FREQUENTLY ASKED QUESTIONS
The Healthy Human DPC
How is The Healthy Human different than traditional medical clinics?
We use an innovative model of care known as Direct Primary Care (DPC). In this model, doctors are paid directly by their patients, rather than through governmental payers or insurance companies. Basically, we're cutting out the middle man, along with the hassles. This model of health care is rapidly growing. DPC is reminiscent of the doctor-patient relationship from times gone by, when doctors didn’t have thousands of patients, had plenty of time to spend with you, and you didn’t have to wait weeks for your appointment. Cutting out all the middlemen and red tape increases the doctor and the patient's satisfaction, and dramatically cuts costs.
Does The Healthy Human accept insurance?
No, and happily so. Primary Care was meant to be affordable. When insurance contracts are involved with Primary Care, it prevents physicians from offering low prices on laboratory tests and imaging, as well as making the first line of healthcare inexpensive for individuals and families. Just like we would not expect car insurance to pay for our gas when we need to fill up our gas tank, we should not have healthcare premiums paying for our Primary care with our Family Physician. It is not cost effective healthcare...
Do I still need insurance?
All patients are encouraged to have at least major medical insurance coverage, aka catastrophic coverage. As of 2019, individuals without insurance are no longer penalized by the government.
One way to save money on your healthcare is by getting insurance with low premiums and high deductibles. If you are looking into other alternatives, you may want to opt for a Health Share plan. DPC leaves out co-pays and deductibles, instead the model offers affordable labs, testing, imaging, and procedures. Why pay $200 toward a deductible you're unlikely to meet when you can get the same tests from a DPC doctor for $15 in cash?
Can my fees be reimbursed by my insurance company?
No. However, for HSA and FSA plans, you may submit invoices/receipts for items such as labs, procedures, medications, and more. Some insurance companies will apply these payments toward a deductible. In regards to DPC monthly membership fees, the law is currently unclear if HSA funds can be used. This is a question for your tax professional. Legislation has been proposed to clear up the question regarding if HSA money can be spent on a DPC physician's retainer or membership fee.
How much does it cost?
Our monthly membership fees are based on the patient's age. In addition to low monthly membership fees, we have an on-site pharmacy which saves our patients significantly on prescription costs. In some cases, our patients have found that their prescription savings are greater than their membership fee and they are SAVING money monthly with a DPC. Patients will be offered cash prices on lab tests as well, and we have negotiated contracts for bottom-dollar access to radiological services such as X-Rays, CT scans, and MRI's.
When do I pay my fees for my prescriptions and labs?
Charges for prescriptions and labs are due at the time of service for a non-member and monthly for a member. Patients on auto-charge or bank draft will have their charges added to the following month’s billing invoice.
Will I benefit from Healthy Human DPC if I don't require frequent medical attention?
Yes! Unfortunately, most medical care has become very reactionary, something we use as a reaction to having symptoms or being sick. While we always provide sick care for our patients, it is also important to be proactive and create plans for staying healthy.
Certainly, everyone benefits from healthcare tailored to them, and that is our mission at the DPC. Healthcare ONE patient at a time. The traditional healthcare model encourages you NOT to seek care until you are just about dying, but with Direct Primary Care, you can seek care at any time, preferably sooner rather than later, and we can actually prevent things from happening instead of waiting for them to happen. There is nothing standing in the way of calling us, seeing us the same day or next day, or simply asking a quick question by text. Over time, we build a comprehensive knowledge of you and your health, and if you do end up needing more frequent medical attention, we know all about your needs and how to treat you best, which cannot be said for any other healthcare model.
How can you guarantee same or next-day appointments?
We will have same or next day consultation for urgent needs, which will be assessed by your physician, APRN, or LPN. If you can believe it or not, this will be easier than it has ever been before, since you are now able to reach them by email and/or text! The Healthy Human will only be accepting around 800 patients. Considering that managed care has driven modern era physicians to patient panels of 2,000 to 4,000 or more, it's no wonder you encounter long waits! We keep our patient panel low so we can spend plenty of time with you and get you in quickly. This is the kind of attention and accessibility we'd want our family to have, and it's what we offer our patients.
Will Dr. Beckenhauer still take care of me if I need to be admitted to the hospital?
Dr. Beckenhauer does continue to have privileges at Memorial Community Hospital, as well as adding privileges at UNMC in Omaha. If you should have a hospital stay outside of the two locations mentioned above, she will stay in close communication with the doctors caring for you, and will be ready to assume post-hospital follow-up care.
Can I get all of my medications from The Healthy Human pharmacy?
As a member, you have access to our entire pharmacy. We only dispense medications we can save you money on. Therefore, almost all of the medications in our extensive inventory are generic. Name-brand prescriptions are generally expensive, and therefore you'll normally get a better price on name brand drugs using an insurance prescription drug benefit or a prescription drug discount card at your local pharmacy. We carry over the counter medications, as well as supplements and skin care products. We do not dispense any DEA-controlled medications such as narcotic pain medicine, sedatives, or stimulants.
What if I need to be referred to a specialist? Do you offer access to specialty services?
In providing superb care with unprecedented sorts of access, we seek to prevent or reduce hospitalizations and specialty referrals. In instances where those types of care are required, we will work with your hospitalist/specialist. In some cases, depending on the level of care and the expertise required, we may rely on those specialized caregivers to manage your treatment. We do encourage you to carry insurance for these kinds of needs, as we are not considered an insurance plan. In case you do not carry insurance or would like to pay cash for specialty services, Dr. B has negotiated rates with multiple specialties and an outpatient surgical center to take care of your needs.
How can I contact Dr. Beckenhauer and/or Melanie Dresden, APRN after hours?
We know that illness and injuries don't always happen during office hours. If you just need to get in touch with us to order a medication refill or schedule an appointment, you can directly e-mail us or call our clinic during business hours. During clinic hours, we ask that you communicate with us by clinic phone in regards to Urgent needs, appointment scheduling, medication pick up, & more. We want to be available for you, but in case we are busy with patients, you can leave a message with our nursing staff. Lastly, if you have an urgent issue after-hours, we are only a phone call/text away!
Are there medications Dr. Beckenhauer or Melanie Dresden, APRN does not prescribe?
We are not accepting new patients for pharmaceutical treatment of Chronic Pain. New Opioid Prescribing Guidelines have recently been released by the CDC to combat the prescription drug abuse epidemic, and those patients who use narcotics for chronic pain are encouraged to seek a pain treatment center.
Outside of paying for monthly membership, are there other fees I might have to pay?
We offer all of our services at affordable pricing, which include procedures, lab work, medications, etc. As a membership benefit, Dr. Beckenhauer will see sick or injured visiting family members for a reasonable one-time office visit fee.
Will The Healthy Human see patients on a fee-for-service basis if they are NOT members?
Yes. There are non-member prices for visits and procedures. Examples of these visits/procedures may be for minor laceration repairs, minor cosmetic surgical procedures, such as punch biopsies, and more. Most insurance plans will not cover "cosmetic" procedures. Traditionally, these simple procedures are very expensive without insurance AND with insurance if you have a high deductible. The HH has the lowest prices around on these non-member services.
Does Dr. Beckenhauer still deliver babies?
Yes! Dr. B will continue delivering at Memorial Community Hospital, as well as at UNMC if needed. She also teaches at the Clarkson Family Medicine Program and occasionally FP residents will be with her at the bedside. Prenatal care and delivery can be cost effective through the DPC. Dr. B and the patient will determine payment that fits their individual needs. Please email or call us for a scheduled appointment to discuss our OB agreements.
Does Dr. Beckenhauer still see Medicare patients?
At this time, she is unable to see Medicare patients. Once she is opted out of government programs, she will be able to see Medicare, Medicaid, and Tricare without hassle.