2. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
3. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
4. INTRODUCTION
Welcome to Doctors Care!
1. Why are you here?
2. My goal today…
3. You need to…
4. Today’s session will…
5. Our next step after today’s session…
5. WHO WE ARE
Background:
Doctors Care was started by the Arapahoe Medical
Society in 1988.
This program is supported by hospitals and physicians
volunteering their time and services for medically
underserved patients.
Our goal is to allow everyone on the program to
have access to complete health care.
However, because we rely on community physicians
volunteering their time, sometimes we do have a wait list
for primary care and specialties. We do our best to move
patients off the wait list as quickly as possible.
6. WHAT WE’RE NOT
We are not insurance
Physicians & hospitals do not receive any payment from us
You do not pay a monthly or yearly amount in order to use our
services.
We are not a long term program.
Each patient over 18 has a maximum of two years of coverage
in his or her lifetime.
7. ARE YOU ELIGIBLE?
1. Do you have any kind of health insurance?
We do not provide care for those who already have health
coverage, even if it is minimal or unaffordable coverage
That includes CICP, Medicaid, Medicare, MCPN, etc.
2. Do you live in our service area?
We only serve patients living in Douglas, Elbert, or Arapahoe
counties excluding the city of Aurora.
3. Do you have a medical concern?
We do not provide any physicals and preventative care for
adults, b ut there are other programs that do.
Asking your PCP for physicals and preventative care can result in
termination from the program.
This program is not intended for backdating purposes only.
Therefore to qualify for this program you must have a need for
ongoing medical care.
8. BACKDATING
Once you come on the program we do provide a 90
day backdating service.
Any bills from our partner hospitals can be
backdated up to three months.
This service will not count against your two years on the program.
Just remember to bring any bills you have as well as
any receipts for payments to your next appointment.
NOTE: If you haven’t received the bills yet, please don’t wait to make
an appointment for your individual financial review. Sometimes those
bills can take a while to come through, and you might pass your 90
day limit before they arrive. They are not required for eligibility.
9. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
10. PAPERWORK IN PACKET
Patient Guidelines
Contract for Participation
HIPAA Release of Information
Authorization for use and disclosure of PHI
How are you Feeling?
Medical History
PCP Acknowledgment for Mental Health
Additional Packet info
Request for resources
Thank you!
CT/MRI
Staff business cards
GIS Survey
11. REQUIRED PAPERWORK
Don’t worry- you will have time after the
presentation to fill these out and ask questions!
Nothing is required today.
If you have your paper work with you today, please just
place it in the purple folder we have given you and bring it
back with you when you come in for your Individual
Financial Intake appointment.
If you have any questions about the financial
paperwork you brought in today, feel free to ask
questions after the presentation.
12. PATIENT GUIDELINES
This is a detailed outline of all
rules that must be followed
during your time on Doctors
Care.
Keep these guidelines and refer
to them when you have
questions.
Read through at home and ask
questions at your next meeting
13. CONTRACT FOR PARTICIPATION
Each adult applying for the program will need
to fill out a Contract for Participation.
Please initial each line and sign & date the
form.
You will be held accountable to this form!
Please be sure that you understand everything
BEFORE signing.
We will copy this form so that you may also
keep a copy for your records.
14. HIPAA RELEASE OF INFORMATION
Each family member must have a HIPAA form
on file to be covered.
Parent or guardian must fill out for each child
under the age of 18.
We also require that you not line through the
options for sharing drug, alcohol, and
psychological information to be part of the
Doctors Care program.
If you have concerns regarding this, please wait and
speak with me individually after the session. You can
decide whether or not to sign at that time.
15. Authorization for use and disclosure of PHI
If you would like Doctors Care the option of leaving
messages on any voicemail, please indicate
so, otherwise we will leave a generic message that
we have called.
If you would like other individuals to have access to
your health information, please indicate so on the
form, without your consent, Doctors Care will not be
able to release any information to anyone other than
yourself.
16. HOW ARE YOU FEELING TODAY?
This is not just a polite question- it’s another form we
need you to fill out.
Please answer honestly: these results are kept
confidential.
Each adult applying for coverage needs to fill out this
form at intake and for every renewal.
You may skip the final two questions on the back at this
time unless you have been part of Doctors Care
previously.
17. MEDICAL HISTORY
Your application includes a brief
medical history form. Must be
completely filled out.
Please take one of these for each
adult applying for coverage.
18. ADDITIONAL PACKET INFORMATION
Request for Resources
If you are interested in any of the resources listed on
this page, please fill out and turn in today or return at
your financial screening.
A Doctors Care volunteer will contact you regarding
community resources available in your areas of need.
“Thank You!”
“CT/MRI Scans”
Staff business cards
GIS survey
19. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
20. COST OF SERVICES
You are responsible for the percentage payment
listed on your card.
This is determined by a sliding fee scale based on your individual
financial situation.
Example: An MRI costs $1000 and your percentage payment is
20%. You pay $200, and the doctor’s office donates $800 to cover
the remaining cost.
You must pay your entire percentage payment at the
time of service.
If you know you will be unable to pay the full amount at the time of
service, you must make a payment plan with the provider before
your appointment.
21. PERCENTAGE PAYMENT PLANS
You will be assigned to one of the following plans:
Plan Percent Physician Lab/ Outpatient Inpatient Pharmacy
Payment Radiology Hospital Hospital
%
A 5% 5% 5% 5% 5% $10
B 10% 10% 10% 5% 5% $10
C 20% 20% 20% 10% 5% $10
D 30% 30% 10% 10% 10% $15
E 50% 50% 20% 20% 10% $15
F 75% 75% 20% 20% 10% $15
This will be described in greater detail at your next
meeting, and you’ll be given a comprehensive benefit
plan for your individual situation.
23. PAY YOUR PERCENTAGE PAYMENTS
If you fail to provide your Percentage payment at the
time of service you will not be able to keep your
appointment and it will be recorded as a no-show.
Repeated failures to provide your payment at the time of service will
result in termination from the program.
If you fail to pay on your arranged payment plan on
time, you may be terminated from the program
and/or sent to a collections agency.
Any bill which is turned over to a collection agency will have the
discount reversed (you will be sent to collections for 100% of the
cost) and you will be immediately terminated from the program.
24. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
25. YOUR PRIMARY CARE PHYSICIAN
Every person on the Doctors Care program must
be assigned to a Primary Care Provider(PCP).
Patients 30 years or younger will be assigned to the
Doctors Care Clinic.
Patients over 30 years will be assigned to a participating
provider in the community.
If you are established with a provider not in our
network, you may choose to be assigned to an
“Out of Network” physician, but you will be
responsible for all charges with that provider.
The PCP’s office will serve as your Medical
Home.
They will house your medical records.
You will use this physician for medical
care and specialist referrals.
26. FIRST APPOINTMENT
You must set up an initial appointment with your PCP
during your first month of eligibility.
Failing to do so indicates that you aren’t in need of medical
coverage and will result in termination from the program.
Let them know you are on the Doctors Care program
when you call to make your appointment.
Be prepared to bring your card and your percentage
payment for every appointment.
Start gathering your medical history paperwork
now to speed up the process with your new PCP.
27. LIMITATIONS WITH PROVIDERS
Your doctor (PCP or otherwise) is not required to
fill out any paperwork or forms unrelated to
Doctors Care. In addition physicals are not
covered by Doctors Care and can be obtained
through other resources in the community.
That includes any forms for Social Security, Disability, or Worker’s
Compensation.
These may contain phrases like “how long can you sit in a chair”
or “how many pounds can you comfortably lift” etc.
Telling a provider to add to or change what he/she
wrote down is also inappropriate and is grounds for
termination from Doctors Care.
If you have a form and wonder whether or not a
doctor will fill it out, please give Char a call.
28. SPECIALIST REFERRALS
All specialist referrals must be made through the
Doctors Care office.
Have your referring physician call, fax, or email Char the information and
she will notify you of the specialist’s name and phone number when the referral
is complete.
Doctors Care has over 95 different specialties within
our network, so almost everything can be covered.
Not all physicians, their services or facilities in the area
are covered under Doctors Care.
You could be held responsible for these charges if you don’t obtain a proper
referral.
Some specialists are in high demand, and there may be
a wait list to be seen.
We will let you know if this is the case and talk through your options at that
time.
29. ALTERNATIVE MEDICINE
Doctors Care also has many
alternative medicine providers
such as:
Acupuncture
Chiropractic
Massage Therapy
Yoga Therapy
You may self-refer if you are interested in
receiving alternative treatment. Simply
call Char and she will set it up for you.
30. THREE MORE IMPORTANT RULES
1. Pay your percentage payments
2. Be respectful
3. Show up for appointments
4. Follow through with treatment recommendations
31. BE RESPECTFUL
All of our providers are volunteers, so there is a strong
expectation that all physicians and their staff members
will be treated with courtesy and respect.
Lack of respect by our members harms our
relationships with these providers, and they may not
wish to see future patients.
Because this is a chance we’re not willing to take, lack of respect
is grounds for termination.
If you have an issue or concern regarding one of our
providers or their staff, please call us so that we may
mediate on your behalf.
32. SHOW UP FOR APPOINTMENTS
You are responsible for scheduling all of your
own appointments.
If you cannot keep an appointment, you must call to
cancel within a minimum of 24-48 hours ahead of time.
Not doing so is equivalent to not showing up at all.
Three or more no-shows for a PCP will result in
termination from the program.
One no-show for a specialist visit is grounds for
termination.
33. FOLLOW THROUGH ON REFERRALS
Not following through on
referrals from your provider is
also considered a lack of
respect.
If you have an issue or
concern regarding the
treatment
recommendations, please call
the Patient Care Coordinator
and ask if she can set up an
appointment to get a second
opinion.
34. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
35. HOSPITALIZATION
Doctors Care partners with five hospitals:
Swedish Medical Center
Porter Adventist Hospital
Littleton Adventist Hospital
Sky Ridge Medical Center
Parker Adventist Hospital
Castle Rock Adventist (pending)
You will be assigned to one of these hospitals, and must use only
that hospital for all inpatient or outpatient
treatments, pharmacy, lab, x-ray, etc, unless it has been pre-
authorized by Doctors Care.
Check in at the registration desk before your appointment and
the staff will tell you where to go.
Please be prepared to present your card and pay your entire
percentage payment at the time of service for any planned
procedures.
If you need to arrange a payment plan, you will probably be required to pay at
36. HOW HOSPITAL BILLS WORK
Any procedure done at the hospital will result in at least
two bills:
1. Hospital
2. Doctor who interprets the test or procedure
Other bills you may receive in addition to the hospital bill
could be for:
The doctor who performs the procedure
Anesthesiology
Radiology
Pathology
Etc.
37. RADIOLOGY
X-rays and other radiology services need to be performed
at your assigned hospital.
Your physician will send over the request to the hospital
and assist you in scheduling if needed. (Some services are
walk-in.)
Remember to check in at registration!
NOTE: For inpatient hospital services, you will be
responsible for both the percentage payment for the
hospital that performs the service as well as the physician
who reads your films.
The physician bill will likely come in the mail from Radiology Imaging
Associates or Diversified Radiology.
This bill should be automatically adjusted to your percentage
amount. If it is not, please call them immediately to let them know of
your Doctors Care status so that it can be changed.
38. CT AND MRI SCANS
Doctors Care has a special arrangement with
one of our radiology partners to provide an
option when scheduling CT and MRI scans.
These are performed for the physician’s payment percentage rate instead
of the hospital’s rate.
Depending on which plan you’re on, this could mean your CT or MRI scan
will be a fraction of the cost of having it done in the hospital.
These appointments must be scheduled through
the Patient Care Coordinator, Char.
These appointments are subject to availability.
Have your physician contact her to get this set up instead of contacting the
hospital directly.
39. LAB TESTS
Any lab tests like blood work must be completed at your
assigned hospital’s lab.
Don’t allow your doctor’s office to draw blood.
You will be responsible for 100% of anything that is drawn at the physician’s office.
We don’t work with Quest or LabCorp, so be sure not to use them!
Have your physician give you a written prescription or call
in the order to the hospital laboratory.
Check in at hospital registration with your Doctors Care card, and the staff will
direct you to the lab.
Be sure to only use the hospital-run lab.
40. ANESTHESIOLOGY
Doctors Care partners with:
Guardian Anesthesia
South Denver Anesthesiologists
Colorado Anesthesia Consultants
OB/GYN Anesthesiologists.
Those groups are listed in your
guidelines.
Any services performed by one of these
groups will be covered under Doctors
Care.
41. ANESTHESIOLOGY
They are the primary groups that work with our
hospitals and doctors, but are not the only anesthesia
groups in the South Metro area.
If you are planning a surgery, please request that your
doctor use one of these groups.
If you receive a bill from them that does not appear to
be adjusted to your percentage payment, please
contact their billing office right away to inform them of
your Doctors Care participation.
42. EMERGENCY ROOM
Emergency room visits are expensive and designed
for true emergencies only.
If you use the emergency room, the hospital portion
of your bill will be covered, however the ER physician
cost will be completely your responsibility.
While we have informal agreements with certain
ambulance providers, this is not an official covered
benefit, and you may be responsible for 100% of this
cost as well.
Please contact Char if you receive an ambulance bill to
determine if there may be a way to have it reduced.
43. ABUSE OF THE EMERGENCY ROOM
Using the emergency room for inappropriate reasons
is grounds for termination from the Doctors Care
program.
Doctors Care receives monthly reports from the
hospitals of our patients who use the ER.
Inappropriate uses include (but are not limited to):
Sore throat
Sinus infection
Diaper rash
Obtaining pain or refill medication
44. HOW TO USE THE ER
If you feel you have a situation that can’t wait
until the physician office opens but is not life-
threatening:
1. Call your doctor’s office and follow the advice
given by the after-hours provider.
If you are told to go to the ER by this provider, it will not
be considered abuse, and you should follow all
instructions given.
2. If you do go to the ER, call Doctors Care as
soon as possible afterwards.
This will let us know that you were not trying to abuse
45. URGENT CARE IS AN OPTION
As another option for after-hours care, Doctors Care
partners with Doctors Express, an urgent care clinic
that is open 8 a.m. to 8 p.m. , 365 days a year.
Please still call your PCP before accessing urgent
care.
This is a much cheaper option than using the
Emergency Room, and they will also see you with
less of a wait time.
901 W. Hampden Ave.
Englewood, CO 80110
(303) 761-1699
$25 for Plans A, B and C
$50 for Plans D, E and F
46. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
47. PRESCRIPTIONS
Prescriptions are only filled when written by a participating
provider.
If you are using an out-of-network provider, contact Char to see if you
can get special authorization for your prescription.
Prescriptions covered by Doctors Care can only be filled at
your assigned hospital’s outpatient pharmacy.
See list in the Patient Guidelines
Only generic prescriptions are covered.
If your provider needs you to be on a prescription with no generic
substitutes, have them call Char to see if it can be specially
authorized.
Please allow 24 hours for any refills.
This will allow the pharmacy time to call the physician for approval if
needed.
48. PRESCRIPTION COSTS
Your prescription cost depends on your percentage
payment.
Plans A, B and C: $10 pharmacy co-pay; Plans D, E and F: $15.
This payment covers a one-month supply or one package
size.
Example: One inhaler or one vial of insulin
There is a very small possibility that the pharmacy will not
stock your prescription. It can’t be special ordered and you
will have to go to a retail pharmacy to pay full price.
King Soopers, Target, and Wal-Mart all have certain generic
prescriptions available for $4.
This is NOT associated with Doctors Care and not all generics are on this
list.
Feel free to call other places to see if their retail price is less than your Doctors
Care co-pay.
If you do so, DO NOT present your Doctors Care card, as it is not accepted at
these locations.
49. DIABETIC SUPPLIES
Needles for diabetics will be covered in one-month
increments.
One co-pay will cover 50 needles.
Doctors Care will cover 50 generic test strips per co-pay.
You may have to buy the generic meter that works with the generic
strips carried in your pharmacy, usually between $15-$20.
If you want to use brand name test strips, you’ll have to pay full price.
Brand name insulin will need to be obtained through the
drug manufacturer’s Patient Assistance Plan.
Doctors Care will cover your first two months at one co-pay per vial
while you are getting signed up. There will not be any extensions.
Contact Char if you need help obtaining the paperwork or filling out
the forms for this program.
Start filling out this paperwork as soon as you know you will need
insulin. It can take up to two months for the paperwork to be
processed.
50. SUPPLIES NOT COVERED
Over-the-counter drugs Nicotine replacement therapy
Any supplies that can be Acne therapy for anyone over
purchased 18
without a prescription Mental health medications
Birth control medications Medical supplies
If this is being prescribed for non- o Examples:
contraceptive uses, have your oxygen, wheelchair, hardware, etc.
provider contact Char for
authorization
Appetite suppressants
Weight loss drugs
Erectile dysfunction medications
Most of these supplies are available for free or
discounted prices through other services in our
community. Please mark the “Request for Resources”
page for contact information.
51. SERVICES NOT COVERED
Glasses/Optical care
Dental
Elective care
Adult physicals/preventive care
Please contact us if you need help with
anything not covered by Doctors Care, as we
often know of community resources to help
with these needs.
52. SUBSTANCE ABUSE & DEPENDENCE
Doctors Care screens and diagnoses for signs
and symptoms of drug and alcohol dependence
and abuse.
We will refer clients, when indicated, to community resources
equipped to treat dependence and abuse.
Doctors Care mental health providers will continue to counsel and
support clients to encourage them to stay engaged in appropriate
treatment facilities or other community programs.
Doctors Care is not equipped to provide drug or
alcohol treatment or to detox to anyone.
However, if it’s determined that you have
dependence or abuse issues, you may be
required to follow through on a referral to a
treatment program outside of Doctors Care to
remain eligible for the program.
53. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
54. THE DOCTORS CARE CLINIC
For children and young adults up to age 30, the clinic provides
appointments for most illnesses and injuries.
Percentage payments for an office visit are listed in your guidelines.
Office hours: M-TR 9am-5pm and F 9am-4pm.
Please call to set up an appointment.
Walk-ins are not accepted.
Same day appointments are generally available if needed.
Annual physicals for ages 3-18: regular co-pay + lab costs.
Children under 3 may need to be seen more frequently for
check-ups and immunizations. These visits are covered for
regular co-pay plus lab costs.
55. MENTAL HEALTH
We currently have one therapist and one psychiatric mid-level
provider on site for mental health counseling appointments
and medication management, as well as many off-site
counselors.
You may self-refer or your PCP may refer for mental health
appointments.
Contact Char to set up mental health appointments.
Our mental health professionals will be available to provide
counseling or therapy.
We do have resources here at Doctors Care that we can use
so you can obtain Mental Health medications for low cost.
56. MENTAL HEALTH APPOINTMENTS
Plan On-site Mental
Remember to contact Char if you
Health Visit
would like to get an appointment
A $10 set up.
B $15
Counselors off-site may have
C $15
different pricing structures, but
D $20 are also available outside regular
E $30 office hours.
F $30
57. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
58. PROGRAM RENEWAL
Your first card will expire in 90 days. This is a probationary period to
ensure proper usage of the Doctors Care program.
You will automatically receive a new card about one week prior to this
90-day period for an additional 90 days, assuming there have been
no concerns.
You will need to renew your Doctors Care card every six months by
resubmitting the renewal application and financial documents. Please
make sure theses documents are filled out thoroughly.
A packet containing all required paperwork will be mailed to you
approximately one month before each six month expiration.
If for any reason this packet does not arrive, please contact our office to
request that we send another one or to arrange pick-up at the office.
If you lose your card, you will be charged $1 for a replacement
card.
59. AT YOUR RENEWAL
If you do not need Doctors Care anymore at the
time of your renewal, please let us know.
Doing so will allow others in need to use the services
provided by our partners.
You will also be granted the opportunity for backdating up to
90 days again should you need to reapply in the future.
Failing to inform us of your decision to quit Doctors
Care will result in a loss of the ability to backdate
your care in the future.
60. RENEWAL PROCESS
You will not need to come in for an appointment for your
renewal. Simply drop off or mail your paperwork.
Your documents will be processed by eligibility counselors and the
new card(s) sent by mail.
We do need you to re-submit all financial documents, even if your
situation has not changed.
If you do not submit your paperwork by your expiration date,
you will automatically be discontinued from the program.
You will be eligible to reapply, but will have to restart the application
process.
There is no guarantee that you will be able to stay with the
same physicians if this happens, as your spot will quickly be
given to another patient in need.
61. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
62. FREQUENTLY ASKED QUESTIONS
What should I do if I get a bill in the mail that is not
adjusted to my percentage payment amount?
First call the billing office as SOON as you receive the bill to
inform them of your Doctors Care status and payment level.
If this does not resolve the issue, contact Char and she will
work to get the bill appropriately adjusted.
What happens if I accidentally use a provider, lab, or
pharmacy outside of the network?
Unfortunately, we are not able to provide assistance for any
services incurred outside of our network.
However, most companies will provide some level of discount
and/or payment plan for individuals without insurance.
63. SERVICES
Is there anywhere I can go to get my yearly
mammogram or well-woman exam?
Tri-county Health Department offers these for low cost. Please
request the contact information in your “request for resources”
form.
In addition, Doctors Care has been given a grant for free
screening mammograms for any woman over 40 who does not
have insurance. Ask at the front desk for an application and
voucher.
I have been told I should get a colonoscopy screening
every year. Is that covered?
Routine screenings (suggested for everyone over 50) are not
covered, but are offered for free by the Colorado Colorectal
Screening Program.
Screenings required because of a medical concern
are covered and will need a referral like any other specialist.
64. THE WAIT LIST
If I am placed on the wait list for a physician, how long will I
have to wait?
There is no way for us to know how long you may have to wait.
All our staff are committed to increasing our network of providers to
hopefully eliminate the wait list altogether.
We can tell you how many people are ahead of you on the wait list.
Historically, the wait list for a PCP has moved relatively quickly.
However, specialist waitlists are very unpredictable.
What if my condition is urgent and I cannot wait?
Our wait list is strictly first come, first serve. There is no way for a person to
jump to the “head of the line.”
If you or your doctor feel you cannot wait, you have the option at any time to
see a community provider as a self-pay patient.
If you choose to see a provider as a self-pay patient, you may still utilize the
hospital, lab, radiology, and possibly pharmacy services through Doctors
Care.
65. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
66. WHEN TO CONTACT US
Please notify Doctors Care within ten days of any
change in :
Address
Phone number
Financial or job situation
Insurance status
Family status
Feel free to call the Patient Care Coordinator, Char, with
any questions or concerns.
If you ever have any issue with one of our providers or their
staff, please contact us to mediate the situation.
If you would ever like a second opinion from a specialist, please
contact Char to get it set up.
67. LAST IMPORTANT RULE
1. Pay your percentage payments
2. Be respectful
3. Show up for appointments
4. Follow through with treatment
recommendations
5. Communicate
68. COMMUNICATE
Communicate, communicate, communicate!
Follow up on bills as soon as you receive them to make
a payment plan or adjust the bill to your percentage
payment amount.
If you need to use the ER, call your PCP’s after-hours
physician and follow their advice FIRST.
If you do use the ER, please call us as soon as you can
afterwards and let us know the situation.
If you have ANY questions, please call Char.
We understand that there are a lot of rules to remember.
We are keeping you accountable to those rules, so please
contact us to ask questions rather than possibly making a
mistake.
69. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
70. FINANCIAL INTAKE
Bring ALL documents and paperwork to your next appointment!
We can’t process your application until we have all requested
documents listed in your application as well as the paperwork you
received today.
NOTE: Remember that hospital bills are not required for this
appointment, but do bring them if you have them.
If you have all required documentation, you will either be
assigned to a physician or placed on the wait list at the time of
your financial screening.
If you are placed on the wait list, you will be called as soon as a
spot opens up.
You will have 48 hours to verify that you want the slot or it will be
given to someone else and you will be moved to the bottom of the
wait list.
71. EXTRA PAPERWORK
Additional forms are needed if you are:
Self-employed
Living with a friend or family member (not on a
lease)
Signing up additional adults
Signing up children
You may also need a medical history
form if you haven’t filled one out.
72. WHAT DO I NEED TO TURN IN TODAY?
Nothing is required today.
Please remember there is additional
information in your purple packet that you will
need to read over, fill out, and bring with you
when you attend your financial intake
appointment.
If you have any questions about the financial
paperwork you brought in today, feel free to
ask questions after the presentation.
73. 5 RULES TO REMEMBER
1. Pay your percentage payments
2. Be respectful
3. Show up for appointments
4. Follow through with treatment
recommendations
5. Communicate
74. CONCLUSION
Thank you for coming today!
1. My goal today was to teach you how Doctors
Care works and what your role will be in our
program.
2. You need to follow our rules and regulations
to be part of the program, and we’re here to help
you along the way.
3. Our next step is to schedule a Financial Intake
appointment.
75. AGENDA
1. Introduction
2. Paperwork in Packet
3. Percentage Payments
4. PCPs & Specialists
5. Hospital Services
6. Prescriptions & Supplies
7. On-Site Services
8. Renewal
9. Frequently Asked Questions (FAQ)
10. Last Reminders
11. Next Steps
12. Set up Appointment
76. MAKE AN APPOINTMENT
Appointment cards for your financial screening
meeting are at the end of the table.
There are two cards in each pile, both with the
same time and date.
1. Card one:
Write your name and phone number and turn
in today so I can put you in our calendar.
2. Card two:
Keep it for yourself as a reminder!
Notes de l'éditeur
You are all here today because you or one of your family members has a medical concern without health insurance, and are reaching out to Doctors Care for help.My goal today is to teach you how Doctors Care works and what your role will be in our program. You need to follow our rules and regulations to be part of the program, and we’re here to help you along the way.Today’s session will help you know how Doctors Care works and what your next steps are.Our next step after today’s session is to schedule a Financial Intake Meeting and give you the tools to get you started on our program.