What is included with the practice membership?
Click here for details.

Do I need to have insurance with the member care?
Because of the less common but quite costly other medical services not included in the plan, it is recommended that you continue to maintain insurance coverage (some may choose high deductible/lower cost plans since much of the basic primary care coverage may not be needed).

How does the Fee for Service Care work?
The Fee for Service Care is payment for services used (office visits, phone calls, portal communication, testing, etc.).  Please keep in mind, fee for service care is offered as available and is more “consulting” in nature.  Limited appointment times are reserved for fee for service.  Urgent visits may or may not be available depending on the needs of member care patients on any given day.  Overall, if member care fills up, then Fee for Service care may be limited or unavailable in the future.  Fee for Service patients must maintain another primary care provider to meet ongoing and acute medical needs in case these are not available here. (click here for more details)

Will you still provide superbills for visits which patients can use to submit to their own insurance?
Yes, for Fee for Service visits.  The member care, with monthly payments, usually does not qualify for insurance reimbursement under current rules.  You are responsible to know what your insurance plan allows.

How about HSA cards?
HSA cards are accepted at the medical office.  You are responsible to check with your plan and/or tax advisor to know what fees are allowable with your HSA plan.

If I utilize Fee for Service, can I later change to member care?
Yes—but only if space is still available.

Can some family members participate in the member care and some fee for service?
Yes, with the caveats as noted above regarding availably of fee for service appointments.

What if I want to stop using the member care plan?
You can cancel your member plan anytime, effective the beginning of the following month.  If you do cancel and then wish to become a member again, it will be subject to availability, and you will need to pay the registration fee at that time.  When starting a member plan, there is a 3 month initial commitment before cancellation can occur.

If I am part of member care, can I still have my labs, xrays, prescriptions, etc. run through my insurance?
In most cases, yes.  Most insurance plans allow out of network providers to order tests and referrals.  A small number of plans are more restrictive and require all orders to be written by an in-network provider.  It is your responsibility to inquire with your individual plan to understand what is allowed.  If not allowed and you still want to participate in the member plan you should be sure to have another in-network primary care provider in case needed.

How would orders/prescriptions/etc. work for Title 19/Badger Care patients?
Straight Title 19 allows physicians to sign up as prescriber/ordering physicians only.  For those patients, we should be able to order tests, medications, and make referrals.  For managed health Title 19 plans, these services may not always be available depending on plan policies.  It is your responsibility to inquire with your individual plan to understand what is allowed.  If not allowed and you still want to participate in the member plan you should be sure to have another in-network primary care provider in case needed.