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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 house calls.  If we do not have privileges at your facility, 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 Virtual Care and House Call based Primary Care 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 corporate primary care physicians are assigned 1500-3000 patients, and concierge practices cap at well below 600. We wholeheartedly care for much less than that, 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.  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.  As a member, you may connect with the concierge coordinator for assistance, or by directly calling your physician 24/7.

Will my insurance cover my visit?

We are currently in network with Medicare and few select major health plans.

 

We offer services and recommend treatments that are not covered under many health insurance plans, including house calls, restorative medicine, nutritional psychiatry, medical acupuncture, and our own exclusive weight loss reduction program designed by Dr. Long.  We are a concierge practice, and offer treatments with you in mind, not necessarily limiting our treatments or recommendations to the confines of insurance health plan coverage. 

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We will submit claims to your insurance (PPO only), in lieu of superbills. 

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What if my insurance is PPO?

We will submit claims to your insurance, whether or not we are in network with them.

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What if my insurance is an HMO?

Due to restrictions placed on your care by your HMO, we do not submit claims to HMO payers.  Your HMO may not honor any treatment recommendations or prescriptions prescribed by any physician out of network.  However, we have worked with patients who receive primary care at Hoag GPO, Kaiser or the VA because they needed more individualized attention.

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Is there a downside to using insurance?

We will also work with patients who prefer not to use their insurance, for privacy reasons or otherwise.  In the spirit of transparency, submitting a claim 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?

We are accepting Medicare patients.  We will bill Medicare for all Covered Services provided to you.  Medicare does not pay for Concierge Fees

 

Are Concierge Fees out of pocket?

Yes.  We are not aware of any Insurance that covers Concierge Fees.  Concierge Fees by definition include services that are Not Covered by traditional insurance.  Included in our Concierge Fee are aspects of good medicine that are not "Covered Services" by any health insurance, including Medicare.  Please note that most health insurance including Medicare exclude specialized labs, and nutrition supplements as a Covered Service, and these diagnostic and therapeutic modalities are at the core of our approach to reversing chronic disease. 

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What if I only want services covered by insurance?

Patients looking for a more traditional approach would be best served in a traditional practice.  We will always take the time to discuss your options with you, including those options that are not covered by insurance.  Keeping all options on the table is simply good medicine, and our patients love it!

 

Can I be seen in an Office?

As a house call based micro practice, we do not staff an office.  While this may change in the future, the preferences, complexity and disability of many of our patients creates the dire need for a house call based concierge practice, where we attend to patients exclusively at their homes.

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Why is an Integrated Concierge practice better?

Medicine is changing.  As medicine moves towards more alternative and holistic based therapies, we can shift gears to reverse chronic disease, increase longevity and restore health.  We can no longer choose to ignore excellent strategies nor limit our care to what medical insurance plans will cover.  This would be akin to expecting your car insurance to pay for new car tires!  

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Our practice offers concierge house call based care which includes restorative medicine, hormone care, a unique weight reduction program, and medical acupuncture.  High touch care that removes barriers to access translates to improved health, reduced hospital admissions, and a speedy recovery.  And does it work?  Our patients share their gratitude every day for the care received.  We have cared for chronic fatigue/chronic pain/bed bound patients who were able to return to work and live full lives.  We have cared for palliative/hospice patients who were able to improve their health, reduce medications, and graduate from hospice care.​

Do you offer payment options?

Yes.  In addition to paying a reduced rate for the yearly retainer, we also offer  monthly payments.  We accept cash, checks, credit cards and HSA/FSA.

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 your doctor every time.

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

  • Ask if your doctor will see you at the hospital.

  • Ask if you can have your labs drawn at home.  

  • Ask if your doctor dispenses 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?

Our Members receive private, attentive, exceptional 24/7 care.  Call 949-237-2949 or submit the form to learn more about becoming a Member

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