Question 1

What is an Endocrinologist?

Accepted Answer

An endocrinologist is a physician who completed 4 years of medical school, 3 years of Internal Medicine training, and an extra 2 years of Endocrinology training. They manage multiple medical conditions, such as diabetes, thyroid disorders, adrenal disorders, pituitary disorders, osteoporosis, and others. (See Conditions We Treat)(https://endocrinedirectcarephysicians.com/#conditions-we-treat)

Question 2

What is the difference between Direct Care and Concierge Medicine?

Accepted Answer

Direct Care differs from Concierge Medicine in that we do not bill insurance, and you cannot submit claims for services. Instead, you pay either a membership fee or a fee-for-service. In Concierge Medicine, patients pay a substantial annual retainer fee, and insurance is billed for services. (See Plans and Pricing)

Question 3

Why choose direct care?

Accepted Answer

• A much smaller patient panel allows for more time spent with your physician. In the Traditional Care model, we could have more than 3,000 patients per physician. In the Direct Care model, we would limit this number to approximately 300 patients per physician.
 • Quicker communication with your medical team.
 • Prompt Appointments/Scheduling.
 • In-depth, unrushed visits with your doctor.
 • No copays.
 • No unexpected bills.
 • Less wait times.
 • Option to choose telehealth or in-person appointments

Membership Benefits (https://endocrinedirectcarephysicians.com/plans-pricing#untitled)

Question 4

How does the membership work?

Accepted Answer

Memberships are paid quarterly. There is a minimum of a 3-month commitment. For cancellations, we request that you give us at least a 30 days' notice prior to your next quarterly payment to avoid further charges. Payments are not prorated.

Question 5

Do you accept insurance?

Accepted Answer

No, we do not accept insurance. However, we recommend keeping insurance for other medical expenses like prescriptions, imaging tests, lab tests, and appointments with other doctors.

Question 6

Do I need insurance for a consultation?

Accepted Answer

No, insurance is not required for a consultation. However, we encourage patients to have insurance for other medical expenses like prescriptions, diagnostic imaging tests, lab tests, and appointments with other doctors.

Question 7

Can I use my insurance for prescriptions, lab tests and imaging tests?

Accepted Answer

Yes. As part of our care, we provide orders for prescriptions, imaging, and lab tests that will be done at a facility approved by your insurance. For our members, we provide some discounted labs and imaging studies that do not require insurance.

Question 8

Is it possible to use my HSA for your services?

Accepted Answer

HSA accounts can vary, so please check with your HSA provider to confirm if our services are covered.

Question 9

Do I need to have a primary doctor?

Accepted Answer

Yes, we strongly recommend having a primary doctor since we do not provide primary care services.

Question 10

Do you take Medicare?

Accepted Answer

For our Medicare patients, we initially intended to be a non-participating provider. However, due to Medicare limitations, we were not able to accomplish this. Traditional Medicare patients are still able to participate in our Direct Care Model. Our existing Traditional Medicare patients will still be able to get the discounted prices mentioned above.

Given that we opted out of Medicare, they will not reimburse for our office visits. Fortunately, you would still be able to use Traditional Medicare benefits for medication prescriptions, imaging tests, laboratory services, and Durable Medical Equipment (e.g. insulin pump, CGM, meters, test strips, and other supplies). This may not be true for Medicare Advantage plans. We strongly encourage patients to check coverage with their Medicare Advantage provider.

For more information, visit https://www.medicare.gov/basics/costs/medicare-costs/provider-accept-Medicare.(https://www.medicare.gov/basics/costs/medicare-costs/provider-accept-Medicare)

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