Direct Primary Care is a model that puts the patient’s health first. Red tape is minimized, unnecessary paperwork is eliminated, and the insurance company’s regulations and restrictions will have no place in the care of the patient.
Concierge care refers to the concept of increased accessibility of medical care, with more personalized contact. This usually involves shrinking the size of the practice from the thousands of patients to the hundreds.
Direct Primary Care refers to having a direct payment to the physician, rather than going through intermediaries. This eliminates hidden agendas of insurance companies and third parties from having any agenda other than the best possible care of the patient.
In this practice, this is both a Direct Primary Care and concierge model.
You can go to any specialist you like. This practice will certainly recommend consultants known for excellence, wherever in the city they may be. At times, referral to tertiary care centers out of town like Mayo Clinic may be both recommended and facilitated. Unlike other hospital systems where referrals within the system are urged or coerced, this practice feels as if the best specialist may be just about anywhere.
If you go to a hospital where the physician has privileges, he will take care of you without the use of hospitalists. Presently, this includes Menorah Medical Center. If a certain physician’s expertise at another hospital is best you, arrangements will be made for you to have the best care possible.
Most non-Medicare insurance plans will have some reimbursement for out of network expenses. Office visits in many instances may be partially reimbursed by your insurance plan. Please check with your insurance expert.
Health insurance is highly recommended for subspecialty care, radiology tests, certain lab tests, and other expenses. DPC is not a substitute for health insurance, although in certain cases it may allow the advantage of signing up for more economical health insurance plans.