Frequently Asked Questions
STILL HAVE QUESTIONS?
Take a moment to explore the benefits of Dr. Hoffman’s Direct Primary Care practice so you can decide whether or not it is the right choice for you.
What does the membership fee cover?
Our patients will also have access to discounted labs, prescriptions, and radiology.
Is my membership fee at Vanguard Direct Family Medicine tax-deductible?
What costs are involved in becoming a patient?
Does Vanguard Direct Family Medicine see patients of all ages?
How do I join if the practice is full?
As a result, once our practice membership is full, a waiting list will be established. As openings become available, you will be contacted by a member of our team regarding membership.
What if I decide to cancel?
Do you really make house calls?
|Chest x-ray 2 view||$35.20|
|X-ray exam of wrist 2 view||$42.90|
|X-ray exam of hand 2 view||$37.40|
|X-ray exam of knee 3||$44.00|
|X-ray exam of neck||$34.10|
|Ct abdomen w/o dye||$185.90|
|Ct abd & pelvis w/o contrast||$250.80|
|Us exam abdomen complete||$152.90|
|Us exam pelvic complete||$137.50|
Medication prices all reflect an additional 10% markup for supplies/administrative costs. Prices subject to change, pending availablity.
No controlled substances or pain medications will be on site.
|Acetaminophen (tylenol) for pain/fever #30||$0.18|
|Ibuprofen 600mg (equal to 3 advil) for pain/fever #30||$1.35|
|Fluticasone (Flonase) 120 sprays (1 month) for allergies||$4.73|
|Loratadine (claritin) 10mg #30 (1 month) for allergies||$1.20|
|Amoxicillin 500mg #20 (1 week) antibiotic||$2.82|
|z-pack antibiotic (5 days)||$1.47|
|Fluconazole (diflucan) 1 dose for yeast||$1.25|
|Metformin 500mg #30 (1 month) for diabetes||$0.72|
|Lisinopril 20mg #30 (1 month) for blood pressure||$0.66|
|Losartan 100mg #30 (1 month) for blood pressure||$1.56|
|Atorvastatin (Lipitor) #30 (1 month) for cholesterol||$2.70|
|Citalopram 20mg #30 (1 month) for depression||$0.69|
|Famotidine (Pepcid) 20mg #30 (1 month)||$0.99|
|Promethazine (Phenergan) for nausea #12||$0.62|
|Basic metabolic panel||$2.31|
|Complete Metabolic panel||$2.97|
|Complete blood count||$2.53|
|Gonorrhea and Chlamydia||$24.20|
No controlled substances or pain medications will be on site.
Give us a call to get discount pricing. We can get almost any medication and we have access to brand medicines as well.
Included Member Services
- Same day and next day scheduling
- House Calls
- Extended Office Visits
- Annual Wellness Exams
- Pulse Oximetry
- Peak Flows
- Nebulizer Treatments
- Joint Injections
- Small Lesion/Wart Removal
- PAP Smear ($27.50-$55 pathology fee may apply)
- Suturing Simple Lacerations
- Trigger Point Injections
- ADHD Treatment
- Ear Irrigation
What is Direct Primary Care?
Because DPC practices do not participate in any insurance or plans, the providers are able to avoid the ever-increasing and costly documentation demands and administrative intrusions that come with accepting insurance. DPC practices also avoid the onerous patient data collection responsibilities which many plans impose. These require staff, time, and money, often amounting to substantial intrusions on patient privacy.
Because DPC physicians avoid these obligations to insurance companies, they are free to spend that time listening to and treating patients. And because DPC physicians eliminate the significant overhead costs of participating in insurance, they can pass the savings on to you, the patient – and give compassionate, attentive and timely care at an affordable cost.
Is this like MDVIP?
MDVIP doctors also have a much higher retainer fee, $1650 per individual. MDVIP also requires an up-front payment in order to join their practices. We are happy to offer a monthly payment plan.
Lastly, MDVIP offices are unable to sell wholesale medications and lab services. We are able to do all of this because we don’t take insurance.
Why is a Direct Primary Care practice a better option?
In addition, we will run our own pharmacy out of the office, so we can get medications at wholesale pricing. We can also get labs and radiology at wholesale pricing, which will be a substantial savings for the patient. So in the long run, we actually end up saving our patients more than the membership costs.
Will I still benefit from a Direct Primary Care practice even if I don’t require frequent medical attention?
Every visit, regardless of the reason, will give us the opportunity to get to know you better and to build a long-standing relationship over time. As a result, individual care plans can be developed that are tailored to the individual needs of each patient. Traditional medical practices, which are insurance-driven, find it difficult to forge this relationship effectively like we are fortunate to do.
How will I know if the doctor in Vanguard Direct Family Medicine is right for me?
Do you do immunizations?
We will help you with the Centers for Disease Controls most up to date recommendations. We do not offer other immunizations in our office because we have no way to save you money on them. Pharmacies are already good at this; they are usually sold at cost.
What are your prices?
Can you help with the costs of prescriptions? What about labs?
Finally, we have a direct relationship for imaging studies, such as X-rays, CT’s, and MRI’s, all at a substantial discount. Much like a membership at Sam’s Club, membership in our practice gets you these cost-saving discounts on medications, lab tests, and imaging studies.
What medical conditions do you care for?
What happens if I need to go to the hospital or see a specialist?
We will still refer patients to specialists as necessary.
Does Dr. Hoffman take care of her patients in the hospital?
She will often visit her patients when they are in the hospital. Please call us, if you desire this. Dr. Hoffman will discuss your care and provide any needed charts or records to the hospitalist doctor to facilitate the best possible care. Upon discharge, she will readily follow up with you and your family to try and keep you on the road to recovery and minimize confusion after discharge.
Are my medical records ever shared with insurance carriers, pharmaceutical companies, or government agencies?
What if I need medical attention while I’m away from home?
In addition, as a patient of Vanguard Direct Family Medicine, you may consult with other concierge physicians across the country who participate in the National Care Network for Direct Primary Care.
May I contact Vanguard Direct Family Medicine after hours? How?
What if I need care on the weekends?
So, no matter when I need you- you’re available?
What if I’m having a medical emergency?
What is not available at Vanguard Direct Family Medicine?
We are not a fee-for-service same day clinic. We work hard to meet our members needs as they arise but do not offer ‘same-day’ or ‘one time’ visits for non-members. We believe in long-term primary care relationships. It’s what we do best.
We do not offer pregnancy care, DOT physicals, and we are not the admitting doctor when our patients need hospitalization.
When do I pay my fees non-covered labs and procedures?
Medicare & Insurance Questions
Does Vanguard Direct Family Medicine accept health insurance?
The most pivotal and difficult decision that we have made is to cut all ties with insurance companies. Our “care” philosophy is absolutely vital to the health and well-being of our patients, and we are committed to forging a direct personal relationship between you and your doctor. This allows us the freedom to see patients on our terms without being tied to the rhetoric and rules of insurance companies who are not at all interested in your well-being.
As a patient of Vanguard Direct Family Medicine, will I still need insurance?
Insurance will help cover costs associated with, but not limited to, prescription medications, labs, imaging studies (X-rays, CT scans, MRI’s, etc.), specialist consultations, hospitalizations, and surgeries.
Vanguard Direct Family Medicine does not replace insurance, and ideally we encourage our patients to carry a high deductible or major medical plan or a plan with a health savings account, thereby ensuring financial help should hospitalization or referral to a specialist be necessary. You should consult with your insurance provider to help you find a plan that works best with our medical model and that will meet your specific needs.
We understand that many hardworking people simply cannot afford insurance. We encourage you to consider consulting with an insurance agent (we can recommend some, if needed) who understands direct primary care. Other patients choose to work with cost sharing programs like Liberty Direct or Medishare to arrange some type of financial coverage in the event of a medical catastrophe.
There are other options currently in process. In two states patients can purchase ACA compliant high-deductible plans that are somewhat designed with direct primary care in mind. Senate Bill 1989, presently in the works, would allow for HSA dollars to be used for the monthly direct care fee. The bottom line is, in most situations, insurance or no insurance, direct primary care clinics can save people time, money, and headaches with our low-cost, transparent care model.
What if I want to continue my current insurance? Can I use it?
Because we do not contract with any insurance companies, we do advise you to review your insurance contract regarding “Out-of-Network” benefits for possible reimbursement of services you receive from us.
How does this work with ObamaCare?
In short, the best option for many patients will be an “exchange qualified” major medical type plan combined with a Direct Primary Care provider like our practice. This combination will save the maximum amount of money, while also allowing for a maximum amount of health care for patients.
The Direct Primary Care practices have the ability to decrease the cost of insurance by 30-50%, thus eliminating the need for ObamaCare-style regulation because we can make health insurance affordable again.
If I have Medicare, can I join as a patient?
What if I don’t have insurance?
How can I save on insurance costs by being a patient of Vanguard Direct Family Medicine?
Are Vanguard Direct Family Medicine’s monthly fees eligible for HSA or FSA reimbursement?
If we haven’t fully answered all of your questions, please contact us via phone or email so we can further assist you.
Where should I look for affordable insurance?
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