Frequently Asked Questions
Is Simple Way Care health insurance?
No, it is not. It is a membership based model of primary care where our physician provides the patient with ongoing primary care services and the patient pays a low monthly fee.
Do you accept and/or bill insurance?
We will not file any claims against the patient's health insurance policy for reimbursement of any primary care services rendered by our physician. However, our Direct Primary Care plan can benefit patients with or without insurance, including high deductible health plans, (HDHP). Pairing an HDHP plan with a DPC provides an answer to the uncovered medical care under the deductible.
Am I going to avoid the Affordable Care Act (ACA) tax penalty if I become a member?
No, our Direct Primary Care does not meet the minimum essential coverage (MEC) required under the Affordable Care Act (ACA) to avoid tax penalties. Nevertheless, when DPC is paired with a High Deductible Health Plan (HDHP), ACA allows this to meet the minimum requirement to avoid tax penalties.
Can I be a member if I have any pre-existing conditions?
Yes, participation in our Direct Primary Care program is not based on pre-existing conditions or health status. Moreover, our monthly fees are the same for all patients regardless of their prior health history.
What distinguishes Direct Primary Care from other forms of primary care practices?
Direct Primary Care is known by some as "Concierge Medicine for the Masses". For less than two dollars a day, we provide concierge level of care in a true patient centered medical home setting. At Simple Way Care, you will be treated with respect and special care, receiving same or next day appointments, non-rushed extended visits, coordination of referrals, and timely mannered communication with your physician and staff. When you schedule a visit with us, you will always be seen by your doctor who works directly for you and is not concerned about billing or administrative issues. Your doctor at Simple Way Care can focus on what is more important: your health.
Do you cover hospitalization?
No, for hospital care coverage, we recommend you obtain a High Deductible Health Plan (HDHP).
Is chronic pain management a covered service?
No, chronic pain is best treated by a pain management specialist who is trained in this medical field. We can assist you with a coordination of a referral to a pain management specialist based on your need.
How are referrals to specialists, labs and/or an imaging studies handled?
We have coordinated with a national lab, imaging facilities, and specialists to offer patient services with discounts up to 90% of regular prices. Laboratory studies, pathology studies, radiology studies, surgery consults, and specialists consults will be ordered in the most cost effective manner for the patient.
Can I add my family to the membership?
Yes of course.We offer a discount for families and our physician sees patients from age 12 and up.
I am currently a Medicare eligible patient. Can I become a Simple Way Care member?
Unfortunately at this time patients that are eligible for Medicare are unable to enroll in Simple Way Care. Our physician is a Medicare provider and under Medicare rules no fees are to be collected for services covered under Medicare. We will inform you if the physician opts out of Medicare in which case we will be welcoming all Medicare eligible patients that want to be part of our Direct Primary Care service.
I am an employer; can I offer your Direct Primary Care services to my employees?
Yes, precisely, Direct Primary Care is the ideal way to offer employees valuable coverage for primary care needs that can be easily combined with a High Deductible Health Plan (HDHP). Employers are more than welcome to contact us at 407-599-1111 to discuss any further questions they might have.
How do I become a member?
To become a member, please contact us by phone at 407-599-1111 or by email at info@simplewaycare.com to schedule an appointment.