FAQs

Your membership fee covers a variety of non-covered amenities and services that most insurance plans will not usually reimburse or authorize, allowing us to deliver a more connected and personal style of primary care.

The membership fee does not cover all the services that you may require. Our practice assumes you are insured by a health insurance plan that may include or reimburse you for labs, vaccinations, diagnostic or pathologic testing, hospitalizations, specialist visits, and medications.

Yes. Your first appointment will be a consultation session where you will have the opportunity to ask questions and learn about the practice.

Yes. Concierge medical practices do not take the place of general health insurance coverage. Our practice is a primary care medical practice, not a health insurance program. We advise you to continue your PPO, Medicare, or another insurance program.

Relatively recently, the practice of concierge medicine has grown in awareness throughout the marketplace. However, the origins began in the 1990s, mainly in response to patients needing a more personalized approach to their primary care delivery model.

Simply put, no. Concierge medicine is for anyone who demands a higher quality of healthcare, whether it be timeliness of scheduling, attention afforded during appointments, security, trust in a primary care physician dedicated to your health goals, or necessity for chronic condition care that determines your needs.

Yes, our office will bill your insurance company directly for office visits and services provided in the clinic.

The cost of prescription medications is the patients’ responsibility and, in most cases, should be covered by their insurance plans. We have expertise in assisting patients in purchasing medicines cost-effectively.

Of course, our patients are free to see any specialist they wish. Our team is available to help you decide what specialists to see and coordinate such consultations. The most appropriate resource is used, the earliest arrangements are made, and your applicable medical information is sent in advance of your specialist visit.

Call 911 if you have a life-threatening emergency. Then call our office at (813) 280-2270. Call our office first if the problem is minor. Except for a few controlled substances, Seth Premier Medical can order most prescriptions anywhere in the country.

If necessary, it may be possible for our office to find you a resource where you are for care. If you seek care at an emergency room or urgent care center out of our area, Seth Medical requests that you have the doctor seeing you call our office for coordination. Our staff will be readily available for a phone consultation with you and other health care personnel. If you should require hospitalization while away, at your request, we will establish phone communication with you and your attending physician(s) to ensure continuity of care.

If you have a life-threatening emergency, call 911 immediately. After you call 911, you can contact your provider to coordinate your care moving forward. Patients are asked to contact their provider before going to an urgent care facility and at any time of the day or night. Your provider will attempt to address critical after-hours problems directly.

Your annual fee pays for membership in the practice and many other amenities listed in Section A of the Concierge Agreement. However, the performing entity will bill all other procedures and services not performed in our office.

We advise patients to consult with their tax consultant to clarify qualifications in their circumstances.

No. The annual concierge fee only includes services that Medicare does not cover and, as such, cannot be paid for or reimbursed by Medicare. Our office will bill Medicare for your sick visits and any additional services performed at our practice that Medicare covers.

Yes, the doctors at Seth Premier Medical are Participating Providers with Medicare and will bill Medicare on your behalf, as required by law.

Seth Premier Medical will collect a co-payment for services based on your insurance plan(s). Medicare patients usually do not require a co-payment.

Patients pay monthly via our automated payment system, which automatically processes the payment on a scheduled and recurring basis. There is an initial 12-month commitment.

After the initial 12 month commitment, you may cancel your membership by completing the membership cancellation form.

Yes. Whether you are sick or well, paying your concierge fee allows you to be a member of the practice. However, our practice is not an insurance company and does not cover the medical services you receive. We strongly encourage you to utilize the amenities offered, including wellness consultations and emails for appropriate non-urgent health-related questions, regardless of your state of health.