What is Membership Medicine?
Nova Integrated Care is primarily a membership model of practice. There will be a monthly fee in order to allow the providers to meet you at your level of need with office visits, email, phone, or text responses as needed. In order to keep costs down we will not be submitting to insurance for patients but providing bills for you to submit to your insurance for repayment.
We seek a better relationship between provider and patient without the hassles involved with the traditional primary care experience. Our monthly membership fee allows a provider to control the number of patients she sees, which benefits every patient through enhanced provider availability, convenience, and other services.
Current plans we will be credentialed with are United, Humana, Cigna, Aetna, Anthem Blue Cross Blue Shield and Medicare.
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Why Choose Nova Integrated Care?
In a landscape filled with healthcare options, choosing a provider is vital to your good health.
We care about your health
Immediate attention from your provider
Old school flavor in a modern setting
Nearly 70 years of medical experience
Proactive, not reactive
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Who we are.
Traditional vs Membership Medicine
Traditional Medicine
LACK OF ACCESS
FOCUS ON REACTIVE CARE
LIMITED TIME WITH PROVIDERS
LOW EMPHASIS ON HOLISTIC CARE
INSURANCE-DRIVEN DECISION MAKING
Membership Medicine
PROMPT AVAILABILITY OF CARE
FOCUS ON PREVENTATIVE CARE
FEWER PATIENTS PER PROVIDER
DIRECT RELATIONSHIP BETWEEN PATIENT AND PROVIDER
NO INSURANCE FOR ROUTINE CARE
Frequent Questions About Membership Medicine and Nova Integrated Care
What is different about this model of medical care?
Traditional medicine and membership medicine represent different approaches to healthcare delivery, each with its own set of characteristics. Here are the key differences between traditional and membership medicine:
- PAYMENT MODEL
Traditional Medicine: Typically operates on a fee-for-service model where healthcare providers bill insurance companies for each service rendered.
Membership Medicine: Involves a subscription or membership fee paid directly by patients to healthcare providers, covering a set of services without involving insurance for routine care. - INSURANCE INVOLVEMENT
Traditional Medicine: Relies heavily on insurance coverage for reimbursing healthcare services, leading to complex and often confusing billing processes and massive administrative overhead.
Membership Medicine: Often minimizes involvement with insurance for routine services, aiming to simplify billing and reduce administrative burdens, allowing care providers more opportunity to devote to personal patient care. - AVAILABILITY OF CARE
Traditional Medicine: Access to healthcare providers is often limited, with standard appointment times, potential wait times, and less direct communication.
Membership Medicine: Typically offers enhanced access, such as longer appointment times, same-day or next-day appointments, and direct, accelerated communication with healthcare providers. - PREVENTATIVE CARE
Traditional Medicine: Typically emphasizes reactive care, addressing illnesses and diseases after they occur.
Membership Medicine: Places a strong emphasis on preventive care and healthy lifestyle, encouraging regular check-ups and proactive health management. - PATIENT LOAD
Traditional Medicine: Healthcare providers often manage substantial patient panels, potentially leading to shorter appointment times and less individualized care.
Membership Medicine: Providers place a limit on the number of patients they accept, allowing for a compact patient panel and more personalized attention. - ADMINISTRATIVE OVERHEAD
Traditional Medicine: Involves significant administrative overhead related to insurance billing, claims processing, and compliance with regulatory requirements.
Membership Medicine: Aims to reduce administrative burdens, allowing healthcare providers to focus more on patient care. - FOCUS ON HOLISTIC CARE
Traditional Medicine: Does not typically prioritize holistic approaches to healthcare, such as addressing lifestyle factors and mental health.
Membership Medicine: Places a greater emphasis on holistic care, taking into account the overall well-being of the patient.
Do I still need to carry insurance?
Membership medicine is not necessarily a substitute for regular health insurance. Speciality care, hospitalization, and other major medical expenses not addressed by membership medicine plans make health insurance a wise choice.
Why would I pay more when I'm already paying for insurance?
Having both Membership Medicine and health insurance can provide a comprehensive approach to your healthcare needs, addressing various aspects of medical care. Each serves a distinct purpose, and together, they offer a more well-rounded strategy for managing your health and financial well-being. Membership Medicine provides direct availability to primary care services, emphasizing preventive care, and offering a more personalized and accessible relationship with your primary care provider. Health insurance, on the other hand, addresses major costs, including specialty care, hospitalizations, surgeries, and other significant medical expenses. Health insurance acts as a financial safety net for unexpected and high-cost medical events.
You have three providers; is it a problem if I begin care with one of them but desire to switch?
Besides being professional and utterly dedicated to helping you achieve good health, our providers are thick-skinned and won’t get their feelings hurt if you think one of the other providers might be a better fit. Try opening the conversation with “It’s not you, it’s me…”
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The details of our “Baked Goods Patient Retention and Temptation Program” are still being finalized, but yes, that’s our plan. Probably a good idea to schedule appointments early in the day (just to be safe).