The fee covers excellent primary care through unlimited office visits, annual wellness exams, well child exams, sports physicals, school physicals, basic office procedures, in office labs and procedures, acute illness or minor injuries, 24/7/365 access to your doctor, no wait times in the office for your appointment, and much more. It basically covers everything that we would do in the office.
No, we do not require a signed contract and there is no additional sign-up fee.
Yes. Dr. Roy is happy to accept patients of all ages. Please note, children between 0-19 must have a subscribed parent or guardian.
Direct Primary Care (DPC) is care offered directly by the primary care provider (Kevin Roy) to the consumer without the need of insurance. The consumer pays an annual or monthly retainer fee that includes most of the primary care needs. This eliminates the financial burdens on the providers when interacting with insurance carriers. It allows the provider reduced paperwork, lower costs which allows lower charges, no interference on how to practice from the insurance companies, added time with patients and additional time coordinate patient care and research the care solutions.
Yes. Dr. Roy provides nursing home care and will coordinate your care with the facility’s administrator on an as needed basis.
We treat all acute and chronic primary care problems, along with preventative health and maintenance issues.
Dr. Roy does provide in-patient care and will coordinate your care with the hospital specialists as needed.
No. Patient privacy is a natural benefit of this medical model. Dr. Roy will never provide any third party with a copy of your records, unless you specifically ask him to do so.
In the age of telemedicine, many illnesses can be diagnosed and treated with a simple conversation by phone or webcam. If appropriate, Dr. Roy will locate the nearest pharmacy and order the medication most suited for your circumstance. And if you need to go to the hospital or seek other medical attention he can advise you on that as well.
Absolutely, yes! You may contact Dr. Roy any day at any hour by telephone, email, messaging, Skype and FaceTime; our goal is to make contacting us as easy as possible. It’s how we do custom healthcare.
You would pay at the time of service or with the next month’s billing cycle.
Medicare & Insurance Questions
No, not to be a patient of Dr. Roy but we recommend it to comply with Federal Law. Dr. Roy does not replace insurance and he encourages his patients to carry a high deductible 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.
Yes. However, your monthly membership fee cannot be submitted to Medicare for reimbursement. You must sign a waiver every two years that declares that neither you nor your doctor will directly bill Medicare for your membership fee.
Medicare and medicare supplemental insurance will still cover medical costs that you incur outside of Dr. Roy. For example, prescriptions that you fill at an outside pharmacy, or labs run at an outside lab, or hospital charges, physical therapy and imaging are covered, just to name a few. You do not lose your Medicare coverage for other medical needs just because you are a patient of Dr. Roy.
Many times patients purchase high option health insurance plans that require little or no co-pay and that cover all lab costs and prescription costs. However, Dr. Roy’s patients pay no co-pay and he offers labs and generic prescriptions at wholesale prices to his patients. So, his patients may find it worthwhile to change from a high option health insurance plan to a base health insurance plan.
Yes, his fees are covered. This is one smart method of paying for your health care needs with pre-tax dollars.
Direct Primary Care may qualify as reimbursable through your Health Savings Account (HSA) and may also qualify under the Affordable Care Act. Section 10104 of P.L. 111-148 (Patient Protection and Affordable Care Act) states: “The Secretary of Health and Human Services shall permit a qualified health plan to provide coverage through a qualified direct primary care medical home plan that meets criteria established by the Secretary, so long as the qualified health plan meets all requirements that are otherwise applicable and the services covered by the medical home plan are coordinated with the entity offering the qualified health plan.” See your insurance specialist for information.