Spilling Sand

F.A.Q.

(Frequently Asked Questions)

"I know that choosing a new physician can sometimes be a bit overwhelming. That’s why I want you to rest assured that you’ve chosen well. Below you’ll find answers to some of my clients’ frequently asked questions. I’ve been able to cover quite a few topics, but if there’s something I haven’t touched on, please don’t hesitate to ask." -Dr. Long

Will Dr. Long visit me anywhere?

Yes. Dr. Long will visit you at your home, place of work, hospital, rehab, or skilled nursing facility within Orange County, to provide full scope internal medicine and primary care.  If we do not have privileges where you are, Dr. Long will still visit you to advocate for you, and coordinate your care with your care team. 

 

Our service area includes Irvine, Newport Beach, Tustin, Costa Mesa, Laguna Beach, Laguna Hills, Mission Viejo, Aliso Viejo, Rancho Santa Margarita, Lake Forest, Anaheim, Santa Ana, and more.  Areas outside Orange County are outside of our territory for house calls, however some patients have traveled from out-of-state for an in-person consultation.  If you live outside of our service area, please call us, as special arrangements may be possible.

Dr. Long cares for me every time?

Absolutely.  Every time! We offer 24/7 Mobile Modern Medicine to our Members because we limit the number of Members we care for.  All our services are provided by Dr. Long, not a physician assistant or nurse practitioner.  Most primary care physicians are assigned 1500-3000 patients, and concierge practices cap at well below 600. We wholeheartedly care for about 30, which is why we can promise to be available, accessible, attentive, spend more time with you, and answer the phone when you call.

Dr. Long answers the phone?

Yes.  Every time!  We believe it's important we do what we say.  In order to be private, attentive, and exceptional, you will only speak with Dr. Long about your concerns.  This practice was designed for patients with serious medical needs that want and need to have better access to their doctor.  The unique experience of having private, attentive, and exceptional care begins with your first call.

Will my insurance cover my visit?

We are a private pay practice and bill patients directly, rather than insurance.  We do not work directly with insurance companies, which means that all services are paid for by the patient (not the insurance) at the time of service.  

To assist our patients, we have partnered with Reimbursify, a company that simplifies the process of getting reimbursed.  If you need help, they offer customer support.  The process from claim submission to receiving your money takes less than 30 days.

We support you by providing simple superbills. 

What are superbills?

Superbills are receipts, not actual bills.  You'll submit a superbill to your medical insurance when a health care provider (physician, psychiatrist, counselor, physical therapist, chiropractor, etc) is out-of-network, and is an option for many insurance networks, including Medicare.  Please contact your medical insurance for further details regarding your out of network benefits.

We will provide you with a monthly "super-bill" receipt for each visit, with all the required information required by your insurance.  You receive the reimbursement directly from your insurance.

What if my insurance is PPO?

If you are interested in having your (PPO) insurance pay for our services, you will need to contact your insurance provider about your specific out-of-network benefits.  If you have a PPO plan, you still pay for services upfront, however most PPO plans will cover a percentage of services out-of-network. 

What if my insurance is an HMO?

Superbill reimbursement may not be an option if you have an HMO, as they may not reimburse you for any out-of-network medical care. 

Is there a downside to using insurance?

In the spirit of transparency, submitting a superbill requires us to give you a diagnosis, which will become part of your medical record. Additionally, your insurance may ask for your medical records. As many of our clients desire the highest levels of privacy, this may be undesirable.

 

What about Medicare?

For Medicare patients, there is a travel "trip fee" which Medicare does not cover.  The trip fee is based on travel distance.  

Do you offer payment options?

Yes! We divide our Annual Membership Fee into 12 monthly payments.  We also offer various plans for different needs and budgets, including an hourly rate for medical services a la carte, designed for out-of-town guests or second opinions.  We prefer cash, or check and also accept FSA or HSA credit cards.

Can you customize a Concierge plan for me?

Absolutely!  We offer high touch care and are here to meet your needs. We welcome feedback on how we can serve your needs exceptionally.

Concierge practices sound the same.  What questions should I ask?

  • Ask if you'll see the same doctor every time.

  • Ask if they will visit you at home when you are sick.

  • Ask if they will see you at the hospital and how often.  When you're hospitalized, a familiar friendly doctor is soothing and welcome. 

  • Ask where you'll get your blood work.  Some practices don't have on-site labs and some labs require appointments. 

  • Ask if they dispense medications, or at least antibiotics to save you a trip to the pharmacy when you're sick. 

  • Ask who picks up the phone when you call outside of 8 to 5, as well as between 8 and 5. 

  • Ask if you'll ever see a physician assistant (PA) or nurse practitioner (NP). 

  • Ask if they engage in direct physician-to-physician communication when a referral is made. 

  • Ask if they will call the Emergency Room on your behalf in order to focus and expedite your care. 

  • Ask how many employees have access to your chart.  If privacy is important to you, this is an important factor to consider.

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Ready to Join?

Each Member receives private, attentive, exceptional 24/7 care.  We are honored to help you no matter what time of day it is or where you are in the world.  Call 949-237-2949 or fill out the form below to learn more about becoming a Member

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