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The 121MD retainer model allows physicians to
minimize their practices. By design, 121MD physicians treat hundreds, as opposed to thousands, of patients, enabling them to deliver timely, highly personal and comprehensive services. 121MD charges
a reasonable monthly fee per patient for prompt access to their personal
physician. Facilitated payment of the retainer fee entitles patients
to office-based services and telephone conferences if needed.
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Our mission is to provide unimpeded access
to preventive services and early treatment of acute illnesses in
order to maintain patients’ health and improve their quality
of life.
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Refer to SERVICES.
Also, refer to the Medical Services Agreement (MSA), which is available
in our office.
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Yes. It makes sense that your physician (who
examines and sees you regularly) should be the point person in managing
your care. Careful monitoring and management of patients’
health on a one-to-one basis improves their well-being. Personal
management of chronic diseases such as asthma, congestive heart
failure, depression, diabetes, high cholesterol, hypertension and
others, combined with patient education, results in improved outcomes.
The 121MD model takes financial incentives out of the disease management
equation and focuses care where it should be – on the patient.
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Yes. Patients must be insured by a PPO, Medicare
or a major medical plan. This allows for coverage of services provided
outside of our offices. We do not bill any insurance companies or
Medicare, nor do we accept patients enrolled in managed care plans
such as health maintenance organizations.
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No. Your fee secures your access to a 121MD
physician’s care during regular office hours without incurring
a co-pay. However, certain supplies (crutches, splints, etc), as
noted in the MSA, will be charged to you.
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No. We do not bill Medicare.
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Because insurance plans vary, 121MD cannot advise you regarding
reimbursements. Check with your insurance plan administrator or
Human Resources representative at work for clarification and exploration
of our vision to provide primary services for a monthly fee using
pre-tax dollars.
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There is no charge for in-office lab work (strep screens, urinalysis,
urine pregnancy tests, etc.). Out-of-office charges, services provided
by specialists and hospitalization expenses should be billed directly
to your insurance company or Medicare. For specifics, please discuss
with your insurance
company or Medicare representative. Also, refer to SERVICES and to the MSA.
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If you have a life-threatening
emergency, call 911. A 121MD physician is available 24 hours a day
for consultation with emergency room personnel and for coordination
of your care. Specialty referrals will be discussed with the emergency
room physician if warranted. If you are hospitalized for an acute
illness, a hospitalist physician will oversee your treatment until
you are discharged to your regular 121MD physician for follow-up
care.
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You and your 121MD physician will make joint
decisions about referrals to specialists for evaluation and treatment
of conditions felt to be beyond his/her scope of practice.
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Yes. Many women prefer seeing their gynecologist
for well-women care. 121MD affiliated physicians are well trained
and experienced in routine, outpatient gynecological care. Of course,
we will support and facilitate your choice. If you seek treatment
outside of 121MD, you will be responsible for those charges.
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Oftentimes, we can start a patient’s
treatment with samples. If you take several monthly prescriptions,
you should consider separate insurance for pharmacy coverage or
a prescription discount program.
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Yes. Paying your fee allows access to your
physician whether you are sick or well. Preventive care is a primary
focus of our practice: 121MD strongly encourages wellness consultations,
regular office visits and yearly physicals. Please see the MSA for
details.
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Every effort will be made to accommodate you and your family. Children (age 6 and over), spouses and partners can be added as long as there is space available in the physicians' practice.
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If you must transfer your care, your 121MD
physician will assist you in finding a new doctor. Your medical
records will be promptly sent upon receipt of your Medical Release
Form. The balance of your fee will be prorated and refunded if you
are not able to transfer to another 121MD physician. See the MSA
for details.
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By design, 121MD physicians will
limit enrollment to accommodate a small, personalized practice.
When a practice fills, every effort will be made to accommodate
inquiring patients by:
a. introducing them to an affiliated 121MD physician in the area
or
b. placing them on a waiting list in the event space becomes available.
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DISCLAIMER
The content on this website is for informational purposes. The precise
nature and scope of services to be provided are set forth in the
Medical Services Agreement (MSA), which is available in 121MD offices.
In the event of any conflict between the preceding and the MSA,
the MSA will prevail. One To One MD, P.A. is not an insurance company
or product.
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