There are many forms of healthcare systems with different billing or payment arrangements between the patient and the health care provider. The most common systems are Direct Primary Care and Traditional Medical Practice.
Direct Primary Care
Direct Primary Care (DPC), which was developed in the 1990s by a group of physicians and has doctors charging patients a monthly flat-rate ranging from $50 to $200 for all-inclusive access to a primary care physician. According to Wharton, some 20,000 physicians or roughly 4.5 percent of primary care doctors in the U.S. adopt a DPC system in their practice. Under this system, there is often no insurance co-pays, co-insurance fees and other deductibles charged to the patients for ancillary services, such as laboratory tests.
Like many DPC practitioners, direct primary care doctors in Raleigh also believe that patients can save their money while doctors focus more on their primary care and the quality of their service.
Since DPCs don’t take insurance and are not regulated by insurance companies in several states in the U.S., the doctors are also not tied to insurance reimbursement restrictions. They also do away with the complex relationships and tons of paperwork among insurers, as well as dispense more overhead costs of running a clinic.
Direct primary care in Raleigh is like having privileged membership at the doctor’s office, where patients can take advantage of a more personalized experience with every check-up or visit. Access to the physician is expanded through voice chats, FaceTime sessions or phone appointments, and home visits aside from clinic visits. These services usually last between 30 minutes to an hour, depending on the patient’s concern. In some cases, DPCs also offer discounted medications to patients.
Traditional Medical Practice
Traditional Medical Practice, also known as alternative medical practice or complementary medicine, relies on ancient theories and cultural beliefs in the diagnosis, treatment and prevention of illnesses as opposed to scientific medicine, per the World Health Organization.
Many countries around the world still incorporate traditional medicine for their primary health care needs, especially in Africa, Asia and Latin America. In the United States, complementary medical practice is a $17-billion industry.
A mandate in the Affordable Care Act in the U.S. states that insurers must not discriminate against licensed practitioners of traditional medicine, such as acupuncturists, massage therapists, naturopaths and other complementary and alternative medical experts. However, the law doesn’t specifically mandate an insurance coverage requirement.
Thus, patients who usually go for traditional medicine pay out of pocket or have limited coverage on their insurance since insurers have various conditions about covering Traditional Medical Practice. For instance, a medical procedure might be insured if it is supported by published, peer-reviewed medical literature for its effectiveness and safety.
Thus, it’s common for patients to avail of insurance coverage and reimbursement for chiropractic care or acupuncture. However, rarely does the coverage extend to aromatherapy and other types of traditional medical procedures.
As a result, practitioners under this system may be willing to negotiate with a payment plan with their patients or offer discounts since they will have to pay out of pocket. But the costs for alternative medical procedures vary based on the nature of the patient’s condition, the type of treatment and the frequency of the patient’s visits.
Learn more about the benefits of direct primary care in Raleigh
For more information on the benefits of direct primary care as well as insurance and reimbursements, drop by Schneider Medical Group’s Clinic today. We have the friendliest staff and private pay doctors in Raleigh who are more than willing to assist you.
Dr. Schneider’s office provides extended scheduling hours for office visits and a direct 24 hour line of communication every day. Book your appointment online or call us at 919-301-8971.
The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.