Question 1

What is Unorthodoc®?

Accepted Answer

Unorthodoc is your personalized medical home. Through an affordable membership, you and your doctor become partners in your primary care. This not only makes your care safer but more coordinated and accessible, as well. It also protects that space between your doctor’s eyes and your own, the most valuable and meaningful real estate in health care.

Question 2

What is “Primary Care"?"

Accepted Answer

Primary care is the part of health care you would be using most often … if the system worked. It should include your wellness visits, chronic disease prevention and management, and most of your sick/urgent visits. It should also be the container of all your important medical information in a form that is easy for you to access. If done right, it’s the first place you turn to for any health issue and reduces your need for specialists and hospitals. When those things are necessary, your trusted physician adviser should be your advocate and coordinator.

Question 3

What is “Direct Primary Care"?"

Accepted Answer

It is a new kind of healthcare payment based model that operates regardless of your insurance, but it is not a replacement for insurance. With membership health care, patients pay the doctor directly for their time using a predictable fee structure no matter how much is “done” during your visits. This allows the doctor to stop thinking about how insurance requirements and billing will impact your care. Instead, they can focus on providing you with the health care you deserve at a cost that helps your bottom line instead of that of some faceless third-party. It returns doctors to a direct relationship with patients, both socially and financially.   Direct Primary Care is typically financed by a reasonable monthly or yearly membership fee. In return, patients have ready access to their physician who delivers comprehensive, personalized primary care. It essentially eliminates growing frustrations with the current system, particularly problems with third-party payment, paperwork, and bureaucracy experienced both by patients and their doctors. Preliminary data show excellent outcomes and greater satisfaction for patients and doctors alike while reducing overall costs by 20-50%.

Question 4

What is part of my Unorthodoc membership?

Accepted Answer

Your membership ensures you access to your doctor. No more waiting on hold with some call center only to be told your doctor isn't available. Your membership provides you with 2-way secure text messaging with your doctor, and access to annual comprehensive assessments and same-day or next-day urgent appointments for a very low $20/visit fee. We also have the flexibility to replace in-office visits with phone, video, or home visits, when appropriate. Although we charge separately for labs and procedures, we've negotiated low cost cash prices -- many of our blood tests cost $10 when they could cost $100+ in the insurance-based healthcare model. Most importantly, members have a long-term relationship with a trusted health adviser that can’t be disrupted by changes in insurance, employers, or politics. Our visits are unrushed, questions are answered, and wait times are short. Now you really can have a doctor “in the family.”

Question 5

WAIT! Why is there a per-visit charge in addition to the membership fee?

Accepted Answer

The per-visit fee ($20 per adults, $10 kids under 6) allows us to keep your monthly fees steady while covering the costs of the replaceable items and digital platforms we use during your visits. This allows you to have as many visits as you need. It’s also a North Carolina requirement for this type of practice.

Question 6

Is Unorthodoc a substitute for health insurance?

Accepted Answer

No, you still need insurance to cover expensive, unpredictable, or catastrophic health surprises. Your Unorthodoc membership doesn't cover specialty care, trips to the ER or surgery. But since so much of the day-to-day medical care is taken care of with Unorthodoc, members frequently find that their health insurance needs change. They discover that adding an Unorthodoc membership is often less expensive (and more satisfying) than the premium increase to purchase the next higher level of insurance coverage.   See our cost comparison on our Pricing page   Health plans that combine Direct Primary Care with wraparound catastrophic coverage are actually provisions of the Affordable Care Act (section 1301 a3, page 58, Full Text).   “For catastrophes, you need insurance; For primary care, you need assurance.”

Question 7

What about costs outside of Unorthodoc?

Accepted Answer

We are not responsible for costs that you incur outside of Unorthodoc, such as outside labs, outpatient radiology, pharmacies, or specialists. However, when using your insurance is essential, we try to find those providers that will give you the best value. We can also can refer you to specialists covered by your plan, if appropriate.  If you pick an insurance plan that includes Carrboro Pediatrics and Internal Medicine, located next door to Unorthodoc, you can have the convenience of an in-network practice when it’s required, such as for vaccinations, etc.

Question 8

What if I go into the hospital?

Accepted Answer

In the event you or your family member needs to be hospitalized, your doctor will serve as a consulting physician to the team caring for you.  She will speak to you or your family while you are admitted and discuss your medical problems, medications, and test results with the hospitalist providing your in-patient care. We also help to ease the transition back home after your discharge.

Question 9

What about expectant parents?

Accepted Answer

We are happy to set up a complimentary meet-and-greet with you to discuss your newest family member’s pending arrival and care. Once your baby is born, the doctor can work with the hospital team to insure a smooth transition back home followed by regular follow-up for your family.

Question 10

What about vaccinations?

Accepted Answer

Routine vaccinations, as recommended by the Centers for Disease Control, are not included in the membership price because, by law, they must be covered by all insurance policies or by the state of North Carolina. Our patient care coordinator can help you with options to handle your vaccines. There are multiple affordable and convenient options.

Question 11

Can I really reach the doctor 24/7?

Accepted Answer

Yes! There is no answering service between us. You may get the voicemail if we are busy with a patient in the office, but we will call you back. The doctor is always carrying her pager for truly urgent issues. We do, for the sake of our own families, ask our patients to save non-urgent questions for business hours but believe in being available to our patients.

Question 12

Can I communicate with the doctor via email or text?

Accepted Answer

For text, the answer is yes; Unorthodoc is using a HIPAA-compliant texting platform that also allows us to share pictures, videos, and documents. Email (currently Gmail) is OK for non-HIPAA compliant communication where personal identifying/health information is not exchanged.

Question 13

Can we have a “virtual” medical visit?

Accepted Answer

Yes.  This can work really well for follow-up of some chronic problems and for information visits, like discussing lab results. In many instances, it works for some sick visits, as well. This can help families save time and provide earlier treatment plans and interventions in the hopes of returning you to health quicker.

Question 14

What happens when my doctor is on vacation?

Accepted Answer

Even doctors who love their work need to take breaks to recharge. Dr. Annis & Dr. Nayo provide coverage for each other when one or the other is on vacation.

Question 15

Why not just use an urgent care or one of the new, cheap online consult services?"

Accepted Answer

One of the biggest problems in health care today is fractured, unrelated healthcare information and services delivered by providers that don’t know you. Retail solutions can significantly worsen that problem if not used in cooperation with your true Medical Home (see Removing Dangers of Mobile Health Care).

Question 16

We rarely go to the doctor.  Is having a doctor at our beck and call really necessary?

Accepted Answer

At Unorthodoc, we aim to provide more than just a once-a-year checkup. Even if you are healthy, we strive to keep you that way by promoting your goals for exercise, nutrition, and overall well-being. If you want a health coach or accountability partner, Unorthodoc is here. Our incentive is not to do things to you, but rather provide care for you, both when you need it and when you wish you had it. A membership to Unorthodoc gives you assurance and peace of mind that should a problem arise, we are here for you. But, we are also here when you are healthy, cheering you on and serving as a resource for your health questions. The membership model is the only payment model in health care that actually rewards the doctor for keeping you healthy. For a moment, think about what that says about the rest of our “healthcare” system.

Question 17

When my children go to college, can they still discuss a health concern with you?"

Accepted Answer

Technology makes it easy for college students to remain in touch even though they may be miles away. Refills of non-controlled prescriptions can also be handled in the same manner.

Question 18

Can Unorthodoc be given as a gift?

Accepted Answer

Yes.  There is no better gift than the gift of health and peace of mind, whether it is for your family or for a neighbor of limited means. Membership gift certificates are available.

Question 19

Can my annual membership fee be paid for with my Health Savings Account?

Accepted Answer

We recommend talking to your tax professional. HSA funds are not to be used to pay insurance premiums, but Direct Primary Care is not insurance. US House Bill 365 insures that you will be able to do this without question in the future. If you have no other reason to contact your house representative, at least tell them to support bipartisan House Bill 365.

Question 20

How does Unorthodoc handle narcotics, stimulants, & other controlled substances?"

Accepted Answer

Unorthodoc has a very strict policy about prescribing controlled substances (strongly addictive medications). We NEVER prescribe them outside of an actual handshaking office visit with legally established patients and we NEVER prescribe them at the first visit. We RARELY prescribe controlled substances chronically and we are not a chronic pain clinic. If there is ever a very good clinical reason to prescribe such medication, you will be expected to return to the physical office regularly for evaluations as dictated by the NC Pharmacy Board. We participate in secure Electronic Subscribing of Controlled Substances (EPCS). Prescriptions for controlled substances will not/cannot be mailed or faxed, and can no longer be picked up in hard copy. No exceptions. No excuses. We also never replace “lost” prescriptions.   We also use the North Carolina Controlled Substances Database. Trust that we check to see if you are being prescribed controlled substances elsewhere. Your life and our reputation are too important not to go by the book here. If you are transferring into our practice and are already taking legally prescribed controlled medications, be prepared to provide a copy of your previous prescriber’s record establishing your diagnosis and confirming your medication name, dose and instructions

Question 21

Are there other DPC practices in the Triangle area?

Accepted Answer

Yes!   Internal Medicine practices that we recommend:   In or South of Chapel Hill/Carrboro: Dr. Todd Granger In Durham: Dr. Kenneth Stone In Raleigh: Dr. Inaam Schneider , Dr. Ben Fisher, or Dr. Suji Park-Idler   ​Family Medicine practices that we recommend:   In Durham: Dr. Taineisha Bolden In Raleigh: Dr. Zane Lapinskes, Dr. Amy Walsh, Dr. Soon Kwark, Dr. Patrick O’Connell, In Cary: Dr. Tammi Waters, Dr. Camtu Karrenbauer In Apex: Access Healthcare

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