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Concierge medicine, also referred to as retainer medicine, is a
relationship between a patient and a physician in which the patient pays an
annual fee or retainer. Please be advised that the practice of charging
Independence members a mandatory annual payment violates the terms of your
Independence Professional Provider Agreement ("Agreement").
Physicians who participate with Independence are required to comply with the
terms and conditions of their Agreement, which requires participating providers
to accept Independence's payment as payment in full for Covered Services.
Covered Services are considered to include:
- well-patient visits
- emergency telephone consultation available 24 hours a day, seven days a
week
- treatment of acute conditions
- coordination of medically necessary care
- referrals to appropriate specialists for treatment
In addition, extending the length of a visit, coordinating medically necessary
care, and/or providing wellness-type services are integral to the provision of
Covered Services and are consistent with a standard of care Independence
expects from participating providers.
Participating providers are required to provide Covered Services during
normal business hours, but they must also be available to Independence members
by telephone 24 hours a day, seven days a week, for consultation on medical
concerns and emergencies.
Please be advised that Independence-participating providers who elect to
open a concierge practice that requires members to pay a designated fee for
Covered Services to remain in their practice are in violation of their
Agreement and are subject to termination from the Independence network.
If you have any questions, please contact your Network Coordinator.
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