Total Access Medical is not an insurance plan. Total
Access Medical does not replace your traditional insurance
plan.
All members of Total Access Medical are required to pay
an annual fee that is paid for separately and independently
from traditional insurance plans.
Total Access Medical and Commercial Insurance Plans
If you are insured by a commercial insurance plan (Blue
Cross Blue Shield, Personal Choice, CIGNA, Aetna or other
health insurance programs) it is recommended that you maintain
your health insurance. The following services are not paid
for through your annual enrollment with Total Access Medical
and require insurance or direct payment:
• Hospital Care
• Specialist Care
• Lab Services (if done outside of affiliated physician’s
office)
• Prescriptions
All visits to your Total Access Medical affiliated physician
are paid for through your annual membership and do not
require additional insurance payment (i.e., co-pay or deductible).
Total Access Medical and Medicare
Total
Access Medical welcomes all Medicare recipients. If you
are a Medicare recipient and Medicare is your primary health
insurer, Total Access Medical recommends you maintain your
Medicare insurance.
You will need to continue to use Medicare for any visits
or services that are not provided by your Total Access
Medical physician (see list above).
Your Total Access Medical physician has voluntarily agreed
not to be compensated by Medicare for services rendered.
If Medicare is your primary insurance, your only expense
will be the Total Access Medical program fee. You will
NOT be billed for individual office visits / procedures
by a Total Access Medical physician. Additionally, you
will NOT be responsible for any Medicare co-pay or deductible
when you visit your Total Access Medical physician. (You
will be responsible for co-pays or deductibles if you are
in need of medical services outside of your affiliated
physician’s medical office).
Total Access Medical and HMO and POS Plans
Total Access Medical accepts all HMO/POS (point-of-service)
patients as a non-HMO/POS provider. As an out of network
provider for all HMO/POS plans, Total Access Medical
affiliated physicians have voluntarily agreed not to
be compensated by HMO/POS plans for services rendered.
If your primary insurance is HMO/POS, your only expense
will be the Total Access Medical program fee.
You will NOT be billed for individual office visits/procedures
by a Total Access Medical affiliated physician. Additionally,
you will NOT be responsible for HMO/POS co-pays or deductible
payments when you visit your Total Access Medical affiliated
physician. (You will be responsible for co-pays or deductibles
if you are in need of medical services outside of your
affiliated physician’s medical office).
Please consult with your Total Access Medical affiliated
physician regarding referrals to medical facilities outside
of the Total Access Medical office.
Total Access Medical and Consumer Directed Health
Plans
If you are covered by a Consumer Directed
Health Plan including a Health Savings Account, a Health
Reimbursement Arrangement or a Flex Spending Account,
Total Access Medical concierge medicine is generally
reimbursable through these plans. Please consult a Total
Access Medical representative and your Human Resources
department for details on reimbursement arrangements.
Total Access Medical, LLC is the company that has designed
the Total Access Medical Program and will administer
certain of the non-clinical aspects of the Total Access
Medical program. Total Access Medical is not a provider
of medical or other healthcare services and Total Access
Medical is not an insurance company. |
