FREQUENTLY ASKED QUESTIONS

Concierge care is what medicine SHOULD be.

BOTTOM LINE: HOW IS THIS DIFFERENT THAN A REGULAR DOCTOR?

Code 1 Concierge Care: one simple monthly fee covers each and every visit.  


Traditional doctor's office: a charge for each and every visit. This includes,

  • You: co-pay ($10-70) due at each appointment.

  • Insurance: $90-$150 paid for each visit.

  • Uninsured: $100-$200 per visit

Submitting bills to Insurance or Medicare is an extremely complex, lengthy process that requires:

  • Paid staff (increased expenses)

  • Delays in payments

  • Payment denials through no fault of the doctor's office (which you're then responsible for).

So, in order to pay the bills, doctors must schedule up to 20 appointments in a single 8 hour day. No wonder everything is so rushed!

What happens if your company changes insurance companies? What happens if you change or lose your job? What happens if you decide to start your own business?

Most of the time, you have to start ALL OVER with another doctor. Just like that, all of the trust, understanding, and comfort you had with your physician is gone.

With Code 1 Concierge Care, none of that has to happen. For one reasonable monthly fee, you have a highly skilled, warm-hearted physician in your corner. Someone that you know and trust, and who will be there when needed. 

HOW DOES CONCIERGE MEDICINE WORK?

It's a monthly (or quarterly or annual) membership based service. Depending on your age and needs, you pay one monthly fee which covers:

  • 24/7 VIP treatment

  • 24/7 cell phone access to your doctor

  • All doctor's visits

  • All telemedicine visits

  • Minor Urgent and Emergency Care

  • All referrals

  • Massive savings on

    • Labs​

    • X-rays

    • CT & MRI scans


For those interested, there is a comprehensive plan available that covers the costs of labs and supplies. Contact us for details. 

DO YOU TAKE INSURANCE?

We don't.


Taking insurance means increased costs (staff, equipment, software, and time) - which is what forces most doctors into those horrible 10 minute visits.


Moreover, it causes you more pain:

  • Surprise billing for non-covered costs

  • Hundreds to thousands in out-of-pocket expenses

  • Delays in care.


Our experience shows that you are happier and you get better care if we avoid the insurance company altogether. 

WAIT. SO YOU MEAN THERE ARE NO CO-PAYS?

None. Since we don't bill insurance so you don't have to worry about follow up billing from your insurance company.

DOES THIS REPLACE INSURANCE?

NO.

Serious accidents and medical situations happen. In those cases, you will still need insurance in order to cover:

  • ER Visits

  • Hospitalizations

  • Some specialist visits

  • Medications 

CONCIERGE CARE SOUNDS SO EXPENSIVE

It can certainly seem that way.


But compare having Code 1 Concierge Care as your Primary Care doctor versus having to use insurance to access care. 


The chart shows the average annual cost for the three types of health care:

  • Concierge Care

    • Based on 1 person ​

    • Includes average out of pocket expenses (labs, imaging, etc)

  • Employer-based insurance

    • Single person w/avg premium + deductible

  • Open-market obtained insurance​

    • Single person w/avg premium + deductible

**This chart DOES NOT include costs of co-pays due at each and every INSURANCE office visit. 

What Health Care Costs You Every Year_10

WHAT IF I DON'T HAVE INSURANCE? CAN I STILL BE SEEN?

ABSOLUTELY.

You would sign up just like any other Code 1 Concierge Care patient.


In addition, we recommend that you look into entities which utilize a relatively new concept called "Health Care Sharing." Many patients have successfully used them to break free of the health insurance trap. There is usually a significant cost savings compared with most healthcare insurance.

Two outstanding and long-standing groups:

Note: Code 1 Concierge Care is not affiliated with either organization. 

OK. SO HOW DOES THIS WORK IF I HAVE INSURANCE?

Simple


  • Join the  Code 1 Concierge Care family

  • A) Transition to a catastrophic/high-deductible plan, which typically have VERY LOW premiums with HIGH deductibles. OR

  • B) Switch to a health sharing program like Samaritan or Sedera.​

  • Immediately save:

    • Hundreds per month 

    • Thousands per year 

Keep that coverage for:

  • ER Visits

  • Hospitalizations

  • Some specialist visits

  • Medications 

A quick primer on insurance:

  • PREMIUMS (access to coverage)

    • Avg cost

      • (Indiv) $350/month x 12 months = $4,200

      • (Family) $550/mon​th x 12 months = $6,600

  • DEDUCTIBLE (annual cost)

    • The amount YOU pay BEFORE insurance kicks in.​ 

    • Avg cost

      • (Indiv) = $3,000/yr​

      • (Family) = $5,000/yr

SO WHAT IF I HAVE TO GET LABS DONE?

It's a simple process

  • We draw them right in the office

  • We email or call you with the results within 1-2 days (generally speaking). 

  • For labs done in the office: NO COST.

    • Examples:​

      • Simple urinalysis​

      • Pregnancy

      • Strep tests

      • Flu tests

  • For send out labs

    • Most labs are included in the cost of your membership

    • Exceptions: Speciality labs, pathology and TRT-related labs are billed separately.

 

CAN I GET A SAME-DAY APPOINTMENT?

In most cases. If that can't happen we'll see you the very next day.

WHAT HAPPENS IF I NEED X-RAYS, CT OR OTHER SCANS? 

We have contracted with ARA and other imaging centers in the Austin area to provide you extremely low cost, cash priced imaging.

For example (prices approximate): 

  • Ankle X-ray: $51
  • Chest X-ray: $56
  • Elbow X-ray: $58
  • Hand X-ray: $52
  • Knee X-ray: $78
  • Shoulder: $57
  • US Skin: $60
  • CT Abdomen/Pelvis: $350
  • CT Head: $248

SO LET'S SAY THAT I TWISTED MY ANKLE. HOW WOULD THAT WORK?

If you think that it's an emergency, call 911 or go to the ER.

Otherwise:

  • Call us

  • We'll quickly order an X-ray at the most convenient ARA or imaging center in the Austin area.

  • You can often get the X-ray immediately. 

  • The result will be faxed to us, usually within the hour.

  • We can manage most injuries, including fractures right in the office. 

©2020 by Code 1 Concierge Care