
FEE SCHEDULE
PLAN A: "Affordable Access" |
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Who
Should Sign Up for Plan A?
This plan is intended for
individuals and families ages 64 and younger. Its purpose is to
encourage healthier individuals to invest in wellness, thereby
preventing future illness.
It also provides access to a physician at costs generally less than other outpatient facilities when illness occurs. Cost of Plan A:
ADULTS:
$360 per year per person for ages 25-64.
($30/month per member)
CHILDREN: Ages 0-24 months:
$120 per year. ($10/month per member)
Ages 2-24 years: $240 per year. ($20/month per member) Maximum access fee for a family will be $1000 annually. Included
in Plan A:
FREE: One annual wellness
visit, (ages 2 and up)
which will provide an individualized plan on how to achieve wellness at
your current time and place in life. No additional payment at the time
of the annual wellness exam is required. It also encompasses an
annual
well child visit or school physical for members 2-24 years of
age.
OFFICE VISITS: will be billed on an hourly rate of $120 per hour. Most visits will be 30-60 minutes long. For babies up to 2 years old, recommended well child checks at 1 wk, 1, 2, 4, 6, 9, 12, 15, and 18 months are also billed at $120 per hour. HOME VISITS: offered when medically indicated. Also billed on an hourly rate of $120 per hour, including travel time. (Travel time waived within 5 mile radius of the office) ONLINE "E- VISITS": $25 per visit PHONE CONSULTATIONS: Basic: $25 for a 10-15 minute visit. Extended (20 minutes or longer): $120 per hour in increments of 5 minutes. Plan A Payment Options:
Please Note:
Annual fees are non-refundable and not reimbursed by insurance. Talk to your tax advisor regarding applying this fee to your medical expenses tax deductions. Services provided by Meliora Family Medicine may be reimbursable through your health insurance. These services will be considered "out of network." For those seeking reimbursement from an insurance company, documentation will be provided to at the end of office visits, using the traditional coding format so you will be more likely to receive your reimbursement. Most medical services provided outside of Meliora Family Medicine (e.g., labs, x-rays and hospital charges) will continue to be covered as described by your health plan. if you wish to request reimbursement from your insurance company. Copyright 2009 Jessica
Davis MD
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