Question 1

What is Direct Primary Care (DPC)?

Accepted Answer

Direct Primary Care, or DPC, is a membership model of healthcare that allows doctors to treat patients without the constraints of a traditional insurance-based practice.

Question 2

Is Direct Primary Care the same as a Concierge of Boutique clinic?

Accepted Answer

Not exactly. One of the most important values for Direct Primary Care (DPC) clinics is affordability. This is what sets us apart from concierge "boutique" clinics. Also, most concierge doctors bill insurance in addition to a high-dollar membership fee. With DPC clinics like Maple Primary care, there are no copays, deductibles, or co-insurance to worry about. The main similarities are the personalized care and the easy access to your doctor, including urgent needs outside of clinic hours.

Question 3

What is included in my membership?

Accepted Answer

All office visits, phone visits, and electronic visits are included. A yearly comprehensive physical is included. In-office labs and studies, including rapid strep tests, basic urine analysis, and electrocardiogram (EKG), are included. In-office treatments such as joint injections and a number of skin procedures are included. Members can contact their doctor with urgent questions and management. If possible and safe, your doctor will want to try to handle as much of your healthcare by phone or by electronic messaging. The goal is to save you time, energy, and money.

Question 4

How much does it cost?

Accepted Answer

An affordable monthly membership fee (with discounts for annual billing) allows you to budget your healthcare dollars. No copays, deductibles, co-insurance or hidden costs will prevent you from getting the primary care that you need. The payments are convenient and automatic from your bank account or credit card.

Age 5-19: $75 / month
Age 20-39: $100 / month
Age 40-59: $125 / month
Age 60 and over: $150 / month
One-time registration fee: $100
10% discount for annual billing

One month of service without membership: $300

Small business discounts:
5 or more employees (5% discount and registration fee waived)
10 or more employees (10% discount and registration fee waived)

Question 5

Do you accept health insurance or Medicare?

Accepted Answer

No, we do not. I am sure you have felt the challenges of an insurance-based practice: difficulty reaching your doctor, communication through a medical assistant, long wait times, and rushed office visits. Without the constraints of insurance contracts, we are able to offer direct and easy access, limited to no wait times, same-day or next day appointments and electronic or phone visits.

Question 6

If I have health insurance or Medicare, can I still be a member?

Accepted Answer

Yes. Remember you can use your health insurance or Medicare for laboratory testing, imaging, medications, specialist visits and hospitalizations.

The only type of insurance that can be problematic for Direct Primary Care is an HMO (Health Maintenance Organization). This is because HMO’s require patients to have a designated in-network primary care physician and that primary care physician must order all labs, studies and referrals for your insurance to cover any of the costs.

Question 7

Do I need health insurance if I am a member?

Accepted Answer

We recommend that our members continue to have health insurance to ensure financial help with medications, labs, imaging, specialist visits and hospitalizations. With that being said, having health insurance is not a requirement to be a member.

Question 8

Can my membership fee be reimbursed by my insurance company?

Accepted Answer

In some cases, you can submit a receipt for your membership fees and some insurance companies will apply these payments towards your deductible.

Question 9

Is my membership tax deductible? Can I use my Health Savings Account(HSA)?

Accepted Answer

Yes, usually HSA funds can be used towards your membership cost. Some HSAs will only allow a maximum of $150 per month. Confer with your tax consultant to discuss your personal situation.

Question 10

What happens if I need to go to the hospital or go to urgent care?

Accepted Answer

With easy access to your primary care doctor, we strive to decrease urgent care visits and hospitalizations. In instances where hospital care is required, we work closely with the hospitalists and specialists who are taking care of you. We rely on their expertise when hospital care is necessary and we are ready to assume post-hospital follow-up care after discharge from the hospital.

Question 11

Can I contact my physician after-hours?

Accepted Answer

Yes. We know that illness and injury do not always happen during normal business hours. So if there is a concern that can’t wait, we encourage you to contact us. This is just one of the ways we provide personalized care.

Question 12

Are there certain medications that Dr. Kainth does not prescribe or illnesses that she does not treat?

Accepted Answer

We are not accepting new patients requiring prescriptions for chronic narcotic pain medication, anti-anxiety sedatives (benzodiazepines), ADD/ADHD stimulants, or injectable testosterone. We encourage our patients to seek care from an appropriate specialist for these health conditions.

Question 13

Where are you located and what are your office hours?

Accepted Answer

We are located in the Parker Preston Professional Building on the second floor at 3242 Preston Rd. Suite 203 in Plano, Texas. Parking is easy and complimentary. Our office hours are Monday through Thursday 9am-4pm and Friday 9am-noon.

Question 14

Are my medical records ever shared with insurance companies?

Accepted Answer

We maintain scrupulous standards of privacy. We are never obligated to provide any third party with a copy of your records unless you specifically ask that we do so.

Question 15

What if I want to cancel my membership?

Accepted Answer

You can cancel your membership at anytime and there is no cancellation fee. We always need a 30-day advance notice for cancellation as we are required by law to offer 30 days of care after the patient-physician relationship has ended. If a previous member would like to re-enroll, we do charge a $250 re-enrollment fee.

Question 16

Do I have to be a member? Can I pay for one office visit at a time?

Accepted Answer

Quality medical care comes from continuity of care. Working through a medical problem usually takes more than one office visit and requires follow-up care. We offer one month of service for $300.

Although we offer one month of service, we strongly recommend a membership. Dr. Kainth wants to be your doctor all of the time, not just one month at a time. If you choose one month of service, the doctor-patient relationship ends after 30 days. All care and medication refills will not be managed beyond 30 days. Check out our membership benefits.

Question 17

How will I know if Maple Primary Care is right for me?

Accepted Answer

Give us a call or meet us in person. Schedule a free, unconditional visit to discuss your healthcare needs. It’s the only reasonable way to begin what we trust will be a long, productive and healthy relationship.

(972) 449-5165 | info@mapleprimarycare.com

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