Frequently Asked Questions

My smaller practice size allows me to devote more time to each patient’s care and individual needs. Appointments will start promptly, and I will be able to spend more time with you. If a problem requires extra time for evaluation, I will accommodate you to the best of my ability. Also, our communication will be enhanced through a patient-dedicated cell phone, email and patient portal.

I am affiliated with Scripps Mercy Hospital.

My goal is to be available to my patients 24 hours a day, 7 days a week. However, there may be occasions when I am out of town or otherwise unavailable. In these situations, a trusted colleague will serve as my covering physician.

Yes. My medical practice will not take the place of general health insurance coverage. My practice is a primary care medical practice, not a health insurance program. You are advised to continue your Medicare or other insurance programs as well as participation in your FSA or HSA plan.

I intend to remain an in-network provider for most major PPO insurance plans and will bill your insurance directly for office visits (office visit co-pays are not included in your annual fee). If the terms of your insurance plan require a co-pay, I am obligated to request payment at the time of service. Even if I am not a provider for your insurance plan, I will attempt to refer you to in-network physicians for any necessary consultations and to in-network facilities for diagnostic tests and hospitalizations as medically indicated. Those services will likely be covered by your insurance plan.

The annual fee is not reimbursable by your insurance plan.

Yes. My office will file your claims with Medicare, as well as with your supplemental insurer on your behalf, as required by law. For any patients who may have a Medicare Advantage plan, co-pays will be the responsibility of the patient.

No. The annual fee only includes services and benefits described in the Highlights & Details that are not covered by Medicare (or any other payor) and will not be paid for or reimbursed by Medicare.

In many instances, the annual fee is payable through your HSA. You are advised to consult with your FSA or HSA plan administrator, employer, HR representative or tax advisor to clarify qualifications in your particular circumstance.

If the problem is minor, call me first. However, call 911 if you have a life threatening emergency. Then call me. With the exception of a few controlled substances, most prescriptions can be ordered anywhere in the country. If you seek care at an emergency room or urgent care center out of my area, I would request that you have the doctor seeing you call me for coordination. I will be readily available for phone consultation with you and/or other healthcare personnel. If you should require hospitalization while away, at your request I will attempt to establish regular phone communication with you and your attending physician(s) to ensure continuity of care.