Who should consider direct patient care?
Direct primary care is for those who are frustrated with the impersonal and sometimes dehumanizing structures of the traditional, complex health care system and is looking for restoration of the patient-doctor relationship.
How can you deliver so much at such a low cost?
Healthcare has evolved into a vast, complex, business entity, associated with rising healthcare costs and complex, fee-for-service billing models, designed to capitalize on the insurance reimbursement dollars for profit. This evolution has negatively impacted primary care doctors and patients. It has become difficult for doctors to own their medical practices due to loss of negotiating power with insurance companies and the high cost of human capital required for associated administrative tasks for insurance billing and reimbursement (prior authorizations, billing, coding, collections, co-pays, co-insurance, audits, contracts, legal, etc). With a direct primary care micro-practice, the cost savings from minimizing overhead is shifted toward patient care management tools and services. This improves the quality of care and the patient experience, improves patients’ health outcomes, and decreases overall healthcare expenditures.
Is direct primary care a type of insurance plan?
No. It is not insurance. Each individual patient and family need to make the best decision for themselves, depending on their unique circumstances. Patients may consider an insurance policy when possible, like a high deductible “wraparound” insurance policy to cover emergencies, specialists, and procedures for example that is outside of primary care services. When you remove health insurance premium costs from primary care services and have it for what it was intended to cover (for example - hospitalizations, emergencies, surgeries, procedures, specialists), you can save a lot of money.
Can a direct primary care doctor send referrals and orders that are not covered in the membership?
Yes. Referrals can be sent to specialists and diagnostic centers.
If I want to keep my primary care provider and want to participate in a specialty management program, may I join as a member?
Yes. Co-management with your primary care provider is welcomed. Your fee is the same as the monthly membership fee.
Do you accept referrals from specialists?
Yes. Referrals are welcomed. Your fee is the same as the monthly membership fee.
Do you accept Medicare or Medicaid?
No. BIOMe does not accept any insurance, Medicare or Medicaid.