No. A Direct Primary Care membership is a different way to pay for comprehensive primary care services and allows for relaxed extended visits in a relationship-based practice rather than a production-based practice. 75% of healthcare is routine primary care that can be covered by a physician such as Dr. Glover, a board certified specialist in family medicine. She tries to pack as much value into your membership as possible. Please reference the included services on the Direct Primary Care Services page.
Now you can afford to meet and talk to your family doc about wellness topics whenever you want to, about prevention, about chronic conditions, about how you are feeling, about weight loss, about sickness, etc. AND, if you happen to need a minor procedure from Dr. Glover such as a mole removal, joint injection, pap smear, IUD insertion, EKG or stitches, those kinds of procedures fees are included in your plan. Because we don't take insurance for our included services, Direct Primary Care clinics have much lower staffing and overhead. Those savings are passed on directly to our patients.
Patients in Direct Primary Care clinics often see their physician at least six times the first year for wellness and sick care (mostly wellness care) because they are no longer constrained by a system that is expensive, inaccessible, and dictated by a third party. In Direct Primary Care, you are the customer, not your insurance company.
Should I also carry high deductible or catastrophic insurance?
Dr. Glover does recommend having at least high deductible insurance for costly catastrophic events like hospitalizations, ER visits, operations, cancer, and heart attacks. 25% of healthcare fits into that category. In Dr. Glover's opinion, that is what insurance is for. In her opinion, insurance should NOT be used for primary care. Wellness care, sick care, and minor procedures like stitches become surprisingly inexpensive and simple (for both the patient and the doctor) when insurance is taken out of the equation. 75% of healthcare fits into the category of primary care and can be covered by a physician like Dr. Glover under a Direct Primary Care (DPC) plan where you will save 50-95% on most services.
Does Dr. Glover see uninsured individuals?
Absolutely. Although Dr. Glover recommends that everyone have at least high deductible insurance OR health cost-sharing coverage, she does not turn anyone away due to lack of insurance. She does her best to make comprehensive primary care affordable for those with OR without insurance. She will pack as much value into your membership as possible, She includes as many services as possible in your plan and gets you discounts on labs, imaging studies, and some medications ranging from 50-95% off usual prices.
I have great insurance that i want to use. Will I be able to use my insurance for things that Dr. Glover orders on my behalf?
Yes. Dr. Glover can use the majority of insurance plans** to cover services that she orders on your behalf, such as medications, labs, radiology studies and specialty referrals. For those who do not have great insurance, Dr. Glover has negotiated amazing discount rates on labs, many medications and most imaging studies, often up to 50-95% off usual prices. The availability of eConsults with specialists is also an included service with your membership. Dr. Glover does not take insurance for her own services such as office visits, wellness visits, sick visits, in-office procedures, phone visits, virtual visits, or after hours texts/calls. These services are all covered in the very affordable monthly membership plan. The reason Dr. Glover is able to be so affordable and allow for unlimited extended visits is because she doesn't take insurance.
**Note: There are a few HMO type plans (e.g. Tricare Prime, some Kaiser plans, and other plans with "HMO" in the plan title). HMO's usually require you to keep a primary care physician within their own network. Dr. Glover is not in any HMO networks. Such HMO patients patients can see Dr. Glover through the membership plan and have access to all the Direct Primary Care services as listed, but they would still need to maintain a primary care physician within their own network for specialty referrals, etc. HMO's tend to only accept referrals from within their network.
I can't afford even high deductible insurance. Are there other options for me?
Health cost-sharing coverage is a great pairing with Direct Primary Care (DPC) for some individuals and families. The DPC membership provides comprehensive primary care and the cost-share covers costly specialty referrals and catastrophic events. Monthly share amounts are usually significantly less than monthly health insurance premiums. Members of cost-sharing ministries believe they have an ethical duty to the others members to maintain a healthy lifestyle. Members of health shares also accept a basic statement of shared religious or moral beliefs. Liberty HealthShare is one example of this type of health cost-sharing and pairs especially nicely with Direct Primary Care (DPC) since they will also reimburse you for 40-75% of your DPC membership (if you fill out their form) in addition to catastrophic coverage. If this option sounds right for you and your family, other examples of cost-sharing non-profits include: Medi-Share, Samaritan, and Christian Healthcare Ministries. Know that there is a provision for valid health cost-sharing ministries in the Affordable Care Act exempting members from fines and penalties for not having insurance.
If you just need help understanding the ever-changing health insurance marketplace and some health insurance options, I have been pleased so far with the sound advice provided by USHealth Advisors to some of my patients. My contact there is Deanna Waalkes, Agent at (303) 345-7002.
How can dr. glover spend so much time with patients?
Dr. Glover plans to keep her patient panel to less than one-quarter the number that a family physician who is employed by a hospital-owned clinic is expected to cover. Her patients will always have great access to her. The average panel size for primary care physicians in the U.S. is 2300 patients. Dr. Glover plans to keep her panel to 350-400 patients.
is dr. glover taking new patients?
The average family physician is the United States carries a panel of 2300 patients. Dr. Glover plans to keep her initial panel to around 400 members for now to preserve great access for all of her patients. As of November 2018, she had about 345 active members. Please click the "Pre-enroll" button on the Sign Up page or call 719-344-2789 to pre-enroll and book a new patient appointment. You will be asked to give your credit, debit or ACH information to pre-enroll through our billing system, but you will NOT be charged until we confirm your membership.
WHAT IS "IDEAL MEDICAL CARE"?
Dr. Glover practices Ideal Medical Care. The Ideal Medical Care movement is championed by Dr. Pamela Wible MD. What does that mean? It means that this clinic and it's processes are community-driven and based on what people want -- more time, less paperwork, and a comfortable atmosphere. You will not find "assembly line medicine" here! Both before and after she opened, Dr. Glover asked and continues to ask members of her community what they would want in their ideal medical clinic. Special thanks to the Palmer Ridge High School spring 2017 "Physiology of Disease" class for all of their great input in helping Dr. Glover create an ideal medical practice for her patients and for herself.
Does Dr. Glover offer advanced cardiovascular disease (CVD) screening tools or an executive physical?
For an extra fee, Dr. Glover can order Carotid Intima-Media Thickness "CIMT" ultrasound testing ($125) and CardioIQ advanced lipid testing with or without inflammation markers (approx $110-160). This testing can be ordered once or at recommended intervals that are individualized for your risk factors. She generally offers this testing to her patients who are aged 40 and up. This testing can be used both for initial risk stratification and for monitoring of cardiovascular disease (CVD) risk factors. In appropriate individuals, coronary CT for calcium scoring (HeartScreen) can also be ordered when needed. Calcium Scoring (HeartScreen) is not indicated for all individuals.
is direct primary care recognized by the affordable care act (ACA)?
The ACA recognized Direct Primary Care (DPC). Luckily there is no more tax penalty for ANYONE starting the tax year of January-December 2019.
Can I use my hsa to pay for my direct primary care membership?
You will need to discuss the interpretation of Section 223(c) and Section 213(d) of the Internal Revenue Code with an accountant. Section 223(c) of the law has to do with health plans and Section 213(d) of the law has to do with qualified medical expenses.
Do you provide routine pediatric and adult vaccinations in your clinic?
I will arrange these for you either at local retail pharmacies OR through the El Paso County Health Department. Local retail pharmacies are an option for individuals aged 7-10 years old through adults. The health department is an option for individuals from birth through adulthood. The El Paso County Health Department is located at 1675 W Garden of the Gods Rd in Colorado Springs. Their immunization department can be reached by calling (719) 578-3199 and selecting option 5. The health department accepts insurance and government program coverage such as Medicaid and Medicare. If insurance will not cover the cost of your vaccinations, the health department can also discuss highly discounted or waived vaccination costs if the cost of vaccines will cause hardship for you. Local retail pharmacies accept many insurances and government programs as well. If you are un- or under-insured for vaccinations, I can also help you find and use coupons to receive lower cost vaccinations at local retail pharmacies. We hope to provide some vaccinations at Glover Family Medicine in the future, but at this time, we do not offer this service.
What is the minimum membership and is there a penalty for cancellation?
The minimum membership is one full month. We think you will love this model! However, if it is not for you, then you may dis-enroll at any time after that without penalty.
I would like to enroll my children without an adult. what would their membership fees be?
For children signed up WITH at least one full-paying, adult family member, the membership fee is $15 per month per child. For children signed up WITHOUT an adult family member, the first child's membership fee would be equivalent to the young adult rate of $55 per month and the membership fee for all other children in the family would be $15 per month.
What are examples of services performed and conditions treated by Dr. Glover?
Examples of Comprehensive Primary Care Services Performed: Wellness care, sick care, gynecology services, pediatric care to include care of infants, children, and adolescents, women's health, men's health, minor procedures, mental health, sports medicine, birth control services, chronic disease management, acute care, injury care.
Examples of Conditions Evaluated/Treated/Managed: Acne, Abdominal pain, Allergies, Anemia, Anxiety, Arthritis, Asthma, Atypical Moles, Need for Birth Control, Cancer screening, Depression, Diabetes, Ear infections, Emphysema, Erectile Dysfunction, Flu, Fractures (broken bones), Head and Chest Colds, Headaches, Heart Disease, Heel pain, High Cholesterol, Hypertension, HIV, Infectious Diseases, Injuries, IUD's, Joint Pain, Menopausal Transition Symptoms, Obesity and Unhealthy Weight (weight management), Pink Eye, Pneumonia, Rashes, Rectal Disorders, Sexual Health, Sexually Transmitted Diseases/Infections (STDs/STIs), Skin Infections, Smoking Cessation, Sore Throats, Sports/Camp Clearances, Sprains/Strains, Thyroid Disorders, Vaginitis, , Wellness Exams/Physical Exams.
What are examples of procedures performed by dr. glover?
Examples of Procedures performed: Abscess (Boil) Incision and Drainage, Destruction of Precancerous Skin Lesions (Cryotherapy), Electrocardiogram (EKG), Implantable Birth Control (Nexplanon) Insertion and Removal, Intrauterine Device (IUD) Placement and Removal, Joint Injection (e.g. Shoulder, Knee), Mole Removal, Skin Biopsy, Suturing (aka "Stitches"), Urinalysis, Wart Removal, Rapid strep testing, Rapid flu testing, Vaginitis Testing, Spirometry
Which lab does Dr. Glover use?
We use Quest Diagnostics for our blood draws most of the time and LabCorp some of the time. Quest has nine draw sites around Colorado Springs and surrounding communities. The closest Quest draw site to our clinic location is inside the Safeway in Monument (in the back near the pharmacy). We get our very best prices through our special quotes from Quest. If you have another lab that you prefer, we are happy to send your lab order to any lab company that you choose. We also have special rates through LabCorp. Quest and LabCorp also do pick-ups at our location when we need to send out things like throat cultures, urine cultures, wound cultures, etc.
Is dr. glover comfortable caring for lgbtq individuals and couples?
What are these health cooperatives and concierge practices that Sean hannity keeps talking about on his radio and tv shows?
Sean Hannity is talking about Direct Primary Care (DPC). DPC is the payment and care model at Glover Family Medicine. It is a non-partisan concept embraced by the left, the right, moderates and the non-political as innovative and affordable. Sean Hannity has interviewed Dr. Josh Umbehr several times about the DPC model between 2012 and the present. Dr. Umbehr founded Atlas MD, a Direct Primary Care clinic in Wichita, KS.
Which birth control methods does dr. glover prescribe and/or insert?
She is comfortable prescribing birth control pills, Depo-Provera shots, inserting Mirena IUDs, Kyleena IUDs, Skyla IUDs, non-hormonal Paragard IUDs, and Nexplanon birth control implants. She performed vasectomies for most of her career, but is not yet offering vasectomy at Glover Family Medicine.
how is it possible to be so affordable?
Though Dr. Glover is happy to use your insurance on your behalf for outside services, she doesn't use insurance to cover her services. This allows her to keep a much smaller staff. A smaller staff means significantly reduced overhead and savings that are passed directly to you. Because she doesn't take insurance, she is not constrained by any insurance company's rules about how many issues we address in one visit, about the types of issues we are allowed to address at one visit, about the time a visit "should" take, or about how many visits it will take to help you be well, focus on prevention, manage chronic conditions, or take care of your acute illnesses and injuries.
Does dr. glover take medicare?
Dr. Glover is enrolled only as an Ordering, Certifying, and Referring physician with Medicare. She is otherwise "opted-out" of Medicare and she "deactivated" her own ability to bill Medicare. Being an Ordering, Certifying and Referring physician means that you CAN use your Medicare benefit for outside services ordered by Dr. Glover such as for medication orders, lab orders, imaging orders and referral orders. However, Dr. Glover does not accept Medicare for the month-to-month membership which covers services within her own practice. Medicare beneficiaries who sign up for Direct Primary Care in Dr. Glover's practice agree that they will not submit the invoice for the month-to-month membership fee to Medicare. Medicare beneficiaries will be asked to sign the Medicare Beneficiary Notice of Non-Covered Services that can be previewed here in addition to the DPC Patient Agreementhere.
WHAT IS THE DIFFERENce BETWEEN DIRECT PRIMARY CARE (DPC) AND CONCIERGE MEDICINE?
In Direct Primary Care (DPC), we charge an affordable monthly fee. It is concierge medicine for the rest of us... for ALL of us.