Concierge Family Health Services in Santa Fe, NM

Q.  What is Concierge medicine?

A.   Concierge medicine programs offer members convenience and a hassle-free patient experience.  Through the concierge fees, concierge medicine programs are able to limit the number of members accepted into the program with attendant benefits that flow therefrom, such as prompt appointment scheduling, limited wait times, and 24/7 access to care delivered in a format convenient to members.  Importantly, the concierge fee is not health insurance, and no part of the fee goes towards member payments for medical services, medications, or treatments.  Members, individually or through insurance, remain responsible for paying for all medical services, medications, diagnostic testing, treatments, specialist care, hospitalizations, or other services.  

Q. Is the membership fee covered by insurance? 

A. In the vast majority of cases, insurance does not cover concierge membership fees.  However, certain Health Savings Account (HSA) and Flexible Spending Account (FSA) plans may reimburse members for all or part of the concierge membership fee.  Members should check with their human resources representative or HSA or FSA plan manager to find out.  

Q.  Do I still need insurance? 

A. Yes.  Concierge medicine program members should retain their traditional health insurance to help pay for any medically necessary services, medications, or treatments.  Concierge fees do not cover medical services, medications, or treatments, including services covered by insurance plans.  Members remain responsible for paying any deductible or co-payment, as dictated by their specific insurance plan, or, if members opt not to have health insurance, they remain responsible for the full cost of all medical services, medications, diagnostic testing, treatments, specialist care, hospitalizations, or other services.

Q.  What medical services are offered by the Practice? Do Program Members have to pay for medical services?

A.   Most everything you have come to expect from your Primary Care Provider, including acute      medical care (for sick visits/minor injuries), chronic disease management (for example; diabetes, high blood pressure, thyroid disorders, etc), well woman’s care, telemedicine.  I am available as often as medically necessary to provide the best care to you.  The office visit is paid by the patient at the time of service, and they are given a 1500 form to submit for possible reimbursement by their insurance company.  Medicare will continue to be billed directly by our office.  Exemplary health care for QTR (quality time remaining).  Ensuring that each patient has the highest quality health care available is the priority.  

Q.  What is telemedicine?  Are there any fees for this?

A. Telemedicine means communicating with your health care provider about your medical concerns via a phone call, text, email, or even a video visit. Many patients are seeking out this type of care in place of an in-person office visit, or between office visits for convenience, or due to current health concerns revolving around COVID.  Over the past 2 years, health insurance plans have routinely been covering video visits and phone call visits.  Patient cost is $50.00 for telephone/video visits, and the patient is given a 1500 form to submit to their insurance company.  As long as Medicare is reimbursing for telephone/video visits, medicare will be billed directly.  If Medicare is not reimbursing, the patient will be billed directly.  There is no cost to patients for telephone, text, or email questions.  

Q.  I usually only see a health care provider once or twice a year.  Why can’t I just pay cash when a visit is needed?

A.  If you are an individual who usually only sees a health care provider once a year, then you  may not wish to have a yearly membership.  In this case, to our non-medicare patients, we are offering a once a year visit  which is a yearly physical exam, details are listed above, for one flat fee of $750.00.

Q.  I only see Karen for Aesthetics or BioTe Hormone Replacement therapy, am I required to join the membership?

A.  No, you are not required to join the membership for these services if you receive your  primary health care from another Primary Care Provider.  These services will not change,    and will continue to be paid for at the time of services rendered.   

Q.  What if I am on the membership for Aesthetics, and Karen is also my Primary Care Provider?

A.  If you are currently on our aesthetics membership, and you wish to join the membership for Family Practice, this will be offered with the cost offset based on the aesthetic membership you are currently on.  This discount is only offered to the patients currently on the Aesthetics Membership, as of November 10, 2022, no new dual memberships will be afforded after that date.   

• Membership pricing on a monthly basis: $449.00 per month = $5,388.00 per year.
• Membership pricing on a quarterly basis: $1,212 every 4 months = $4,848.00 per year, which is a 10% savings.
• Membership pricing annually:  $4,310.00 for 12 months a 20% savings.
• Family discounts offered based on the number of members in the family.
• For individuals who only see a health care provider once a year, there is an available option for a once a year physical that is 90 minutes, which includes; Full physical exam, EKG, ABIs. and basic blood panel (CBC, CMP, Lipid Panel, TSH, urinalysis), review of lab results, and refill of routine medications for 12 months, for $750.00.