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FAQs

Memberships

Why is a membership fee charged to me monthly?

With the membership fee, we at Midwest Health Group provide the majority of your primary care. Think of it like a gym membership or Netflix. You prepay for an unlimited service monthly. This monthly payment allows you to budget for your healthcare costs without the worry of unexpected costs, copays, or routine care counting toward a deductible.

Can you tell me why I should pay your extra fees for healthcare?

Our services are an independent, alternative, and superior way to provide you with your primary care. We do not think of them as extra fees. In fact, most of our members save money when combining Midwest Health Group with a high-deductible health insurance plan instead of a standard low-deductible insurance plan with copays. We do not charge copays for our service.

What can I expect from Midwest Health Group in return for my membership fees?

Midwest Health Group provides convenient access to doctors, nurses, nutrition coaches, and wellness programs in our clinic. We can be your primary care doctor and more while providing physicals, tests, urgent care for illness or minor non-emergency injuries, chronic-disease management, and much more—the same care you receive today from your primary care doctor. We strive to provide much better care than you are used to. We are much more than your doctor’s office, but also your health coach. In addition, we provide our members with access to prescription drugs, radiology, and labs at prices well below retail.

Can I pay for a visit instead of subscribing?

No. We do not allow official visits or care without becoming a member. You are more than welcome to check out our clinic and meet the Midwest Health Group staff before joining as a member. We are happy to give you a tour and answer any questions you may have.

Is this a binding contract for a set period? Can I cancel without penalty?

We do not require members to sign any contracts that commit them to a set membership period. Each membership is ongoing on a monthly basis. Monthly payment is required for service, however. A portion of the first month of membership and a registration fee is paid upfront and are non-refundable. If you decide to cancel and have a balance of prepaid membership fees remaining, a pro-rated refund will be given to you based upon date of cancellation.

What if I cancel my membership then change my mind?

We do allow for re-enrollment after cancellation, but members will be charged a re-enrollment fee before service can be reinstated.

Is this concierge medicine?

What we provide is similar to concierge medicine, but it is not the same. We are not an expensive service for the wealthy. What we provide is a concierge level of service to all members while being affordable for people of all incomes, with or without insurance.

Do you except members with chronic health conditions?

Our memberships are not based upon any existing medical issues or conditions. We provide as much care as you need at the same monthly price regardless of how much care you will need.

Do I have to meet income standards to be a member?

Our service is not based on income. Our fees are the same regardless of income, insurance arrangement, level of health, or how often you will need our services.

I rarely have to see the doctor because I am healthy, is this service for me?

First, kudos on your great health. We love that! Our primary focus is to keep our patients health to avoid huge medical issues. We focus on prevention and lifestyle to from the expensive health care system. However, when you do need care, we are available 24/7 to help get you back on track and avoid a visit to the ER.

What if I live out of state or far away? Can I subscribe for online visits only?

Midwest Health Group cannot provide all care by phone or internet. Some illnesses and visits need an in-person visit and you must be able to come in for a visit in order to subscribe for our services.

Fees

What will it cost me to join?

Monthly membership fees:
Individual $60 Per Month (Billed Quarterly) $180 Due At First Service
Child $20 Per Month

What services are included and excluded in my membership?

Primary Care
We will serve as your main source for regular medical care, providing continuity for your health care needs. Our goal is to provide you with a broad spectrum of preventive and curative care over a period of time and to coordinate all the care that the patient receives.

Urgent Care
Midwest Health Group focuses on the delivery of ambulatory care in our modern medical facility available to treat injuries or illnesses requiring immediate care, but not serious enough to require an ER visit.

*On-Site Diagnostics
Our on-site laboratory facility assists with the identification of a condition, disease, disorder and the assumed or probable causes. We believe an effective treatment regimen is not possible without effective diagnosis.

Nutritional Counseling
We strive to make nutrition counseling helpful and an integral part of your daily life. We first learn about your eating habits and listen closely to better understand where you are with regard to your lifestyle and diet and work with you to help achieve your goals.

More detailed list of services

Are there any hidden fees?

We provide most of the care our members need without any fees. If we do charge for non-covered services, we will always list prices upfront. If we recommend outside services, we will try to find a reasonable price with upfront pricing listed if you do not have insurance.

Do you provide lab work and testing?

Our in-house lab provides members with access to basic testing including, Urinalysis Testing and Pregnancy Testing. Other tests completed outside of our lab may have an additional cost.

If any fees are incurred during my visit, when am I expected to make payment?

Full payment must be made at time of service for most services, including medications, labs, procedures, etc. Again, most care is included with your membership fees.

How much will my first visit cost?

We do not charge for any visits. New members must pay a registration fee and a minimum of one month membership fees upfront. The only costs incurred for any visit are those for any non-covered services such as labs, procedures, etc.

How much does a well visit cost?

All wellness visits are paid for by your membership fees, with no additional charge per visit or copay needed.

Visits

What are your regular clinic hours?

Monday – Friday 8:00 a.m.-3:30 p.m. and 5:00 p.m.-7:00 p.m.

Are you available on evenings and weekends?

We are open most Saturday mornings and suggest you contact us to set an appointment.

Do you take walk-ins or do I need to make an appointment?

We always recommend an appointment, but are available for walk-ins on a first come first serve basis.

How long are doctor visits?

We don’t work like typical primary care offices packing in the appointments due to insurance payments. We can allow time for your visit, as long as you need. Most visits will be between 20 and 60 minutes. Your first visit is usually longer.

What if I want to visit often? Can I come in often and still pay no copays?

Absolutely, we expect to give you a level of service you probably have never experienced before. We want you to be healthy, no matter how long it takes or how many visits it takes to get there.

What if I need outside care such as specialists, diagnostic testing, ER visits, surgeries, or hospital stays?

We can order or refer you just like you are used to. For some outside services, we can help find relatively reasonable prices if you do not have insurance. We can provide many urgent care and minor emergency services during regular or after-hours which can help people avoid a trip to the ER. However, we do recommend having health insurance in the case of an unexpected, expensive event such as surgery, ER visit, or hospitalization.

Do you see patients by phone, email, or webcam?

Virtual visits are a supplement to good primary care, not a replacement for in-person care. Usually, if the visit does not require a physical exam, a virtual visit is an agreeable substitute. Many chronic issues can be largely managed by email and virtual visits. However, any issue requiring a physical exam we will always require a traditional clinic visit.

Insurance & Health Plans

Is Midwest Health Group offering a different type of health insurance?

No, what we offer is not insurance. Our program works with insurance. We cover your basic needs while encouraging you to purchase insurance to cover emergency, specialty and hospital services. For individuals with high-deductible plans, our service is rather attractive because our fixed monthly membership fee allows them to budget the costs of primary care outside of their insurance plan.

Is Midwest Health Group a substitute for health insurance?

Midwest Health Group is not insurance, and it is also not a substitute for insurance. It is however, an excellent way to receive high quality primary health care. Our belief is that is needed for unexpected and expensive events.

Can Midwest Health Group bill my insurance plan?

No, Midwest Health Group does not contract with any private or public insurance plans.

Does membership with Midwest Health Group satisfy the insurance requirement in the Affordable Care Act?

Yes and no. This service as stand-alone care does not fulfill the requirement. This Direct Primary Care type of office practice is briefly mentioned in the Affordable Care Act as “participating in insurance exchanges with a wrap-around insurance plan”. Although the details are unclear, we, thinking as health professionals and not lawyers, assume a Bronze level Plan from the exchange or another a high-deductible (catastrophic) plan in tandem with our direct primary care will fulfill the requirement. We do recommend you consult your employer, government counsel, or a legal professional to make sure this is a right choice for you.

What type of insurance would you recommend?

Although we are not financial or health insurance advisors, we would recommend that our members select a high-deductible (catastrophic) type plan to cover any unexpected expensive health care needs. Midwest Health Group can provide day-to-day services and a high-deductible plan can help limit the enormous expenses of a major event if it should occur. We can refer you to a local insurance expert to help find a suitable insurance plan for you.

Do you accept Medicaid/Medicare?

We do not contract with any Medicaid/Medicare plans and cannot bill them for our services. Medicaid/Medicare recipients are welcome to join Midwest Health Group but will likely also be assigned an in-network Primary Care Physician (PCP) whom may be required to access other health plan benefits and services.

If I join Midwest Health Group but have a PPO can I still use it? What about an HMO?

Your insurance plans will continue as expected with your doctors, hospitals and pharmacies that accept your insurance. PPO plans do not require a designated doctor to refer you to specialists or for tests, which means that Midwest Health Group can order those as needed just as another doctor would. HMO plans do require an in-network primary doctor for access to other services and therefore, they do not work well with Midwest Health Group.

May I submit claims to my health insurance plan for reimbursement for your services?

Currently, insurance companies do not recognize our membership fees as a reimbursable expense. For non-covered service fees, we can provide a receipt of payment for you to process with your insurance plan if you desire, it is unlikely to be reimbursed, however.

Can I use my FSA or HSA cards with Midwest Health Group?

You may be able to use Flexible Spending Account (FSA) or Health Savings Account (HSA) to pay for our fees, if structured properly. Please contact us to discuss this and see if it is an option for you.

Medical Services

Is this an alternative medicine practice?

Our physicians and nurses are licensed to practice medicine in the State of Kansas and were trained in traditional medicine. We have simply found a better way to operate our practice. We are an alternative to managed care medicine, but Midwest Health Group is an office with board-certified family physicians (American Board of Family Physicians) and practices traditional medicine.

Can I get women’s care here? Do you do pap smears?

Yes! We gladly examine and treat women for routine physicals and examinations. However, to ensure the highest quality of care for you and an unborn child, we recommend establishing a relationship with a qualified OB-GYN doctor. Therefore, pregnancy related issues are not covered with our membership and instead we provide you with a referral to the specialist of your choice.

Does Midwest Health Group do pediatrics?

Yes! Your entire family is covered with a membership plan.

Do you give vaccines?

Yes! Flu shots are provided annually for members. Childhood immunizations are provided at a substantially reduced cost and if a unique and generally unavailable immunization is needed, we will work with you to find an outside immunization provider at a reduced rate.

Medications

What are Midwest Health Group’s views and policies on vaccines? Are the doctors vaccine-friendly?

Yes! Advanced medical knowledge says vaccines are good for long term health. As always, precautions are taken during the administration of any vaccine.

Can you manage chronic pain? Do you prescribe narcotics?

Yes! We use a variety of medically proven methods to control chronic pain. These range from medications to physical therapy. If it becomes medically necessary, we will prescribe narcotics under close supervision.

What about mental health problems like depression or anxiety?

Yes! We are prepared and experienced to work with patients regarding mental health issues. If it becomes necessary to seek increased psychiatric care we will help our members find a qualified outside medical provider.

Can you treat ADD/ADHD? Do you prescribe amphetamines, Adderall?

Yes! Once a diagnosis and initial prescription has been written by a qualified psychiatrist, we are willing to renew prescriptions and work to manage the patients’ needs under close supervision.