Frequently Asked Questions

What is the practice approach?

As healthcare costs continue to soar, both patients and physician practices have suffered. It’s time we – both patients and physicians – regain control of how medicine is practiced.

Our practice approach provides two innovative business models for member patients of our practice. In order to be registered as a member of our practice, patients must select one of the below plans:

  • Concierge Care—An enhanced access plan for those who prefer 24/7 access to their preferred provider
  • Direct Primary Care—A new model for providing care that eliminates the obstacle of insurance and creates a direct financial relationship between the patient and the practice

Additionally, our practice offers other services (available to non-member patients.) These include:

  • Women’s Health Consults—Special consultations with one of our certified women’s health experts (patient plan not required)
  • Medical Consults—Special consultation, such as second opinion or expert advice from one of our providers (patient plan not required)
  • Urgent Care—Option for office visits for patients who are not members of either of the practice plans (patient plan not required)
  • Travel Consults—Consultation with one of our providers to discuss vaccinations needed for travel outside the US (patient plan not required)

What is Concierge Care?

Concierge Care is an enhanced access plan for patients who prefer a premium healthcare product. Patients with Concierge Care pay an annual fee (or monthly payments) that covers their membership in the practice, as well as all office visits, an annual physical exam, and consultation with a dietician (nutritionist). In addition, Concierge Care patients have direct 24/7 cell phone and email access to their designated, personal physician.

What is Direct Primary Care?

Lisa Larkin, MD, & Associates offers a Direct Primary Care (DPC) approach – an emerging model in healthcare that focuses on affordability, accessibility and personalization. By eliminating the obstacle of health insurance and creating a direct financial relationship between patient and provider, we are able to offer more affordable care and greater accessibility for patients

How do the practice plans work?

Patients pay a fee directly to Lisa Larkin, MD, and Associates to be a member of the practice. For Concierge Care members, all visits are included in your annual fee. For DPC members, office visits are billed directly to the patient at a reasonable fee. On an annual basis, the amount a DPC patient pays is equivalent or less than what you might pay out-of-pocket under a typical health insurance, fee-for-service model.

What's the benefit to joining?

The models benefit both patients and physicians. Because we are no longer tied to the fee-for-service model (which requires us to see a high volume of patients in a day,) our providers can spend more individual time with each patient. The practice accepts fewer patients so our providers can develop stronger relationships with patients, allowing for a more comprehensive, personalized approach. Patients are able to see their physician, or one in the practice, the same day an urgent appointment is needed. Typically patients in a DPC or a Concierge practice have overall better health outcomes and are more satisfied.

The bottom line is that by offering DPC and Concierge models (and eliminating the fee-for-service model), we increase the amount of time we spend together because we are able to see fewer patients in a day. We are able to provide greater personalized care, serve as your advocate, and decrease healthcare costs overall.

Will you take my insurance?

Direct Primary Care and Concierge Care are alternative payment models to insurance, so our office does not file insurance claims for you. You may be able to submit claims to your insurance directly for some visits, if your insurance plan offers out-of-network benefits. If you have a Health Savings Account (HSA), you may be able to submit invoices for HSA reimbursement.

Will you accept medicare?

All of our providers are considered non-participating providers of Medicare. However, all of our providers can refer to specialists, hospitals and imaging facilities. If a patient has a managed care plan or Medicare, those visits, hospital stays and imaging are typically covered by your insurance.

Will I have email & cellphone access to my provider?

Email and cell phone access are available through our Concierge Care plan, as concierge patients pay a premium price for direct access. DPC members do have access to the practice during office hours, as well as after hours through our on-call provider.

What does a typical DPC visit cost?

One-hour physical exams with your preferred provider cost $80. Sick visits or follow-up visits (with your provider if available; with another practice provider guaranteed) cost $40. Nurse visits (when appropriate) cost $20.

Can I submit membership charges to my insurance?

No. Direct primary care means you have a direct financial relationship with the practice, so membership fees are not eligible for insurance reimbursement.

Can I submit membership charges to my HSA/FSA?

You can use your HSA or FSA for visit related fees, such as an office visit or bloodwork.

Is my DPC membership fee tax deductible?

No. It is currently not deductible at this time. However, there continues to be a push both nationally and at the state government level to allow for tax deductions for Direct Primary Care fees.

What about costs for labs/vaccinations as a member?

You have several options:

  1. We can direct you to an outside lab and charges can be billed to your insurance
  2. If appropriate, we can draw labs in office and send to lab to bill to your insurance
  3. If appropriate, we can draw in labs office and bill patient directly at significantly discounted price
Do I still need health insurance?

Yes. We strongly recommend you carry health insurance to help with costs for services not associated with the practice. The most cost effective insurance plan to pair with a Direct Primary Care practice is a high deductible/HSA plan.

What happens if I need to see a specialist?

We can coordinate your visit to a specialist in your insurance network, and they will bill your insurance.

Are there any hidden fees?

No. Out visit fees are standardized, and the patient is notified in advance of anything done in the office, and the price for that service. Because we are not part of a hospital system, and not subject to contracted rates with insurance companies, our services are offered at greatly reduced costs.

What about visits done by Skype, webcam, or Facetime?

We think of “virtual visits” as a supplement to good primary care—not a replacement for in-person care. The office is able to offer these visits in some circumstances, when appropriate. Patients who would like to request a visit should contact the office for prior approval. In cases where a physical exam is necessary we reserve the right to recommend a traditional clinic visit.

What about vaccines?

Our practice does have some vaccines that we can provide at a greatly discounted rate. For patients seeking to have those vaccines covered by insurance, we are happy to provider a prescription when possible to have those vaccines provided at a local pharmacy.

What if I want to cancel my membership?

Patients can cancel their membership at any time by providing the office with 30-days written notice of cancellation. Any fees for that month will be pro-rated to the respective date.

If I cancel, can I rejoin the practice?

Yes. Our practice has a limited capacity for patients, but if there is availability, a patient may rejoin the practice. There is a one-time $50 re-registration fee for patients looking to re-join.

WILL YOU HAVE ACCESS TO MY MEDICAL RECORDS?

Yes, if you have been a patient in the Greater Cincinnati area, we will be able to access your medical records through EPIC, our online electronic medical records system. You’ll be able to access MyChart, your own records in a secure, online environment, through EPIC.

Ready to join our practice?

WHAT IS THE PRACTICE APPROACH?

As healthcare costs continue to soar, both patients and physician practices have suffered. It’s time we – both patients and physicians – regain control of how medicine is practiced.

Our practice approach provides two innovative business models for member patients of our practice. In order to be registered as a member of our practice, patients must select one of the below plans:

  • Concierge Care—An enhanced access plan for those who prefer 24/7 access to their preferred provider
  • Direct Primary Care—A new model for providing care that eliminates the obstacle of insurance and creates a direct financial relationship between the patient and the practice

Additionally, our practice offers other services (available to non-member patients.) These include:

  • Women’s Health Consults—Special consultations with one of our certified women’s health experts (patient plan not required)
  • Medical Consults—Special consultation, such as second opinion or expert advice from one of our providers (patient plan not required)
  • Urgent Care—Option for office visits for patients who are not members of either of the practice plans (patient plan not required)
  • Travel Consults—Consultation with one of our providers to discuss vaccinations needed for travel outside the US (patient plan not required)

WHAT IS CONCIERGE CARE?

Concierge Care is an enhanced access plan for patients who prefer a premium healthcare product. Patients with Concierge Care pay an annual fee (or monthly payments) that covers their membership in the practice, as well as all office visits, an annual physical exam, and consultation with a dietician (nutritionist). In addition, Concierge Care patients have direct 24/7 cell phone and email access to their designated, personal physician.

What is Direct Primary Care?

Lisa Larkin, MD, & Associates offers a Direct Primary Care (DPC) approach – an emerging model in healthcare that focuses on affordability, accessibility and personalization. By eliminating the obstacle of health insurance and creating a direct financial relationship between patient and provider, we are able to offer more affordable care and greater accessibility for patients

How do the practice plans work?

Patients pay a fee directly to Lisa Larkin, MD, and Associates to be a member of the practice. For Concierge Care members, all visits are included in your annual fee. For DPC members, office visits are billed directly to the patient at a reasonable fee. On an annual basis, the amount a DPC patient pays is equivalent or less than what you might pay out-of-pocket under a typical health insurance, fee-for-service model.

What’s the benefit to joining?

The models benefit both patients and physicians. Because we are no longer tied to the fee-for-service model (which requires us to see a high volume of patients in a day,) our providers can spend more individual time with each patient. The practice accepts fewer patients so our providers can develop stronger relationships with patients, allowing for a more comprehensive, personalized approach. Patients are able to see their physician, or one in the practice, the same day an urgent appointment is needed. Typically patients in a DPC or a Concierge practice have overall better health outcomes and are more satisfied.

The bottom line is that by offering DPC and Concierge models (and eliminating the fee-for-service model), we increase the amount of time we spend together because we are able to see fewer patients in a day. We are able to provide greater personalized care, serve as your advocate, and decrease healthcare costs overall.

Will you take my insurance?

Direct Primary Care and Concierge Care are alternative payment models to insurance, so our office does not file insurance claims for you. You may be able to submit claims to your insurance directly for some visits, if your insurance plan offers out-of-network benefits. If you have a Health Savings Account (HSA), you may be able to submit invoices for HSA reimbursement.

Will you accept Medicare?

All of our providers are considered non-participating providers of Medicare. However, all of our providers can refer to specialists, hospitals and imaging facilities. If a patient has a managed care plan or Medicare, those visits, hospital stays and imaging are typically covered by your insurance.

Will I have email and cellphone access to my provider?

Email and cell phone access are available through our Concierge Care plan, as concierge patients pay a premium price for direct access. DPC members do have access to the practice during office hours, as well as after hours through our on-call provider.

What does a typical DPC visit cost?

One-hour physical exams with your preferred provider cost $80. Sick visits or follow-up visits (with your provider if available; with another practice provider guaranteed) cost $40. Nurse visits (when appropriate) cost $20.

Can I submit membership charges to my insurance?

No. Direct primary care means you have a direct financial relationship with the practice, so membership fees are not eligible for insurance reimbursement.

Can I submit membership charges to my HSA/FSA?

You can use your HSA or FSA for visit related fees, such as an office visit or bloodwork.

IS MY DPC MEMBERSHIP FEE TAX DEDUCTIBLE?

No. It is currently not deductible at this time. However, there continues to be a push both nationally and at the state government level to allow for tax deductions for Direct Primary Care fees.

WHAT ABOUT COSTS FOR LABS/VACCINATIONS AS A MEMBER?

You have several options:

  • We can direct you to an outside lab and charges can be billed to your insurance
  • If appropriate, we can draw labs in office and send to lab to bill to your insurance
  • If appropriate, we can draw in labs office and bill patient directly at significantly discounted price

DO I STILL NEED HEALTH INSURANCE?

Yes. We strongly recommend you carry health insurance to help with costs for services not associated with the practice. The most cost effective insurance plan to pair with a Direct Primary Care practice is a high deductible/HSA plan.

WHAT HAPPENS IF I NEED TO SEE A SPECIALIST?

We can coordinate your visit to a specialist in your insurance network, and they will bill your insurance.

Are there any hidden fees?

No. Out visit fees are standardized, and the patient is notified in advance of anything done in the office, and the price for that service. Because we are not part of a hospital system, and not subject to contracted rates with insurance companies, our services are offered at greatly reduced costs.

WHAT ABOUT VISITS DONE BY SKYPE, WEBCAM, OR FACETIME?

We think of “virtual visits” as a supplement to good primary care—not a replacement for in-person care. The office is able to offer these visits in some circumstances, when appropriate. Patients who would like to request a visit should contact the office for prior approval. In cases where a physical exam is necessary we reserve the right to recommend a traditional clinic visit.

WHAT ABOUT VACCINES?

Our practice does have some vaccines that we can provide at a greatly discounted rate. For patients seeking to have those vaccines covered by insurance, we are happy to provider a prescription when possible to have those vaccines provided at a local pharmacy.

WHAT IF I WANT TO CANCEL MY MEMBERSHIP?

Patients can cancel their membership at any time after an initial six month period by providing the office with 30-days written notice of cancellation. Any fees for that month will be pro-rated to the respective date.

IF I CANCEL, CAN I REJOIN THE PRACTICE?

Yes. Our practice has a limited capacity for patients, but if there is availability, a patient may rejoin the practice. There is a one-time $50 re-registration fee for patients looking to re-join.

Will you have access to my medical records?

Yes, if you have been a patient in the Greater Cincinnati area, we will be able to access your medical records through EPIC, our online electronic medical records system. You’ll be able to access MyChart, your own records in a secure, online environment, through EPIC.

Ready to join our practice?