Open Enrollment

  • We are just over a month out from open enrollment, which is the time of year when many people have the opportunity to sign up for a new health insurance plan. You can renew the coverage you already have or you can switch to a different type of policy. This applies to people who are using the ACA marketplace or HealthCare.gov. This also applies to many people who have a plan sponsored by their employer, or people on government insurance, like Medicare or Medicaid. 

  • As the owner of a direct primary care clinic, I want to remind people that health insurance was never meant to be the way that people pay for all of their health care. It was actually meant to be used for critical events, unexpected events, major injuries, surgeries, things like that but instead it has become this very broken system where we are treating it more like a discount card than an insurance policy.

  • As a result of using health insurance for every time we have a touch point with the healthcare system, we have seen exponentially increasing premiums and an increase in prices on health care itself. 

  • Direct Primary Care offers an opportunity to break the cycle of this system and take your health care spending outside of the insurance-based world. Instead of every touch point with health care becoming a bill that gets submitted to your insurance company for reimbursement, we take out the middleman, the insurance company, and revert back to how things used to be, which is the patient having a relationship with the doctor. 

  • So this fall when you are weighing your options for health insurance coverage, I want you to think about how a direct primary care membership might fit into your plan. It offers an opportunity to reduce your health care spending out of pocket because you have a predictable monthly membership fee that includes all of your appointments and all of your touch points with your doctor. You also, as an added bonus, get incredible access to your doctor. You get seen when you need to be seen. You don't have to wait weeks to months to be seen. And you can save your health insurance benefits for big bad scary things that happen in your health and ideally not use it at all. 

  • If you would like to learn about Fortis Direct Primary Care, which is my clinic, you can book a free meet and greet appointment with Dr. Scoles

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