Insurance Q & A

 
  • Chain of Lakes primary care does accept insurance (our staff can tell you whether they accept your specific insurance plan but if not, a self-pay fee of only $75.00 would apply). Your annual fee pays for preventive care medical services that insurance usually doesn’t cover (e.g., your full executive annual wellness physical including advanced diagnostic testing and screenings). We will continue to bill your insurance and charge copays, co-insurances and deductibles as we currently do for other medical services like sick visits.

  • The MDVIP Wellness Program includes lab tests, screenings and diagnostics that go beyond what is typically included in a basic physical exam. These tests, for example, have been shown to identify 40 percent more people at risk for heart attack or stroke compared to standard cholesterol tests. The detailed results of this additional testing, in combination with one-on-one counseling with your doctor, will be used to develop your customized wellness plan. It’s a more proactive approach to staying well—developing a clearer picture of your health risks and making a plan to minimize them.

  • No. The annual fee for a membership in an MDVIP-affiliated practice pays for services not typically covered by your insurance and is not reimbursable by insurance.

  • Yes. After you have received your annual wellness services, the yearly fee may be reimbursed by flexible spending accounts (FSAs), medical savings accounts (MSAs), health reimbursement accounts (HRAs), and health savings accounts (HSAs). If requested, your physician will provide you with a statement of services to present to your administrator as reimbursement may be sought through the FSA claim submission process. Please note that the fee cannot be paid using an FSA debit or credit card.

  • For patients who itemize medical expenses on their tax returns, the annual fee may be deductible. Check with your tax advisor if you have specific questions.