What is Direct Access Medicine® Care?
Direct Access Medicine® Care is an enhanced method of Direct Primary Care. It’s simple and straightforward. Your doctor works directly for you and NOT for your health insurance company or your employer. You pay your doctor directly for exceptional service, and your health insurance company does NOT pay, restrict or influence the decisions your doctor make about your healthcare. It brings us back to a time when we knew our family doctor and healthcare was more about you, the patient, than about insurance, regulations, medication formularies, co-pays and ID cards.
Direct Access Medicine® care restores the patient-doctor relationship. Dr. Lucherini and his colleagues are available to you 24-hours-a-day, 7-days-a-week, and are happy to be accessible by 30-90 minute office visit, mobile telephone, mobile text, email… and they even makes house calls! They see fewer patients per day, providing them the privilege of having plenty of time with you to discuss your health, your concerns and your wellness goals. Direct Access Medicine® physicians are committed to creating an enjoyable and valuable experience for their patients.
Direct Access Medicine care provides greater value for you as a patient.
Dr. Mike, an Internist and Pediatrician, manages care personally and directly for you and your family. There is no middle man–no health insurance company, no employer–influencing or directing the care you receive. He has a strong professional relationship with YOU, not a contractual obligation to the insurance companies or other secondary healthcare agencies.
We elevate our patients by engaging with them directly in a professional partnership for health.
What About Health Insurance?
At Summit Medicine and Pediatrics, Dr. Mike does not maintain contractual relationships with any third party health insurance companies, and has “opted-out” of Medicare. This means we do not submit claims for services rendered to any health insurance companies, and we do not accept payment in any form for services rendered from health insurance companies. Our patients who do have health insurance, either through a private company or through Medicare, are still able to take advantage of their benefits whenever they see other doctors who are contracted with their health insurance agency, whenever they have labs and tests that are performed at facilities that are contracted with their health insurance agency, or whenever they must be hospitalized at a facility that has contracted with their health insurance agency. Such doctors, facilities, and hospitals will continue to submit insurance claims for services that they render to our patients.
How is Direct Access Medicine Care Different Than Concierge Medicine?
Direct Access Medicine® Care is very different from Concierge Medicine, another form of Direct Primary Care. All Direct Access Medicine® physicians make their services affordable to the average patient in their communities, and provide flexibility in services and cost to each patient patient according to their changing healthcare needs and potential financial limitations. They also maintain NO contractual relationships with private, state or federal third-party health insurance payers, and are therefore not influenced unduly by such entities to reduce costs of your care and restrict options for your treatment under threat of lower reimbursements. Finally, whereas Concierge Medicine physicians charge annual fees of $1200 to $5000 for each patient (in addition to filling claims to their patients’ insurance companies and collecting deductibles and co-pays from their patients), Direct Access Medicine® physicians charge NO annual fees.How is Direct Access Medicine Care Different Than Standard Medicine?
How is Direct Access Medicine Care Different Than StandardMedicine?
In standard medicine, the insurance industry manages the healthcare patients receive through the contracts these agencies establish with the doctors. Patients are reduced, in effect, to a series of diagnoses and health risks, against which their health insurance company and their doctors must weigh the benefit of continued investment of time and funds to manage their patients’ course of medical care. the patients pay their insurance premiums, co-pays, and deductibles, and their doctors are paid, based in no small part, on their ability to minimize the cost associated with the care of the patients, by the health insurance companies.
Similar to the way direct pay medicine works, patients pay their doctors a monthly fee; however, with Direct Access Medicine® care, the doctor is available 24-hours-a-day, 7-days-a-week, to spend with their patients as much time as necessary to address all their medical concerns, and to serve, without undue influence of the health insurance industry, as advocates for their patients in all matters related to healthcare. In Direct Access Medicine® care, the doctors directly manage the healthcare their patients receive. In other words, with Direct Access Medicine® care, there is no interference from a middle-man. A Direct Access Medicine doctor is neither influenced nor restricted by any third party, public or private, or by any health insurance agency. The physician is free to function most effectively in determining and advocating without bias for all options to arrive at diagnoses and to establish treatment plans. The patient pays the doctor, and the doctor works for the patient. It is a simpler and better relationship that produces simpler and better healthcare.