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Frequently Asked Questions

We know you may have some questions about our new Direct Primary Care model. So we created this FAQ page to address some of the major questions that may concern you. If you have a pressing question that is not covered here use our Contact Form to send us your questions and one of our DPC team members will contact you shortly.

Does Integrity Medical accept insurance?

No, Integrity Medical does not participate with insurance companies which include Medicare and Medicaid. If you have health insurance, insurance can still be used for labs, imaging, testing and specialists visits as needed. This non-participation is the premise of the Direct Primary Care model, allowing us to reduce our costs and provide exceptional care designed for you!

Is there a contract or commitment? What is the cancellation policy?

We do not have contracts, no hoops to jump through. If you would like to cancel the reoccurring monthly payment just inform our friendly staff. The $100/Month membership does not have a cancellation fee. If you would like to cancel your $75/Month membership there is a $50 cancellation fee. For both memberships you will be charged for the month you cancel in.

Do I have to be a member in order to be seen?

Yes and No. We allow acute care or urgent care walk-ins for non-members $89/visit. We also offer hormone replacement and weight loss management for non-members $50/visit plus cost of medication. To utilize Integrity medical as your PCP for a membership is required. We take pride in developing relationships with our patients giving us the ability to provide top quality care. If you are interested in a membership and would like to come visit us before joining, we would be happy to show you around and answer any questions that you may have!

How do I know if Integrity Medical and the Direct Primary Care model are right for me?

I can tell you it is! Dakotah and Integrity Medical would love an opportunity to show you how this model of healthcare can change your life and improve your health. Please visit our About Us section or schedule a visit to discuss your needs. This is a visit that will be free and unconditional. It’s the only reasonable way to begin a trusting patient provider relationship. Put your information in the Contact Us section to get started!

What are the typical types of services that are provided with my membership fee?

Unlimited primary care services to include unlimited in person or telehealth appointments (30 minutes – 1 hour long), hormone replacement visits, weight loss management visits, no co-pays, Dakotah’s direct cellphone number ensuring 24/7 access to care, annual physical, well woman exam, strep test, flu test, urinalysis, urine drug screening, simple skin procedures, laceration repair. To see a full list check out our Services page!

What do I do if I am out of town and need a doctor?

Contact us! We can determine the most effective means of communication to determine the best approach to handle your specific situation. We can connect via email, cell phone, text message, FaceTime, etc. Many illnesses can be diagnosed and treated with a simple conversation by phone or webcam. We’ll help you locate the nearest pharmacy and prescribe the medications most appropriate for your present circumstances.

What if I have insurance?

GREAT! We encourage all of our patients to carry some form of insurance that will cover services that are not included in your membership to include the “big ticket items” like an ER visit, hospital stay or surgery to name a few. Your insurance will continue to pay for services like imaging, labs, medications, specialists visits or expensive outpatient testing.

What if I don’t have insurance?

That’s ok! We do encourage patients to carry some form of health insurance to cover you for services that are not included in your membership but that doesn’t mean you have to. We have found that the most affordable way to cover yourself for the “big ticket items” (surgeries, ER visits, specialists visits, etc) is choosing a high deductible, low monthly premium plan or a catastrophic health care plan that would cover you for any expensive unforeseen circumstances. For patients who do not carry an insurance plan we can help with wholesale pricing for labs and discounted pricing on imaging if needed. Integrity Medical will also help you get medications at an affordable price. Integrity Medical can help you navigate these topics.

Do you see children?

At this time we do not see children. We serve patients aged 16 and older. We can help you find a pediatrician for the little ones.

Will I be required to pay monthly even if I don’t use any services that month?

Yes. You will be required to pay the monthly membership fee based off of which membership you choose. The monthly membership allows for you to be able to access the services provided in your membership at any time including same day or next day appointments either in office or telehealth along with direct access to your provider, to name a few.

What if I cancel and want to re-enroll?

That’s great you want to come back! Integrity Medical would love to have you back at the discretion of the provider and if we have any spots left. If you would like to re-enroll you will be required to pay the $125 enrollment fee again. If there are no patient spots available at that time you will be placed on the waiting list. 

What is a Physician Assistant or otherwise known as a PA?

A Physician Assistant or otherwise known as PAs are medical professionals who diagnose illnesses, develop and manage treatment plans, prescribe medications, and often serve as a patient’s principal healthcare provider. PAs work under the supervision of a physician. With thousands of hours of medical training, PAs are versatile and collaborative. PAs practice in every state and in every medical setting and specialty, improving healthcare access and quality. PAs are educated at the master’s degree level. There are more than 250 PA programs in the country and admission is highly competitive, requiring a bachelor’s degree and completion of courses in basic and behavioral sciences as prerequisites. PA programs are approximately 27 months (three academic years), and include classroom instruction and more than 2,000 hours of clinical rotations. PAs are trusted healthcare providers. A 2014 Harris Poll found extremely high satisfaction rates among Americans who have seen a PA or have a family member who has seen a PA. The survey found that 93 percent regard PAs as trusted healthcare providers and 91 percent believe that PAs improve the quality of healthcare.

What is included in a PA school curriculum?

A PA’s medical education and training are rigorous. The PA school curriculum is modeled on the medical school curriculum that involves both didactic and clinical education training. In the didactic phase, students take courses in basic medical sciences, behavioral sciences, and behavioral ethics. In the clinical phase, students complete more than 2,000 hours of clinical rotations in medical and surgical disciplines, including family medicine, internal medicine, obstetrics and gynecology, pediatrics, general surgery, emergency medicine, and psychiatry.

What are the advantages of seeing a PA for medical care?

PA education and practice emphasize on patient education, preventive care, and chronic care management. PAs generalist medical training enables them to provide a wide spectrum of patient care and treat the “whole patient.” For example, during an appointment with a PA working in cardiology, in addition to discussing the patient’s heart issues, a PA might notice a skin condition and either treat it or refer that patient to a dermatology practice. PAs make it easier for patients to get the care they need when they need it.

How are PAs different that NPs?

At the practice level, there are likely more similarities than differences between PAs and NPs. However there are 2 distinct differences. PAs are educated in general medicine, which offers a comprehensive view of all aspects of medicine. NPs must choose a “population focus,” such as a family medicine nurse practitioner, pediatric nurse practitioner or women’s health nurse practitioner just to name a few. PAs are trained to practice medicine using a curriculum modeled on medical school education. NPs are trained in the advanced practice of nursing.

Will I ever see the physician?

No, unless requested by Dakotah. Dakotah’s supervising physician signs off on 20% of her medical charts along with being onsite once a month. Dakotah is the only provider at Integrity Medical seeing patients. Dakotah has a very close working relationship with her supervising physician and he is always available for consultation or for questions when she needs him.

Do I have to pay every time I come for a visit?

No, there are no office co-pays. Think of this membership just like a gym membership or a cellphone bill. You pay once monthly in exchange for services provided in the membership. Whether you use zero or 10 of the services offered that month you will still be required to pay the monthly fee.