Dissatisfaction generally results when one's expectations are not met. So
that there are "no surprises" we will have an agreement with each
patient that spells out our commitments and limitations.
Fees and concept of Limited Access Membership (LAM) and annual exam:
Principal physician is Stephen R. Richard, M.D.
Visits are by scheduled appointments only.
Concept and charges:
- Limited Access Member/Membership (LAM) fee and Annual exam:
$500 per adult per year
$150 per child per year (must be older than age 5 and requires
at least one adult membership)
All LAM's must register with the practice through the practice website at:
http://www.infopcc.com/ using its secure server, and completing a
"ihealth" record (there is no charge for this). If you do not have
internet access or require assistance you can schedule time with Dr. Richard or
his designee to register and complete your "ihealth" at the office
(Suite A1, 5700 Old Richmond Ave., Richmond, Va. 23226). The office phone
number is 804-282-3495.
- Annual Comprehensive Exam (CE)
All LAM members must undergo an annual comprehensive exam (scheduled for 50
minutes for adults, 25 minutes for children)
Note: many women have established Gyn providers. Women LAM's that furnish
evidence that they are current on Breast and Gyn exams may opt out of this
portion of the CE and receive a discount of $35 towards the cost of the CE.
- Other Charges:
Sick visits and Follow-up visits will be scheduled in 25 minute blocks at $50
At the Physician's discretion:
After hours office visit = $85
After hours = Weekdays (after 5:00 pm to
8:00 am Monday to Friday); and Weekends (Friday 5:00 pm to Monday 8:00 am)
= $120 (if within 5 miles of the office)
All LAMs will have a contact number to use for appropriate phone consultation
on a reasonable frequency with the Physician at no charge. Repeated or
inappropriate calls, in the Physician's sole discretion, may result in
additional charges and possibly, termination of LAM status.
If a LAM is admitted to Saint Mary's Hospital, the Physician is made aware of
the admission and if the Physician is in town he will pay a courtesy visit
within 48 hours. If formal consultation is requested by the LAM the charge is
$200 for the initial visit and $125 per day thereafter.
Note: Adult principal
hospital coverage is through the Hospitalist program at Saint Mary's named
Richmond InPatient Medicine Service ("RIMS"). Child principal
hospital coverage is through the Saint Mary's Pediatric Hospitalist Service
(SMHPHS). Both RIMS and SMHPHS participate with most insurance carriers in the
Richmond area. Note: If the Physician is in town, and aware of the admission he
will be in contact with the attending physician regarding any LAM admitted.
Physician time plus other additional incidental office charges may apply, for
example: EKG = $35, Procedure tray use = $45 (i.e. a laceration repair), these
and other such incidental charges will be available for review (see Incidental
Charge List) but will generally be less then the charges seen in an insurance
financed primary care office (for example the median charge for an EKG in most
primary care offices is greater than $60). Unusual/infrequent healthcare needs
will be dealt with by charging for physician time at a rate of $50/25minutes
plus a "pass through" to patient of overhead costs (for example: a
LAM is in an accident and requires specialized bandages and frequent wound
care, the patient would be responsible for the costs of the wound care products
plus the physicians time at the above rate).
On Line Consultation (OLC) limited to weekdays Monday through Friday from
8:00AM to 5:00PM when the physician is in town and limited to simple problems
that both LAM and the physician are comfortable managing through the Medem
secure server, charge = $35,
Accessed through the website at: http://www.infopcc.com/ If using the "OLC" the LAM understands the
physician will make a good faith effort to respond to any query within 1
business day but the LAM accepts responsibility for the decision to use
"OLC" and the LAM accepts responsibility for any delay in response,
treatment or health outcome associated with "OLC" use. The LAM
understands the physician may elect to request a formal office visit and
evaluation with the LAM at any time.
Medical Records: It is the goal of Primary Care Consultants to be as
"paperless" as possible. To this end, The LAM understands and accepts
that any prior medical records forwarded to the office will be returned to the
LAM after the physician has had a chance to review.
Note: All of what has been delineated is for cognitive physician input and time
with the understanding that the physician will schedule appointments on a first
come first serve basis as his schedule permits. The physician reserves the
right to reschedule appointment times, with reasonable notice; exceptional
circumstances such as an illness or family tragedy allowing for immediate
cancellation. The LAM understands and accepts that the physician has other
employment commitments but will give his best efforts to coordinate with the
LAM for mutually agreeable appointment time (s). The physician is not committed
to any set office schedule but will arrange for Limited Access Members to have
telephone coverage either by himself or another clinician when he is out of
town, or is unavailable. If, in the judgment of the clinician on call, the
patient requires attention that cannot wait until the PCC office reopens then
the patient may be referred to another clinicians office (possibly the
clinician on call), an urgent care facility or to an emergency room. (Note: in
such an event physician care and any other costs at any of these facilities are
NOT covered by fees you have paid to Primary Care Consultants, P.C.).
The Basic Bottom line: Adult base cost for outpatient physician cognitive
services = $500 per year plus sick or follow-up visits. Note: Lab, X-ray,
immunizations, injections, procedures and other diagnostic study costs are not
covered. When such studies or interventions are necessary the LAM will be
directed, with appropriate written orders, to the facility or lab of the LAM's
choice. All Medicare and Medicaid Beneficiaries must sign an additional
contract that states that physician costs are not covered.