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Wooden Hut
  • I am self pay and a non-member. How do I save on lab testing?
    As far as we are aware, here are a few options available to you. We will update this if we learn of more options! Reducing health care costs for patients is one of our goals! If you are self pay or do not have health insurance, you can call the lab or go to their website to request their self pay prices. Quest Labcorp pricing is not available online, but you can call them to request a "good faith estimate" at least 3 days before your labcorp appointment Ultalab Providence provides price estimates but you would need the CPT codes in order to get an estimate. Call Providence Price Estimates at 855-367-1339. We tried calling to request pricing for common labs, but we were placed on hold and then were told to leave a voicemail. Your experience may vary with this option. Or, you can join our practice to get access to discounted lab pricing and discounted medications through our partnership with labs and wholesale pharmacies. We always let you know the price upfront so you can decide where to spend your health care dollars, even if it is not with us.
  • Do you work with small businesses?
    Yes! We recognize the difficulties of owning a small business and realize how expensive it can be to provide medical care for your employees. If you are a small business owner, please contact us for group employee rates. Offering Direct Primary Care (DPC) membership to employees is a smart business investment for small business employers. Having regular primary care improves employees' overall health and DPC helps reduce healthcare costs. Some benefits of offering DPC to employees include: Lower Healthcare Costs: By providing employees with access to affordable, high-quality primary care, employers may be able to reduce overall healthcare costs by preventing more expensive and complex medical issues from arising. This can also help reduce the cost of employee health insurance plans, which can be a significant expense for employers. Improved Employee Health: DPC providers often focus on preventive care and wellness, which can help employees stay healthier and reduce the risk of developing chronic conditions. This can lead to fewer missed days of work and improved productivity. Enhanced Employee Satisfaction: Providing employees with access to personalized, convenient, and affordable primary care can improve employee satisfaction and loyalty. This can be especially important for attracting and retaining top talent in a competitive job market. Easier Healthcare Administration: With DPC, employers may be able to simplify healthcare administration by reducing the need for claims processing and other administrative tasks. This can help save time and resources for both employers and employees.
  • Why do you not take insurance?
    Perhaps a better question to ask is: "What does insurance do to primary care such that you decided not to take insurance?" ​The reasons that we do not bill insurance are the same reasons that you may not like going to see a doctor. Insurance adds more work onto a primary care doctor's already busy schedule, causes administrative bloat requiring more staff members and higher overhead to run a practice, and incentivizes practices to see more patients, which means each patient is given less time and attention. Have you ever encountered any of these problems in a typical insurance based medical office? -Waiting in the lobby or exam room up to an hour or more before the doctor (or physician assistant or nurse practitioner) comes in -The visit is rushed and only lasts 5-10 minutes causing you to feel that your needs were not adequately addressed or you could not ask all of your questions -Being told to come back again if you want to discuss more than three problems -When you call to schedule another appointment, the next available is 1-6 months later -Being told that you cannot address problems and also have an annual wellness/preventive visit (because you will get charged for both types of visit due to insurance coding rules) -When you call the office, you cannot talk to your doctor. You get a relayed message from a staff member or assistant, and it takes 3-7 days for a reply, if at all All of these issues are rooted in insurance affecting the delivery of primary care. At Renew Family Medicine, we are able to avoid all of these scenarios by not billing insurance. We do not require large patient panels in the thousands to keep our office open, thus we have the time to take excellent care of the patients that we do have.
  • How do I save on medications?
    We partner with wholesale pharmacies. We can help you figure out which meds would be more affordable for us to dispense in the office, instead of using insurance at a commercial pharmacy. Medication savings programs through the pharmaceutical manufacturer (program eligibility may depend on income and insurance coverage): Pfizer RxPathways Merck Patient Assistance Program Novo Nordisk Patient Assistance Program Lilly Cares Contrave CurxAccess Program For other meds, you can check out these websites: NeedyMeds Blink Health SingleCare Cost Plus Drugs Marley Drug
  • Do you take care of children? Older folks? Pregnant people?
    Dr. Nguyen is trained and board certified in family medicine with obstetrics, though she no longer provides obstetric care. She can take care of pregnant patients for conditions not related to pregnancy, in collaboration with an obstetrician. ​ Family physicians can care for patients from birth to end of life. At our practice, we currently limit our patient population to 7 years and older, due to being unable to provide vaccinations at this time. Patients 7 years old and up may receive vaccinations at a pharmacy. This may change in the future - Dr. Nguyen greatly enjoys caring for newborns and young children.
  • What if I am hospitalized?
    While we do not work at any hospital system, we strongly believe in communicating with your hospital team to provide any information to help with your care while you are there. Just let us know if you are hospitalized so that we can coordinate follow up care after your hospital stay.
  • Who does DPC benefit the most?
    DPC works well for most people and is ideal for: 1. People with lower cost, high deductible insurance policies ( "catastrophic plans") 2. People who value wellness and want to stay healthy 3. People with complex medical histories that require frequent medical visits and more time with their physician 4. People who want to take control of their healthcare spending, without government or insurance interference 5. People who do not qualify for Affordable Care Act (ACA) subsidies due to income 6. People who are self-employed 7. People who receive no or little insurance from their employer 8. People who are between jobs and have no insurance coverage, or those whose insurance coverage has been cancelled. 9. People who understand the importance of primary care and having a physician who knows their medical history who can coordinate their care and advocate for them in the complex healthcare system In addition, busy working professionals, small business owners and their employees, and families find that DPC is a better healthcare delivery model due to convenience, affordability and accessibility
  • Is this concierge medicine? What is the difference between DPC and concierge?
    DPC practices: Do not accept money from insurance Monthly fee averages $100 or less per month for individuals Patient loads (panels) of 400-600 patients per physician Focus on reducing medical costs for patients ​ Concierge practices: Accept money from insurance Monthly fees are higher, hundreds to thousands per month Patient loads (panels) of 100-300 patients per physician Focus on “premium” services such as “executive” physicals/labwork DPC and concierge medicine are two different models of practicing medicine. Patients have better access to their physician in both models, but the biggest difference is that DPC practices are paid through affordable memberships, while concierge practices typically also bill insurance in addition to collecting a membership fee.
  • What if I need to see a specialist?
    We are considered out-of-network for all insurance companies. If you have a HMO plan, our practice may not be a good fit since we are out-of-network and you would need an in-network physician to place orders/referrals. If you have a PPO plan, we can refer you to our extensive list of specialty practices in the area. When you need to see a specialist, the cost of those visits will depend on your health insurance plan and coding/billing that the specialist office submits to insurance.
  • How is paying a membership fee going to save me money when I already have insurance?
    If you have excellent coverage through your health insurance and you do not have financial strain, you might decide that DPC is worth it to have unprecedented access to your DPC physician (24/7 for urgent needs, same or next day appointments) via phone calls, video calls, messaging or office visits. This accessibility to your physician and convenience will end up saving time, equal to saving money. If you have health insurance and have limited funds, we recommend that you check: How much is your monthly insurance premium? How much is your co-pay for primary care visits? How much is your deductible? After meeting the deductible, how much does your insurance cover, and how much are you expected to pay out-of-pocket (co-insurance and out-of-pocket maximum)? How much did you spend on healthcare for your family last year? How much did you spend on prescription medications, labs or imaging last year? (You may be able to save on meds, labs or imaging costs with DPC) Is it possible to switch to a PPO high deductible plan, or a healthshare, to save money on the premiums? After you find out those answers, you can use those numbers to compare with our membership pricing to see how much money DPC may save you. As an example, Dr. Nguyen has posted a cost comparison for a portion of her family's medical bills from 2022.
  • What insurance plans do you accept?
    The beauty of DPC is that you do not need insurance to see us because we do not send claims to commercial insurance. This is the biggest difference between DPC and a traditional medical practice. By not billing insurance, we are no longer tied to complicated medical coding rules, unnecessary mandates and pointless checkboxes that are required for insurance reimbursement. This allows us to spend more time with patients. ​ The DPC model is based on direct agreements with patients, laboratories, and imaging centers which means patients get clear pricing. If you would like to use your health insurance to cover labs, imaging or medications, you could call your insurance plan to inquire about coverage so that you can weigh your options - you get to decide which works best for you. Life is much better when you have options and choices. ​ If you have commercial insurance, find out whether you have a Preferred Provider Organization (PPO) plan or a Health Maintenance Organization (HMO) plan. If you have a HMO plan, coverage is limited to clinicians who work for the HMO (in-network providers), which means DPC would not be a good fit for you since any orders placed by a DPC physician (out-of-network provider) will be denied by the HMO.
  • Why would I pay for DPC if I have insurance?
    Car insurance is not used to pay for oil changes, air filters, tire rotations, or routine maintenance - doing so would cause car insurance premiums to skyrocket. So why do we use health insurance for routine primary care? Over the past few decades, health insurance has evolved into something far beyond what it was supposed to be, and has become unreasonably expensive without adding more coverage to justify those higher premiums. Patients should only need their insurance for the uncommon, specialized, expensive, or catastrophic medical needs that are outside of the scope of primary care. Depending on your medical history, you may be able to save money on your insurance premiums by switching to a high deductible plan or joining a health share. Having a DPC membership along with a high deductible plan or health share works well for many patients since primary care physicians are able to handle a majority of medical care, and the cost is the same whether patients need two visits or 10 visits per year. When you are part of a DPC practice, you have access to same-day or next-day appointments, unrushed longer appointments, and telemedicine options, at no additional cost. This makes it easier and more convenient to get medical care when you need it. This is especially beneficial for busy individuals or those who live far away from their physician's office. ​ Being a DPC member gives you the peace of mind that you have access to your physician when it is needed. By not using your insurance for routine needs, you have the power to take control of your medical spending and decide where to go for medical care, instead of being forced to go to facilities that contract with your insurance. Price transparency and saving patients money are important aspects of the DPC movement. Overall, paying for DPC provides you with more affordable, convenient, and personalized care, which can lead to better health outcomes and a better healthcare experience.
  • What if I do not have insurance?
    Not a problem! We believe that everyone should have access to quality, affordable primary care, regardless of insurance status. We can see you since we do not bill insurance. However, please keep in mind that we are a medical practice and are not a substitute for health insurance. To protect you from bankruptcy due to an unforeseen event, we recommend that patients maintain coverage for circumstances such as emergency visits, hospitalizations, major surgeries, cancer treatment, etc. Many patients maintain their DPC membership along with a high deductible preferred provider organization (PPO) insurance plan, or a healthshare.
  • What if I have Medicaid or Medicare?
    At this time, we are not allowed to accept patients who have Medicaid into a DPC membership. This may change in the future if legislation changes. We are now enrolled with Medicare and can send claims to Medicare. Medicare patients do not pay membership fees but they may have copays or deductibles.
  • Are there other fees I should expect?
    Transparency is one of the defining aspects of the DPC movement. We strive to let you know about all costs upfront so that you do not have any surprise bills from us. If only the entire healthcare system could commit to that! Outside of the membership fee, you should expect to pay for: Any lab tests drawn and sent to the lab or ordered and performed at the lab - we can let you know upfront pricing for lab tests if you choose not to bill insurance Imaging studies ordered Medications either dispensed in our office or at your pharmacy Pathology fees as charged by the lab - this will apply when sending in pap smears and biopsies Home visits, when appropriate, are an additional fee of $50 per visit Your insurance may cover medications, labs and imaging. We recommend calling your insurance to inquire about costs of labs or imaging before completing them. You also have the option of paying out-of-pocket since we are able to get discounts for labwork, imaging and medications that may end up being more affordable than using insurance.
  • How do I pay for services?
    You may pay your membership fees by cash, credit card, or electronic funds (ACH) transfer. If you have a Flexible Spending Account (FSA) or Health Savings Account (HSA), your membership fees may be eligible for reimbursement - please check with your plan administrator.
  • What services are not covered in the membership?
    Please refer to the Membership Agreement which will include a detailed list of services that are or are not covered. Dr. Nguyen does not manage chronic controlled substances for pain, complex psychiatric conditions (such as schizophrenia, bipolar disorder), and obstetrics. We feel these are best managed by specialists who have more training/expertise in these conditions, and we are happy to help coordinate referrals. ​ Since we are a small practice, we may not be a good fit for those who need extensive care coordination services or support services. Please feel free to ask us if you have any questions. Currently, we do not offer any vaccinations at our practice, but we are working on logistics to provide this to members. Options for vaccination include pharmacies, local vaccine clinics, or the health department.
  • What is your cancellation policy? If I cancel, can I re-join?
    We understand that circumstances change and we would be sad to see you go. You may cancel the membership for any reason, with 30 days' written notice. If you need your medical records forwarded to a new practice, please sign a Medical Records Release form. Please note that if you wish to re-join our practice in the future, you will be charged a re-enrollment fee of $100. If our panel is full at the time that you wish to re-join, we will add you on a waitlist until a spot opens up.
  • Do you have a membership plan for people who do not go to the doctor often?
    We do not, because the goal of DPC is to be available for our patients for any care they might need. Even if you are not sick or injured, it would be beneficial for us to discuss preventive measures to keep you healthy. This can be achieved in a number of ways - by office visits, phone, video, or messaging. With DPC, your primary care costs are predictable and clear, whether you have two visits or 10 visits per year. You might find that you are more motivated to address important health issues, because you are no longer worried about hidden costs or surprise bills.
  • I am interested in becoming a member. What do I need to do?
    Welcome! We offer a 15-minute meet-and-greet video session for prospective patients to give them a chance to gauge whether our practice is a good fit. By communicating expectations, we are able to develop trusting and therapeutic patient-physician relationships. If you have already met Dr. Nguyen, you can skip the meet-and-greet video session, and fill out the Patient Contact Form on the home page or Contact page. In an effort to reduce waste, we will send you an email with digital forms for the New Patient Packet, which includes a Membership Agreement, Notice of Privacy Practices, Medical Records Release, New Patient History, and additional information about our practice. After you review and sign these documents, you will be able to schedule an initial Establish Care Visit. During the initial Establish Care Visit, we will review the membership agreement, gather history, and request medical records in order to get to know you as a whole person, discuss your health goals and any concerns you may have. Please plan for 1 hour for the initial Establish Care Visit.
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