(Included in Your Monthly Membership Fee)
Each member is allowed 25 visits per year with no added fee or copayment. Additional visits will be charged a nominal $25 per visit fee. These visits include:
Wellness Care*
Your Epiphany Health physician offers an annual lifestyle and wellness care evaluation. Your visit may include extended consultations and personalized coaching to create positive lifestyle changes such as weight loss, smoking cessation and stress management. Annual fecal occult blood screening for colon cancer will be offered.
For women, this examination includes a screening Pap smear and mammogram, and for men it will include a PSA prostate cancer screen.
Annual wellness labs will include a complete blood count, blood sugar, liver function, kidney function, electrolyte panel and cholesterol profile. *(screenings will be age / gender appropriate and based upon current guidelines. Screening tests must be performed by an Epiphany Health provider)
Chronic Disease Management*
High blood pressure, diabetes, high cholesterol, heart disease, asthma, arthritis, osteoporosis and many other chronic conditions can be managed effectively by your PCP. Since the majority of your follow-up visits are included in your membership, and because we are able to get steeply discounted labs, chronic disease management becomes very affordable. Should you require a specialist's care, we will refer you to a qualified physician who can manage your medical condition. *(There will be a $10 per visit fee for use of our Coumadin clinic, which reflects our cost of supplies.)
Acute Care*
We provide same or next-day care for urgent medical issues including sprains, strains, cuts requiring stitches, acute illnesses and more.
Any service that is provided in our office is done at no additional cost, including splinting, sutures, nebulizers, abscess drainage, skin biopsies, joint injections, EKGs, spirometry, and appropriate in-house testing, such as urinalysis, strep throat testing, influenza testing.
*(additional pathology charge may apply for cultures or biopsies sent out. Member will be notified of any additional fees in advance. There are additional charges for cosmetic and non-medically necessary procedures.)
Vaccinations
The following vaccinations will be provided at no additional cost (when indicated by standard guidelines and time intervals)
- Annual Flu vaccine
- Pneumonia vaccine
- Tetanus booster
- Other vaccinations are provided at or near cost, including childhood immunizations.
Laboratory Tests
(Other than Wellness Labs)
To ensure high quality and accuracy, tests are processed off-site at our national laboratory partner. You can pay for these labs through your insurance company, or you can receive a discount of up to 90% if you go through your Epiphany Health plan.
View a sample price list of selected lab tests.
Specialist Care Coordination
Should you need to see a specialist, your physician will coordinate your referral, correspond with your specialist about your treatment and will work with you to manage your after-care. If you have insurance, we will strive to provide referrals to providers covered by your insurance policy. If you are paying out-of-pocket for your medical care, your physician can refer you to providers who offer Epiphany Health members discounted pricing.
View a sample price list of member discounts.
Imaging / X-rays
In the event that imaging services are needed, Epiphany Health has partnered with local private imaging centers for drastic discounts when paid for at the time of service. Should you choose to use your insurance, your tests will be billed directly by our imaging partner to your plan. Please be advised that if you choose to apply your imaging to your insurance, you may be charged more than the Epiphany Health price.
View a sample price list of selected imaging services.
Prescription Drugs & Medications
Your monthly care fee does not cover the cost of prescriptions. Epiphany Health members are entitled to discounts on prescription medications at our independent partner pharmacies. In most cases, generic medications will be $3-4 for a 30 day supply and $6-10 for a 90 day supply. Brand name medications will be sold at pharmacy cost + 3% for cash, or cost + 5% of you use your credit card. If members cannot afford prescription medications, Epiphany Health physicians will work with our members to find affordable alternatives, and may be able to assist with samples or applications to patient assistance programs.
Physical Therapy & Rehab
Your monthly care fee does not cover the cost of physical therapy. Epiphany Health members are entitled to drastic discounts on therapy services at our independent therapy partners. Members can expect to receive therapy services for $35 per session, about the cost of a typical co-pay with traditional insurance.