We seek to deliver concierge-level care to all of our members without the traditional concierge price tag.
GENERAL
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
We are a membership-based physician-only clinic. Our Direct Primary Care Concierge membership is all-inclusive, and insurance is not used for our services. We limit the total number of patients under our care to be 1/4 of a typical traditional practice. We purposely do not schedule 25-30 patients a day so we can be available to you, and have time for you when you need us.
We focus on prevention, and the membership model allows us to do that. 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.
We are not part of any insurance plans, including Medicare.
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.
Membership is month-to-month, and you may cancel at any time after the first month. Cancellation will be effective the next monthly billing cycle. 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 a new membership agreement, and new membership pricing in effect at the time of enrollment.
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 a high-deductible catastrophic health plans for unexpected medical costs such as
- Surgeries
- Medical procedures for chronic conditions, such as dialysis
- Advanced medical procedures such as EGD, Colonoscopy, Heart Stress Test, Heart Catherization, …
- Ancillary services such as Physical Therapy, Advanced Nursing Care, Rehab services
An alternative to purchase insurance is to join a health cost sharing program for unexpected health needs and expensive non-covered services such as surgeries, medical procedures, or complicated fractures requiring orthopedic care, etc.
Not sure which one to join? We have compiled a table comparing the six major health cost sharing programs for your review.
Our clinic is not part of any insurance networks. The membership includes all professional services (other than advanced tests, and medications given at the clinic) so you do not need insurance to see us at the clinic.
You can use insurance for all other services outside the clinic, such as consultations with specialist physicians, and laboratory or radiology services.
If you have a HMO plan, you might have to seek a referral from your HMO network doctor for a specialist referral to be considered a covered service by your plan.
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.
Our clinic does not accept Medicare. The membership includes all professional services (other than advanced tests, and medications given at the clinic) so you do not need Medicare to see us at the clinic.
You can use Medicare for all other services outside the clinic, such as consultations with specialist physicians, and laboratory or radiology services.
If you have a HMO plan, you might have to seek a referral from your HMO network doctor for the specialist referral to be considered a covered service by your plan.
You can use Medicare for all other services outside the clinic, such as consultations with specialist physicians, and laboratory or radiology services.
If you have a HMO plan, you might have to seek a referral from your HMO network doctor for the specialist referral to be considered a covered service by your plan.
The insurance mandate expired at the end of 2018. There is no longer a penalty for not having insurance.
PAYMENT
Full payment is due at time of service, with upfront and transparent pricing.
These are usually for more advanced tests, cost of supplies, if any, and medications given at the clinic (oral, injectable).
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. Many specialists offer self-pay discounts for patients without insurance. You can also join a health cost sharing plan or get a high-deductible health insurance plan for these larger expenses.
SERVICES
We check our Spruce messages on an intermittent basis after hours based on our availability.
If you are experiencing an emergency, please always call 9-1-1 or go to the nearest emergency center.
When you are in Texas:
We are available by phone during regular hours. Before we can provide remote care, Texas law requires that we should already have a pre-existing doctor-patient relationship Please contact us first as state regulations change regularly.
When you are not in Texas:
Our services might be severely limited due to restrictions imposed by the state that you are physically located in. Most states do not allow out-of-state physicians to provide any type of remote care.
- 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 does not include any medications.
You can get them through any pharmacy of your choice.
We service members in Travis County, Williamson County, Bell County, Milam County, Hays County, and Burnet County.
Are you in Georgetown? So are we, since 2016.
Are you nearby in Round Rock? We are right at the border between Georgetown and Round Rock.
You are in Pflugerville? We are not too far away.
Hutto or Taylor? We welcome you.
Cedar Park or Austin? We can help too.
Our clinic will always be staffed with physicians. No more searching for quality care in Williamson County, and Travis County.
The membership does not include any medications.
You can get them through any pharmacy of your choice.
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.
