Direct Primary Care - Services and Insurance
Services Included with DPC
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Annual physicals and well child checkups
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Sick visits such as: upper respiratory, cough, rashes, minor injuries
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Home visits for home bound patients. Subject to availability and may incur a nominal fee for distances over 5 miles from the office.
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Telemedicine visits
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Basic Procedures: Stitches (at physician's discretion), abscess incision and drainage, injections.
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Coordinate referrals.
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Access to your provider via Patient Portal messaging. For urgent care and emergencies, see "How To Contact Your Provider" under Practice Polices.
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Basic labs include: CBC, CMP, Lipids, TSH, A1C, and Urinalysis.
* One PSA and Pap Smear test per year is also included. Additional PSA/Pap Smear tests will incur an additional fee.
** Insurance will be billed for insured patients through the laboratory. We cannot reverse these charges once the laboratory bills your insurance.
Note: Other labs will be available to order per providers discretion. These labs are not covered by DPC membership and may be an additional charge(s).
Insurance
Under this model, WE DO NOT BILL INSURANCE, which means we can work directly for you, not the insurance company or corporations. That means there is no need for co-pays or deductibles for your primary care and you won't get any surprise bills from our office. You pay, instead, an affordable, flat monthly fee directly to us for the care and services provided, even if you have multiple medical issues. For those with no insurance or high deductible health plans, you may even save money!
Insurance is required to be compliant with the Affordable Healthcare Act. You may use your insurance to pay for visits to specialists, the ER, hospital stays, X-rays, and extended labs not covered under membership. You may use any insurance or choose catastrophic coverage.
BIM supplies specific primary care services and membership makes those services available to you for a single low monthly fee. BIM does not contract with any insurance organizations and care received at BIM does not go towards insurance deductibles. All patients are responsible for inquiring with their insurance or cost sharing organizations on the possibility of coverage & managing their billing process. BIM will not bill any organization for care provided. Dr. Benton has opted out with Medicare and Medicaid which stipulates that Medicare and Medicaid covered members cannot attempt to obtain insurance reimbursement for BIM services as well. Health Spending Accounts (HSA) and Flexible Spending Accounts (FSA) may cover certain medical expenses provided so we encourage you to check with your HSA/FSA organization on coverage possibilities.
Please note that because the membership program is not a comprehensive health insurance and only supplies specific primary care services, you may want to consider purchasing health insurance to cover catastrophic medical expenses that may incur outside of this practice scope and to meet the requirements of the Affordable Care Act to avoid paying a penalty. A popular one that many people have found reliable is Samaritans. Below are several of the other alternatives to Insurance.
An Alternative to Insurance
CrowdHealth
In order to be better in charge of your healthcare, you need a better alternative to health insurance. The problem is government and insurance companies have jacked the price and increased complexity which makes you feel like you are getting exploited. CrowdHealth believes you deserve access to the best healthcare at a reasonable price that is easy to use. Want to learn more about CrowdHealth? Learn More
As a BIM patient, you can join CrowdHealth and get a DISCOUNT for the first 3 months -- Join Here
Use code: PAGPRA
Care Credit
We accept CareCredit for services Wellness Packages but NOT for Direct Primary Care. We also accept CareCredit for aesthetic services at the Medical Spa. You can setup your account at CareCredit.com