GENERAL

This is not. A concierge practice is one that takes regular medical insurance, plus the extra membership fee. We instead strive to provide an affordable concierge level of service to all members, with or without insurance.

Lack of physical illness does not always equate health. Our focus is on health and wellness.  We are available for consultation at any time for any of your questions or concerns. We believe there is a place for alternative medicine, such as accupuncture and various herbs, in getting you well and keeping your healthy.

We follow the tenets of osteopathic medicine:

  • The body is a unit; the person is a unit of body, mind, and spirit.
  • The body is capable of self-regulation, self-healing, and health maintenance.
  • Structure and function are reciprocally interrelated.
  • Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation, and the interrelationship of structure and function.
MEMBERSHIP

Though membership is not required to obtain service from Ochna Health, it is encouraged, as it is the best way for management of chronic conditions, and for ongoing health.

You are concerned that your blood pressure is high, and your sugar is high. Do not wait until an appointment a month from now. Contact us right away. We’ll work with you. Early and prompt treatment ensures the best health outcomes.

We do not otherwise discriminate or refuse membership to anyone based on pre-existing medical conditions, race, color, religion, national origin, sex, age, disability, or any other statuses as protected by law or regulation.

At this time, we are accepting members only.
The only exception is when you have Medicare, or insurance coverage through a carrier or plan that we are still in network with. In that case, please join us instead as a Courtesy member.

Membership is ongoing, and needs to be kept current every month.

There is a one-time initial registration fee as detailed in the Membership Agreement.

There is a 3-month minimum commitment after the first 30 days. Afterwards ,you may cancel at any time. Cancellation will be effective the next monthly billing cycle, or 3 months after the initial sign up date, whichever is later. A re-enrollment fee may apply when re-joining after a cancellation.

We reserved the right to restrict membership enrollment at any time.

Yes, you are welcome to restart membership at any time, subject to the service agreement, and membership pricing in effect at the time.

INSURANCE

Our membership structure allows us to provide you with prompt access to our health services. This is a membership service agreement, and not insurance.

We recommend that you purchase at least a high-deductible catastrophic health plans for unexpected medical costs such as

  1. Surgeries
  2. Medical procedures for chronic conditions, such as dialysis
  3. Advanced medical procedures such as EGD, Colonoscopy, Heart Stress Test, Heart Catherization, …
  4. Ancillary services such as Physical Therapy, Advanced Nursing Care, Rehab services

We work closely with local brokers. Contact us for points of contact reference.

An alternative to purchase insurance is to join a religious health cost-sharing (exempt from the insurance mandate penalty) for unexpected health needs and expensive non-covered services such as surgeries, medical procedures, or complicated fractures requiring orthopedic care, etc. We are a Liberty Direct Premier Practice.

Certainly. We are in network with most major insurance plans, and Medicare.

If you have a high-deductible plan, our affordable and transparent flat-fee pricing with our membership is for you.

We are not contracted with Medicaid, Tricare Prime and ChampVA. Your insurance or HSA cannot be used for payment of monthly membership.

Why membership?

30% of your health insurance premium is spent on administrative costs, and likewise, 30% of the funds we received from the insurance carriers are spent on staff to satisfy administrative burdens. Without such expenses, we can pass the savings in cost and time to you – our members, our patients. Our main goal is to take care of you. The membership fee allows us to do so effectively and efficiently at a high quality in a setting that emphasizes health care instead of sick care.

At this time, our membership is not open to patients with Medicare due to restrictive Medicare regulations. If you have original Medicare, you are welcome at our practice, just not as a member.

The insurance mandate expires at the end of 2018. You are required to have coverage for 9 out of the 12 months of the year to avoid the penalty for 2018.

You can satisfy the insurance mandate and not pay the penalty if you purchase a high-deductible plan for catastrophic coverage together with our membership, or join a health care cost-sharing plan

PAYMENT

Full payment is due at time of service, with upfront and transparent pricing.

Most procedures have an additional fee for cost of supplies, medications, etc.

We do not charge a facility fee.

Third-party services, such as advanced laboratory or radiology tests, are available at outside facilities. You can choose to use your insurance, or go through us instead. We work hard to get you preferred pricing on most services outside the clinic.

The service rendered by the local specialist is not covered under the membership fee. As such, we recommend that you have a high-deductible insurance plan, or participate in a cost-sharing plan such as Liberty Healthshare, Christian Healthcare Ministries, or Samaritan Ministries for these visits.

SERVICES

We are available by phone, text, email, or video chat. In most cases, we can help you with your concerns without requiring a trip to our clinic, saving on your time away from work.

As above, we are available by phone, text, email, or video chat. Before we can provide remote care, Texas law requires that we should already have a pre-existing doctor-patient relationship. As such, electronic visits or consultations are only available only to members who have established care with us in the clinic.

  • Supplies or medications associated with any in-office procedures
    • Medications for joint injections, allergy injections, materials for splinting, sutures for lacerations, etc.
  • Third-party lab services
    • Analysis for any skin biopsies, Pap smear, or blood tests
  • X-rays, CT, MRI, ultrasounds, or other radiology tests

The membership fee does not cover medications.

You can get them just as you are now through any pharmacy of your choice.

We work closely with local and national pharmacies to get your medications shipped to your home at close to wholesale prices as possible.

HSA DEDUCTIBILITY

It is different from one insurance carrier to another. It is best that you check with your carrier for explanation.

At this time, you cannot yet use your HSA funds towards a Direct Primary Care membership. Though the Affordable Care Act allows you to do so, the Internal Revenue Service does not officially consider our membership as a medical expense. Please check with your plan for guidance.