Commonly Asked Questions
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Can I use my health insurance?
Your insurance cannot be used to pay for your membership. We do not bill your insurance for any of our in-office services, as the majority of these are included with your membership.
Your insurance can still be used for most lab testing, diagnostic imaging, medications, etc. and we can include this information with orders and referrals. Keep in mind that when using your insurance, they set the rules on whether a test or treatment is covered, and how much it costs.
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Do I still need health insurance?
Dalton Health offers affordable primary care to all regardless of whether or not an individual is insured. Since a membership with Dalton Health Direct Primary Care is not health insurance, we recommend having insurance or other insurance alternatives to provide assistance with major medical issues such as hospitalizations, surgery, etc. We assist patients in utilizing their insurance when beneficial.
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What is not included in a membership?
Any healthcare you receive outside of our office is not included in your membership.
Laboratory testing that is sent to an outside lab, medications, and certain in-office procedures are not included.
When there is a cost for a test or service in our office, we will always let you know the cost up front. We pass along our wholesale prices to you so that your costs are low and predictable.
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Can I continue seeing other doctors?
Of course! Many of our patients see specialists and also keep their insurance policies. We are happy to coordinate care whenever necessary.
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What if I want to leave the practice?
We want our patients to be thrilled with the care they receive, and so we do not have any contract lock-in periods. If patients need to discontinue their membership, they simply provide us with 30 days notice and we can terminate the membership.
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Do you offer one time visits?
Not at this time. We believe the best care comes from an ongoing and unrestricted relationship with your physician. While one time visits can treat disease, ongoing care prevents disease and helps you live a healthy life.
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Can I use my HSA, FSA, or HRA funds to pay for my membership?
Many patients are able to utilize their health savings (HSAs), flexible spending (FSAs) or health reimbursement accounts (HRAs) to pay our fees as “qualified medical expenses.” Legal experts have recommended these patients follow the best practice of paying annually or semi-annually. If requested, we can provide you with an invoice and/or submit a notice to your employer if any questions arise about our programs. Please note that we cannot provide tax or legal advice. You should consult your own tax advisor for guidance.