What To Expect

Concierge Membership

Camel City Women’s Wellness was designed to make healthcare feel like self care, and to serve the needs of the busy woman.  With a niche in mental health, sexual health, and menopause, CCWW also offers comprehensive care to women across the lifespan.

Consultation

We understand that not all patients who need a subspecialty PA need a full membership.  For patients who expect to be seen 2-3 times per year and need minimal communication between visits, consultation model of care may make the best sense.  

Insurance

I do not bill insurance directly, which means I am Out Of Network.  

What exactly is direct primary care (DPC)? 

It is a modern healthcare model in which insurance is removed from the patient-provider relationship, and allows for patients to have direct access to their health care provider. Typically, the patient panel size is limited so that the provider has more time and energy to take care of the people on their panel. In an insurance based model, panel sizes can be as large as 1500-5000 patients.  In DPC, panel sizes are typically 200-600.  Patients typically have direct access to their provider between visits, and eliminates the need for you to come in to be seen for minor health concerns or questions.

What is membership based practice? 

Patients pay a monthly or annual fee to their provider, to keep them on retainer, and so they have unlimited office or virtual visits, and 24/7 access to their health care provider.

What is included in the membership?

Annual physical exam, wellness consultations, chronic disease management, acute care, and sex counseling.  Access to your provider between visits, and after hours as the provider deems necessary.  Visits on the weekends/after hours can be arranged for a mutually agreed upon time. Text/email support with your provider.  All/any paperwork that is required for medication authorization, employment, jury duty, or other miscellaneous paperwork as it comes up. 

But what if I am healthy, and don’t anticipate I need to see you often?

There is no long term commitment.  You can cancel when/if you feel your healthcare needs are met.

Is this like insurance?

No membership based medicine is not like insurance.  I highly recommend you have an insurance plan for specialty visits, emergency, and surgical procedures.  However, I cannot advise on which insurance plan or carrier might be right for you.

Can I use my insurance for labs, medications, and imaging?

Sure! The way your insurance contracts with imaging centers, pharmacies, and labs is between your insurance and these entities.  Sometimes labs are less expensive if you do not go through your insurance, but I will leave that up to the patient as it is impossible for me to know what your benefits are.

I have direct cash lab pricing through Quest, which is my preferred lab. I also have an account with LabCorp, but do not offer cash pricing for LabCorp.

I can order imaging wherever your insurance prefers.  If you do not have insurance or prefer not to use it, I have cash pricing for an outpatient imaging center.

Based on clinical scenario I also offer functional medicine testing including urine neurotransmitter testing (ZRT), saliva hormone testing (ZRT), food sensitivity testing (BioTek), and pharmacogenic testing for psychotropic medications (Genesight).  These labs may or may not be covered by insurance. 

Can I get a superbill?

Insurance does not cover membership fees, and there is no ICD10 or CPT code attached to membership billing.  Both of these codes are required for insurance reimbursement.  For this reason, there is not a way to produce a superbill for membership fees.  It is up to you to look to see if your HSA/FSA will cover the membership fees.  I can still produce a superbill for those who choose to be non-members and their visits fall under fee-for-service.

Do you offer visit to patients who don’t want to sign up for a membership?

I do. I believe everyone should have access to menopause and sexual medicine care, and they may not want to sign up for recurring membership.  Once my membered panel is full, fee-for-service patients will be wait listed.