{"id":2499,"date":"2024-03-08T04:12:22","date_gmt":"2024-03-08T04:12:22","guid":{"rendered":"https:\/\/partner.renascentinfotech.com\/familyfirst\/?page_id=2499"},"modified":"2025-02-28T09:35:49","modified_gmt":"2025-02-28T09:35:49","slug":"faqs","status":"publish","type":"page","link":"https:\/\/partner.renascentinfotech.com\/familyfirst\/faqs\/","title":{"rendered":"FAQ"},"content":{"rendered":"

[vc_row disable_element=”yes”][vc_column][vc_separator][vc_toggle title=”Why should i join FamilyFirst?” style=”arrow”]Because you want to take control of your health and want your doctor to be able to spend ample amount of time with you, truly get to know your wants and needs and help facilitate care in a team-based approach without insurance playing a role in your health.
\nIt is your body; your health and you deserve the only best![\/vc_toggle][vc_separator][vc_toggle title=”What is covered in my membership?” style=”arrow”]Direct primary care covers your primary care physician\u2019s professional services including\u2014annual\/school physical, chronic care management, acute concerns, surgical clearance along with preventative health.
\nYour membership covers up to 3 visits per month with direct access to your doctor via patient portal, text or phone call. Need more than that? Come on in for only $50 a visit.
\nIf you have a problem that reaches beyond the scope of usual and customary primary care, your physician will carefully refer you outside the practice. As part of your membership, your doctor will review the results of all of your evaluations and testing, answer any questions you may have and coordinate care with your specialists.[\/vc_toggle][vc_separator][vc_toggle title=”Do you offer house calls?” style=”arrow”]Certainly. This is an add-on service and not covered in the membership (see above). Depending on the complexity of the case, Dr. Gupta will make an executive decision whether this is appropriate for a house call or needs further assistance. If house call is appropriate, each visit will be $100.[\/vc_toggle][vc_separator][vc_toggle title=”What should i expect during my first visit?” style=”arrow”]The objective at FamilyFirst is to provide the highest quality of care through a personalized approach. Your first visit will take approximately 1 hour and it will include a comprehensive review of your medical history, conducting a physical examination, discussing screening and preventative health and answering any specific questions you may have regarding your health.[\/vc_toggle][vc_separator][vc_toggle title=”Does every follow-up visit need to be in person?” style=”arrow”]No, we understand your busy schedule and we acknowledge that in-person follow up visits are not always the most convenient. The initial visit as a new patient must be in the office with Dr. Gupta and any annual physicals but any subsequent follow up appointments can be accommodated via telehealth. You can request an appointment via the website and Dr. Gupta will scan these to make sure they are appropriate for what was requested, if not the office will give you a call to further assist.[\/vc_toggle][vc_separator][vc_toggle title=”What if i join and don’t like it?” style=”arrow”]We will try our best to keep you happy but if for some reason you are not satisfied, you can cancel your membership at any time. Please give us a 30-day notice so we can ensure that you have appropriate follow up\/medications before leaving.[\/vc_toggle][vc_separator][vc_toggle title=”Is this just a money-making business?” style=”arrow”]No. It\u2019s the only viable way to maximize our time with you. We can\u2019t practice medicine the way we\u2019d like in 15-minute intervals mandated by insurance companies.[\/vc_toggle][vc_separator][vc_toggle title=”Do i still need insurance?” style=”arrow”]Yes. The biggest reason to keep health insurance is for the lab tests, medications, radiology studies, specialty evaluations, surgeries, and hospitalizations you might need\u2014services not covered by direct primary care.
\nMost HMO-style insurance plans require you to see an in-network primary care doctor to see a specialist so please talk to the insurance company for further information regarding this. In situations like this, you will still need to maintain a relationship with one in case you need referral to a specialist. These situations can be handled case-by case and fee can vary as well.[\/vc_toggle][vc_separator][vc_toggle title=”Is Dr. Gupta a “in-network provider?“” style=”arrow”]No. Direct Primary Care payments are not covered by \u201cin network\u201d agreements with insurers. Therefore, Dr. Gupta will not participate with any insurance company.[\/vc_toggle][vc_separator][vc_toggle title=”Is FamilyFirst feasible if i have medicare?” style=”arrow”]Yes. You will need to sign an agreement stating that you understand that Dr. Gupta has opted out of Medicare and that you will not submit the chargers to Medicare for reimbursement. Having Medicare insurance should still cover lab tests, radiology studies, consultations, and hospitalizations for those patients with Medicare.[\/vc_toggle][vc_separator][vc_toggle title=”Can i submit the cost of my membership to my insurance?” style=”arrow”]Insurance companies do not recognize Direct Primary Care costs as an \u201callowable charge.\u201d They will not reimburse any portion of the membership fee. All payments to FamilyFirst cannot be claimed against insurance, and that includes Medicare.[\/vc_toggle][vc_separator][vc_toggle title=”What if i have a high deductible plan?” style=”arrow”]FamilyFirst is a great choice for patients with a high deductible plan. Some Direct Primary Care patients will change their insurance plan so that the net cost of their insurance + direct primary care is the same as before they joined a Direct Primary Care practice. Lower monthly premiums plus the cost for FamilyFirst Primary Care on average saves patients annually.[\/vc_toggle][vc_separator][vc_toggle title=”Can i apply my monthly payment to my deductible? what about a health savings account or flexible spending account?” style=”arrow”]Sadly, no. We wish it were different, but Direct Primary Care costs cannot be applied to deductibles, Health Saving Accounts or Flexible Spending Accounts.[\/vc_toggle][vc_separator][vc_toggle title=”What about lab tests?” style=”arrow”]Our practice has a contract with Quest labs. If your insurance participates with Quest, we will draw your labs here and ask Quest to bill your insurance. If your insurance participates with LabCorp, then your doctor will give you a prescription to take to a participating lab. They are usually covered by your insurance, but with hundreds of different insurance products out there with thousands of rules, please remember to check with your insurance company. Finally, prime-plc will offer lab tests at cost. Payment is due at the time of service.[\/vc_toggle][vc_separator][vc_toggle title=”Pricing Comparison for Labs” style=”arrow”]We are happy to order your labs so that your insurance company is charged. But, if you have a high deductible plan, that can mean a lot of money from your wallet. At prime-plc, you can also pay for your labs directly \u2013 at a fraction of the cost. Take a look at the prime-plc difference:\"\"<\/p>\n

[\/vc_toggle][vc_separator][vc_toggle title=”What happens if i need emergency care or hospitalization?” style=”arrow”]In the case of a life-threatening emergency, please call 911 without delay. In the event of hospitalization, you will be admitted by a hospitalist, not Dr. Gupta. We will certainly remain actively involved, talking to the doctors, reading your studies and helping to explain your care and tailor it to you.[\/vc_toggle][vc_separator][vc_toggle title=”What about vaccinations?” style=”arrow”]Vaccinations are not included in membership. Patients can choose to pay cash for a vaccination at the time of service or receive a prescription to take to their pharmacy where the pharmacy would bill their insurance.[\/vc_toggle][vc_separator][vc_toggle title=”Have more questions?” style=”arrow”]No problem! This type of model is new and Dr. Gupta understands that it can be confusing to understand at first. You can set up a free 15-minute virtual meet and greet with her via the scheduling link on the website. She will answer any further questions you may have.[\/vc_toggle][\/vc_column][\/vc_row][vc_row disable_element=”yes” el_id=”desktop”][vc_column][vc_separator][vc_toggle title=”What should i expect during my first visit?” style=”arrow”]The objective at FamilyFirst is to provide the highest quality of care through a personalized approach. Your first visit will take approximately 1 hour and it will include a comprehensive review of your medical history, conducting a physical examination, discussing screening and preventative health and answering any specific questions you may have regarding your health.[\/vc_toggle][vc_separator][vc_toggle title=”Does every follow-up visit need to be in person?” style=”arrow”]No, we understand your busy schedule and we acknowledge that in-person follow up visits are not always the most convenient. The initial visit as a new patient must be in the office with Dr. Gupta and any annual physicals but any subsequent follow up appointments can be accommodated via telehealth. You’re welcome to schedule an appointment through our website! Dr. Gupta personally reviews all requests to ensure they align with your needs, if not the office will give you a call to further assist.[\/vc_toggle][vc_separator][vc_toggle title=”What if i join and don’t like it?” style=”arrow”]We will try our best to keep you happy but if for some reason you are not satisfied, you can cancel your membership at any time. Please give us a 30-day notice so we can ensure that you have appropriate follow up\/medications before leaving.[\/vc_toggle][vc_separator][vc_toggle title=”Do i still need insurance?” style=”arrow”]Yes. The biggest reason to keep health insurance is for the lab tests, medications, radiology studies, specialty evaluations, surgeries, and hospitalizations you might need\u2014services not covered by direct primary care.<\/p>\n

Most HMO-style insurance plans require you to see an in-network primary care doctor to see a specialist so please talk to the insurance company for further information regarding this. In situations like this, you will still need to maintain a relationship with one in case you need referral to a specialist. These situations can be handled case-by case and fee can vary as well.[\/vc_toggle][vc_separator][vc_toggle title=”What if i have a high deductible plan?” style=”arrow”]FamilyFirst is a great choice for patients with a high deductible plan. Some Direct Primary Care patients will change their insurance plan so that the net cost of their insurance + direct primary care is the same as before they joined a Direct Primary Care practice. Lower monthly premiums plus the cost for FamilyFirst Primary Care on average saves patients annually.[\/vc_toggle][vc_separator][vc_toggle title=”Can i apply my monthly payment to my deductible? what about a health savings account or flexible spending account?” style=”arrow”]Sadly, no. We wish it were different, but Direct Primary Care costs cannot be applied to deductibles, Health Saving Accounts or Flexible Spending Accounts.[\/vc_toggle][vc_separator][vc_toggle title=”What about lab tests?” style=”arrow”]Our practice has a contract with LabCorp. FamilyFirst will pay for your annual labs at no cost to you (discussed more in membership benefits). At this time, Dr. Gupta will order labs and print the script out for you to take to a participating lab and then will be billed to your insurance. They are usually covered by your insurance, but with hundreds of different insurance products out there with thousands of rules, please remember to check with your insurance company. Finally, FamilyFirst will offer lab tests at cost. Payment is due at the time of service.[\/vc_toggle][vc_separator][vc_toggle title=”Pricing Comparison for Labs” style=”arrow”]We are happy to order your labs so that your insurance company is charged. But, if you have a high deductible plan, that can mean a lot of money from your wallet. At FamilyFirst, you can also pay for your labs directly \u2013 at a fraction of the cost. Take a look at the FamilyFirst difference:
\n\"\"[\/vc_toggle][vc_separator][vc_toggle title=”What happens if i need emergency care or hospitalization?” style=”arrow”]In the case of a life-threatening emergency, please call 911 without delay. In the event of hospitalization, you will be admitted by a hospitalist, not Dr. Gupta. We will certainly remain actively involved, talking to the doctors, reading your studies and helping to explain your care and tailor it to you.[\/vc_toggle][vc_separator][\/vc_column][\/vc_row][vc_row el_id=”desktop”][vc_column][vc_separator][vc_toggle title=”What should i expect during my first visit?” style=”arrow”]At FamilyFirst,<\/span><\/strong> our mission is to deliver unparalleled healthcare by tailoring our services to meet your unique needs. Your initial appointment is scheduled for approximately one hour, during which we will conduct a thorough review of your medical history, perform a physical examination, discuss preventive health screenings, and address any specific health concerns you may have.[\/vc_toggle][vc_separator][vc_toggle title=”Does every follow-up visit need to be in person?” style=”arrow”]We recognize the demands of your busy schedule and understand that in-person follow-up visits may not always be feasible. As such, while your first appointment as a new patient and any annual physical exams with Dr. Gupta must take place in our office, we offer the convenience of telehealth<\/strong><\/span> for subsequent follow-up appointments. You can easily schedule your appointment via our website. Dr. Gupta personally oversees all appointment requests to ensure they meet your health needs. Should there be any discrepancies, our office will reach out to you directly to provide further assistance.[\/vc_toggle][vc_separator][vc_toggle title=”What If I am a patient and don’t like it?” style=”arrow”]We are committed to your satisfaction, but should you decide to transfer your health to another doctor’s office for any reason, you are free to do so at any time. We kindly request a 30- day notice to ensure that we can arrange for any necessary follow- up care or medication management prior to your departure.[\/vc_toggle][vc_separator][vc_toggle title=”Do i still need insurance?” style=”arrow”]The primary reason to maintain health insurance is to cover essential medical services that direct primary care does not cover, such as lab tests, medications, radiology studies, speciality consultations, surgeries and hospital stays.<\/p>\n

 <\/p>\n

Most HMO-style insurance plans mandate consultations with an in-network primary care physician before seeing a specialist. We recommend contacting your insurance provider for detailed information regarding their policies. In instances where a referral to a specialist is necessary, its important to have an ongoing relationship with a primary care doctor. These situations are addressed on an individual basis and fees may vary accordingly.[\/vc_toggle][vc_separator][vc_toggle title=”What if i have a high deductible plan?” style=”arrow”]FamilyFirst<\/span><\/strong> is an excellent option for individuals with high deductible insurance plans. Many Direct Primary Care patients adjust their insurance coverage to balance the total cost of their insurance and Direct Primary Care membership, maintaining their overall healthcare expenditure as it was prior to joining a Direct Primary Care Practice. Opting for lower monthly insurance premiums combined with the cost of membership at FamilyFirst Primary Care<\/span><\/strong> typically results in annual savings for our patients.[\/vc_toggle][vc_separator][vc_toggle title=”Can I use a Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for Hybrid or Direct Care Model?” style=”arrow”]Yes! In general, you may use your HSA funds to cover your monthly medical services but we do recommend double checking with your account manager first. Unfortunately, FSA funds cannot be used for your monthly medical services at this time.[\/vc_toggle][vc_separator][vc_toggle title=”What about lab tests?” style=”arrow”]Dr. Gupta will order necessary labs and provide you with a printed lab order script to take to any Labcorp, Quest or Sunrise locations where the service will be billed to your insurance. While these lab tests are typically covered by insurance, we advise you to verify coverage with your insurance provider due to the vast array of insurance companies and their respective rules. Additionally, FamilyFirst<\/span><\/strong> offers lab tests at a discounted cost and a great option for those with a high deductible plan. Take a look at the FamilyFirst<\/span><\/strong> difference:<\/p>\n

\"\"[\/vc_toggle][vc_separator][vc_toggle title=”How Does FamilyFirst Bill Your Insurance Company?” style=”arrow”]FamilyFirst<\/span><\/strong>\u00a0accepts Cigna, Aetna and Anthem insurance at this time. Please note that coverage can vary based on individual plans. To ensure Dr. Gupta is in-network, we recommend contacting your insurance provider directly.<\/p>\n

If you are part of the hybrid or traditional model, Dr. Gupta will bill your medical visit directly to your insurance company if you are in-network.<\/p>\n

If you are part of the Direct Care Model, Dr. Gupta is considered out-of-network and the visit will be billed directly to you.[\/vc_toggle][vc_separator][vc_toggle title=”What happens if i need emergency care or hospitalization?” style=”arrow”]If you experience a life-threatening emergency, immediately dial 911. Should hospitalization become necessary, you will be admitted under the care of a hospitalist, not Dr. Gupta. Nonetheless, our team will stay actively engaged by communicating with the attending doctors, reviewing your medical studies, and providing explanations and personalized guidance for your care.[\/vc_toggle][vc_separator][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row disable_element=”yes”][vc_column][vc_separator][vc_toggle title=”Why should i join FamilyFirst?” style=”arrow”]Because you want to take control of your health and want your doctor to be able to spend ample amount of time with you, truly get to know your wants and needs and help facilitate care in a team-based approach without insurance playing a role in your health.…<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2499","page","type-page","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/partner.renascentinfotech.com\/familyfirst\/wp-json\/wp\/v2\/pages\/2499","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/partner.renascentinfotech.com\/familyfirst\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/partner.renascentinfotech.com\/familyfirst\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/partner.renascentinfotech.com\/familyfirst\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/partner.renascentinfotech.com\/familyfirst\/wp-json\/wp\/v2\/comments?post=2499"}],"version-history":[{"count":61,"href":"https:\/\/partner.renascentinfotech.com\/familyfirst\/wp-json\/wp\/v2\/pages\/2499\/revisions"}],"predecessor-version":[{"id":9787,"href":"https:\/\/partner.renascentinfotech.com\/familyfirst\/wp-json\/wp\/v2\/pages\/2499\/revisions\/9787"}],"wp:attachment":[{"href":"https:\/\/partner.renascentinfotech.com\/familyfirst\/wp-json\/wp\/v2\/media?parent=2499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}