

Medicare Advantage HMO: Ugh !!  You should call us.  These Medicare HMO plans are all about saving money for the federal government and have very little to do with good medical care for bedbound or homebound patients.  If you are homebound, we suggest you pick a different plan next enrollment period.  Medicare HMOs are all about the insurance companies "saying no",  "load 'em up" and "transport via ambulance".

• Per appointment pricing typically $300 to $700  Discounts for some child and quick cases.  
• Slightly more for travel outside our normal area or if a house call lasts longer than an hour (sometimes when a 2nd IV is needed, or very complex case)
• Follow up, medication adjustment and medical orders as need. 
• Reduced prices for repeat house calls to existing patient.
• You may request specialist co-ordination at an hourly rate
• Ongoing 24/7 phone access after your first intake physical is completed. 

• Medications from MD’s bag:  starter dose at our cost during appointment 
• IV fluids and IV supplies at our cost
• Surgical kit and sutures at our cost.
• Urinary catheter kits at our cost
• Lab draw during doctor appointment - no charge
• ECG during doctor appointment - no charge
• Point-of-care ultrasound during doctor appointment - no charge
• Use your insurance to cover lab tests, imaging, and prescriptions.  If no insurance, we will help you find beast cash price for those ancillary services.
• Small up-charge for additional time if appointment runs over one hour.