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Frequently Asked

Questions

  • What is Direct Primary Care?
    Direct Primary Care (DPC) is a healthcare model that allows our physicians to offer their services directly to patients without the hassle of an insurance middleman. By eliminating complicated insurance billing, we can offer our patients more personalized care and attention with a range of primary and chronic care services — all for a flat monthly fee.
  • What makes Health Matters DPC different?
    At Health Matters DPC, your health matters to us just as much as our own. We know excellent medical care takes time to deliver properly. So, we provide our patients with minimal wait times and up to one-hour appointments to cover their needs. Unlike other clinics, we offer same and next-day appointments and direct contact with your physician via email, text, and phone to fully understand results, procedures, and next steps. We do this by seeing fewer patients. In a fee-for-service or health maintenance organization (HMO) model, a doctor sees anywhere from 1,500 to 3,000 or even more patients. At Health Matters DPC, we care for a much smaller number of patients, allowing us the flexibility to provide a service we are proud of and spend more one-on-one time with you. You will feel the difference right away.
  • Is this an insurance plan? Do I still need health insurance?
    Health Matters DPC is not an insurance plan. We absolutely recommend that everyone carry insurance to cover the unexpected such as emergency department evaluation, hospitalization, or surgery. Various insurance plans are available; the best one will depend on your and your family’s unique needs. Since the majority of your needs can likely be managed through our practice, you may wish to consider a lower-cost, high-deductible health plan to save money while maintaining coverage for the unexpected. However, even with a top-tier insurance plan, most patients can still save money by seeing a DPC physician.
  • Do you take my insurance?
    We are proud to say that we can serve any patient regardless of their insurance coverage. HMO, PPO, Medicare, Medicaid, it’s fine. We just won’t be billing your insurance. Instead, we cover a range of care within our flat monthly memberships. This means no copays, no deductibles, and no surprise bills for our patients. For more information, please refer to this blog post.
  • Do you accept Medicare?
    While we will not be billing your Medicare insurance for our services, you may be able to use your benefits to cover prescriptions and other health costs throughout the year. This is entirely up to you, and it may be the case that simply paying cash is cheaper than using your insurance for many things.
  • Do you accept Medi-Cal?
    We see any patient regardless of what insurance they have, or even whether they have insurance or not. We just do not bill insurance for our services. You can choose to use your insurance to pay for services we order or refer you for (like labs, imaging, medications, and seeing specialists). For many of these, however, you may find it cheaper to simply pay cash. We will ALWAYS be transparent about how much a service is likely to cost; we are passionate about avoiding hidden or unexpected fees.
  • Can I pay for your services using my FSA or HSA plan?
    You can pay for our services using an FSA plan. Paying for services using an HSA plan may be possible. However, you should verify with your benefits representative and your accountant.
  • What happens if I need a specialist?
    Primary care physicians often recommend specialists to their patients for specialized care. We’re no different. We are more than happy to help you find a specialist and provide the information they need to continue care.
  • What happens if my condition requires hospitalization? Will you manage my care during my hospital stay?
    Our preventative-care model aims to reduce hospital and urgent-care visits as much as possible. If you need to undergo treatment at a hospital, we can assist you through preoperative evaluations and follow-up care. Though we cannot directly manage your care during hospitalization, we may (depending on availability and location) visit you and discuss your care with your managing team. We encourage you to have your team contact us if you are hospitalized so we may discuss any pertinent aspects of your care and provide support.
  • Is it easy to sign up for a membership?
    Signing up for a membership is easy. If you feel ready to join now, please visit our signup page and we'll contact you once the process is complete! We do also offer a free 15 minute meet-and-greet appointment for anyone who would like to discuss our services further. To schedule your free 15 minute meet-and-greet with Dr. Anand, please click here (for more information about Dr. Anand, click here) To schedule your free 15 minute meet-and-greet with Dr. Heikens, please click here (for more information about Dr. Heikens, click here) To schedule a meet-and-greet with both of us (unfortunately we can't guarantee we will both be available but we'll do our best!), please click here We love doing these meet-and-greets and can't wait to see how we can help!
  • Can I see you without a membership?
    Direct primary care is all about developing a relationship between you and your doctor. We generally only see patients enrolled in our practice, though we do provide urgent care-type services for our members.
  • Do you offer memberships for college students?
    In addition to our standard memberships, we offer customized plans for enrolled college students. These discounted plans work in tandem with patients’ doctors back home, and our team is here to ensure their academic journey is healthy.
  • I’m pretty healthy. Do I really need this?
    Good health is a blessing and an investment, so keep it up! It is a good idea to still have regular visits with a doctor you know and trust. We can also help with questions you may have via email, text, or over the phone. In addition, urgent situations do come up, and urgent care visit costs can easily add up to more than the annual cost of a membership.
  • What if I decide to cancel my membership?
    Not a problem. We do ask for 30 days notice so we can help ensure a safe transition to your next physician. If you paid annually, we will refund the prorated remainder.
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