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Frequently Asked Questions (FAQ)

Insurance

What if I don’t have health insurance?

Insurance is not required to access our services. You will pay the monthly membership price. We will help you make the most affordable decisions for your medical needs.

 

 

What if I have private health insurance?

 

You will pay the monthly membership price for Grove Family Health in addition to your monthly health insurance premium. You can submit your testing and treatments to allow you to be billed through your insurance. You will find that our cash prices are very affordable and many of the treatments are covered with your membership.

Why should I pay cash when I have insurance?

Most often, our discounted cash pricing on labs, and procedures, is less than what you would pay through your health insurance. At times these savings can be 85-90% lower pricing for the same product or test. If you have a high deductible plan that you often never meet or barely meet, we likely will save you out of pocket expenses. Still not sure? We provided a free consultation to help you understand the model and if it is right for you.

What if I have Medicare or Medicaid?

 

We strive to make our services accessible to everyone in the community. Unfortunately, at this time, we are unable to accept Medicaid and Medicare eligible patients. However, we are working diligently to resolve this temporary situation and look forward to serving all members of our community in the near future. Thank you for your understanding and patience.

 

 

What does membership not cover?

 

Becoming a member of Grove Family Health does not cover catastrophic health events that require emergency care and hospitalization. It also does not cover surgery, specialist care, the cost of testing done outside our office, or treatments. However, patients of Grove Family Health will have access to negotiated rates for lab tests, imaging tests, and common medications. We recommend that everyone has at least catastrophic health coverage.

Is Direct Primary Care the same as Concierge Medicine?

Concierge medicine is traditionally defined as a relationship between a patient and primary care provider in which the patient pays an annual fee or retainer. This fee can range anywhere from $2,000 to $30,000 a year. Many concierge providers also bill insurance or Medicare for actual medical visits.

DPC is an insurance-free model which offers significant savings in addition to concierge-level care.

 

 

Membership Coverage

 

 

Can you see my whole family?

 

We are excited to care for your entire family. We do not provide pregnancy care. However, if you are sick during pregnancy, we can still see you for general illness. We will help you diagnose your pregnancy and then help you navigate your pregnancy management options.

 

 

Do I have to come in person for a visit?

 

A lot of your care can be provided by telemedicine (phone, video, email/texting). On certain occasions, home visits can be provided.  We will also like to see you a minimum of once a year for a physical.

 

 

What if I need to stop my membership?

 

Please notify us when you would like to end your membership. We require a 30-day notice to help you transition to your next primary care provider.

 

 

What if I don’t have a membership?

 

We do have urgent care prices; however, you will find that our membership price is more beneficial and affordable.  

 

 

What do I do for specialist referrals?

 

Please let us know if you want to see a specialist for your concerns. We can refer you to any specialist, and we will follow up to ensure we stay in close communication with the specialists caring for you.

Still, have questions? Please contact us. We will be happy to answer your questions. 

Do you have more Questions?

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