Fees: your way

There are three ways to hire us:

Pay by the visit,

Become an ongoing concierge patient

Annual fee.

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 -- once you love our team -- become an ongoing patient.

It's your choice. Call to discuss

The huge advantage is that your treatment and appointments are now in the comfort of your own home.

Wouldn’t you prefer your life became that easy? Better communication. Better care.

Fees vary depending on travel time to your location and the level of treatment needed. Most of our local area house calls are between $400 (straight forward pediatrics) and $900 (moderately complex intake exam with imaging orders, follow up, visiting nurse and DME orders). We do not bill insurance for our time in your home.

We will send your insurance along with orders to laboratories, nursing, home health, physical therapy, imaging and other services by outside agencies.

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.)

Call for details

HSA and FSA and PPO insurance

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

PPO insurance reimbursement

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.

Concierge medical care

Many people pay a concierge fee to see their physician BUT ARE STILL TIED UP going to a clinic or office location.
Over the typical year an ongoing patient's total to be seen at home is similar to driving and sitting in a concierge office. However, it is easier as an ongoing patient here. Your huge advantage is that your treatment and appointments are now in the comfort of your own home.

Wouldn’t you prefer your life became that easy? Better communication. Better care.

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 deductible.

Plain Medicare with a suppliment

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 outside orders we write for you. Many folks find that means we are less than their deductibles, 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.

Medicare vs HMO and Medicare "Dis–Advantage"

The rising green line shows insurance spending to deny you treatment, delay your authorization, pay non-medical executives and administer your insurance.

Doctors, nurses and Home Health agencies don't like it.

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 or insurance companies.

Look again at the green line in the graph above.

Advantage plans have very little to do with good medical care. Advantage plans often block treatment for complex, bed-bound or home bound patients.

If you are complex or homebound, we suggest you pick a different plan next enrollment period. There are rules to exit HMO and Advantage plans -- talk to an expert. Medicare HMOs are all about the insurance companies saying "no", "load 'em up" and "transport via ambulance" and "deny medically necessary claims".

That is also why we don't take insurance for house calls: insurance does NOT pay enough to put a doctor on the road.

You will have questions - call

Individual appointments include:

Per appointment pricing typically $300 to $900 Discounts for some child and quick cases.
Follow up, medication adjustment and medical orders as need.
No charge: Lab draw during doctor appointment.
No charge: ECG during doctor appointment.
No charge: Point-of-care ultrasound during doctor appointment.
Use your insurance to cover lab tests, imaging, and prescriptions. If no insurance, we will help you find best cash price for those ancillary services.
Reduced prices for repeat house calls to existing patient.
Ongoing 24/7 phone access after your first intake physical is completed.
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 a complex case)

Typical add-ons for any patient

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
You may request specialist co-ordination at an hourly rate
Small added charge for additional time if appointment runs over one hour.

Fees: your way

HSA and FSA and PPO insurance

Medicare vs HMO and Medicare "Dis–Advantage"

Individual appointments include:

Typical add-ons for any patient

Typical add-ons for any patient

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