MDVIP WELLNESS PROGRAM

MDVIP FAQ

MDVIP Wellness Program Frequently Asked Questions

No. MDVIP maintains an independent contractor relationship with our affiliated physicians. Affiliated physicians are not agents or employees of MDVIP.

MDVIP provides the services required to assist your doctor in providing a focus on wellness and personalized service that is not possible in traditional primary care practice. Your doctor owns and manages the practice, and MDVIP has absolutely no involvement in any medical decisions. MDVIP’s job is to simply remove all obstacles that exist in the delivery of the highest level of care. MDVIP provides comprehensive research and technological and operational support for MDVIP-affiliated practices. Additionally, MDVIP conducts regular quality assurance surveys to assist your doctor in ensuring that the practice exceeds your expectations.

Yes. Our practice is compatible with Medicare. Your annual fee covers those services not reimbursed by Medicare. Your Medicare Part B coverage will continue to work with your affiliated physician as it currently does. To learn more about insurance and Medicare, visit Our Model page.

Most PPO, POS, and HMO health insurance plans are compatible with your membership in our Wellness Program. We will be happy to discuss your specific health plan with you. You will still need health insurance to cover all other healthcare visits unrelated to your wellness program, including office visits, hospital stays, and visits to specialists.

We ensure that you receive all recommended preventive services, including an annual physical. The Wellness Program encompasses advanced screenings in combination with personalized counseling with your doctor to develop your customized wellness plan. You will work with your physician throughout the year to implement your personal wellness plan

No. Most insurers view the wellness services encompassed by the annual fee as non-covered services and do not provide reimbursement for the annual fee.

The annual fee may be paid through most employer Section 125 plans and is compatible with most flexible spending accounts (FSAs), medical savings accounts (MSAs), and health reimbursement accounts (HRAs). The fee may also be paid through health savings accounts (HSAs). Your physician will provide you with a statement for your benefits administrator at the time of your wellness consultation or any time after that.

It is important to note that while this fee may be reimbursable through your FSA, you cannot pay the fee with your FSA debit or credit card. Reimbursement for your annual fee from your FSA will have to be obtained through your FSA claim submission process.

Your wellness consultations must be performed during your FSA plan year to be eligible for reimbursement. For example, if your FSA account year runs from January 1 through December 31, you must have your wellness consultation during that calendar year.

No. The annual fee may be paid quarterly, semi-annually, or annually. You may pay by check or use your American Express, MasterCard, Visa, or Discover card. Flexible spending account debit and credit cards are not accepted.

The annual fee may be deductible for patients who itemize medical expenses on their tax returns. MDVIP representatives are available to speak with your accountant.

If you have not received your annual wellness services, you can receive a prorated refund. If you have received your wellness services, a refund is not available. Since more than 90 percent of patients in our affiliated practices around the country renew yearly, we believe you will be very satisfied with your membership.

As a courtesy to our patients, we will see patients’ children between the ages of 18 and 26. The only charge will be the regular office visit fee.

Yes! In the event you have an out-of-town guest who may require services on an unexpected basis, your doctor will see your guest for urgent matters as if he/she were a member of the practice. Standard office visit fees apply.

What happens when my doctor is away on vacation or otherwise unavailable?

The covering physician will provide the same level of care and responsiveness you will be accustomed to in an MDVIP-affiliated practice. Our doctors will arrange for appropriate coverage. You will receive contact information for the covering physician as needed.

Our physicians offer dramatically enhanced coordination of specialty care. We have commented that specialists are far more eager to care for patients who work with primary care physicians that are as involved in care decisions as they will be.

With this program, your doctor’s staff will have the time to ensure that all appropriate information is given to the specialist so that your consult is handled in the most efficient and effective manner possible. In some cases, your doctor will personally discuss your situation with the specialist.

This makes a tremendous difference in your care, as your doctor can now coordinate and communicate all of your specialist needs with knowledge of your treatment issues.

Once you and your physician have determined that a second medical opinion or specialized treatment at an MCE facility is desired, your physician will work with MDVIP to facilitate a timely appointment with the appropriate specialist and arrange for the transfer of your medical records. The medical facility will then contact you directly to arrange your appointment and discuss the personalized services you will receive upon arrival and throughout your stay.

No. The cost for the actual medical treatment you receive can be billed to your insurance, depending on your healthcare coverage. Costs for travel, car service, and accommodations are your responsibility.

MCE program facilities include:

  • Baylor Clinic of Baylor College of Medicine
  • Beth Israel Deaconess Medical Center
  • Caron
  • Cleveland Clinic
  • Hanley Center
  • Hospital for Special Surgery
  • Johns Hopkins
  • Mayo Clinic
  • The University of Texas MD Anderson Cancer Center
  • Memorial Sloan-Kettering Cancer Center
  • Miller School of Medicine – University of Miami
  • National Jewish Health
  • UCLA Health System
  • UCSF Medical Center