Q: Are there any copays or other visit charges under direct primary care?
A: Nope! The initial registration and membership fee covers all services that Dr. Samuel provides, including any supplies and medication used at the time of the visit.
Q: What happens if I need medical care after office-hours or on the weekend?
A: Members have Dr. Samuel’s cell number and email address to contact him for any urgent care needs that cannot wait for a regular office visit.
Q: Can I bill my insurance for care provided?
A: No. Under the Idaho Direct Primary Care Act, effective July 1, 2015, neither the physician nor the patient may submit a bill for payment of services provided by a Direct Primary Care practice. However, there is active lobbying for allowance of payment through a Health Savings Account (HSA).
Q: What happens when Dr. Samuel is on vacation?
A: While Dr. Samuel is on vacation medical care will need to be obtained at another facility. During vacation weekdays, the office will be staffed to help assist patients with their medical questions and prescription refills. On these days, Dr. Samuel will be in touch with the office staff, so any question will be answered within one business day.
Q: Does Dr. Samuel offer a “Family Plan”?
A: Yes we do! Please refer to our pricing page for more details.
Q: Does Dr. Samuel offer a discount for business owners?
A: Although the 2015 Idaho Direct Primary Care Act now prohibits us from contracting directly with business owners who want to provide coverage for their employees, we do offer business owners, their families and any non-family employees individual contracts at a 15% “group” discount rate. Contact our office for further details.
Q. Is there a limit to the number of patients enrolled in the practice?
A: Yes. To provide superior service and care, the practice, at least initially, is limited to 400 patients. A waiting list for interested patients will be set up once the practice is full, and these patients will be contacted once an opening is available.
Q: Will Dr. Samuel continue seeing patients on a cash-at-time-of-service basis?
A: No. In order to devote his full time and effort to providing superior service and care for the patients with whom he is contracted under direct primary care, Dr. Samuel will see only contracted patients beginning January 1st, 2014.
Q: Does Dr. Samuel’s program cover the requirement to obtain insurance under the Affordable Care Act?
A: No. It is important to understand that direct primary care is not a substitute for medical insurance. It will not exempt you from any monetary fine if you do not carry health insurance. However, you may still sign a direct primary care contract with Dr. Samuel even if you choose not to purchase insurance. Read here to find out more about your insurance options in North Idaho.
Have More Questions?
If your questions have not been answered here, let us know! Contact us with your questions or to schedule your free, no obligation appointment..
Want to learn more about what we offer? Start with our list of care benefits.