Questions and Answers
Does Voyage Direct Primary Care accept insurance?
We do not accept insurance for three reasons. First, we save cost by eliminating the coding and billing process required by insurance companies. We pass those cost savings directly onto our patients who get excellent healthcare at affordable rates. Second, a direct membership arrangement frees us from the typical contractual agreements that prevent physicians from offering wholesale prices on laboratory tests, imaging, and medications. This is also a cost-saving benefit for our patients. Third, we save our patients from arbitrary, intrusive decisions that inevitably follow when the government or private insurers tell us what we can and can’t do. Removing these middlemen allows us to provide the best quality care without worrying about whether insurance will pay for it.
What will be my copayment for office visits?
Nothing. Your monthly membership covers the cost of office visits as often as they are needed, as well as technology visits like email, patient portal messaging, and telemedicine visits. We only charge an additional fee (due at the time of service) if we provide you with medication or discounted labs, or if we perform a procedure requiring out-of-the-ordinary supplies (for example, there is no physician charge to do a skin biopsy but there might be a charge for the supplies used to perform the biopsy). We will always tell you ahead of time if there any additional charges for which you will be responsible. It’s part of our commitment to transparency in medicine and validation of your right to make informed choices about your health care.
If I have Medicare, can I still join Voyage Direct Primary Care?
Absolutely. We want to provide your primary care for years to come, especially as more and more family doctors are refusing to accept new Medicare patients. You do need to sign a waiver declaring that neither you nor your doctor will directly bill Medicare for our membership services. Medicare and supplemental insurance will still cover medical costs that you incur outside of Voyage Direct Primary Care. For example, prescriptions that you fill at an outside pharmacy, or labs run at an outside lab, or hospital charges, physical therapy and imaging are covered, just to name a few. You do not lose your Medicare coverage for other medical needs just because you are a patient in a Direct Primary Care clinic
Is my membership fee tax deductible?
Not at this time, unfortunately. Your retainer is not yet defined as a “medical expense” in most states and, as such, is not deductible. The American Academy of Private Physicians, however, is lobbying hard to win rightful deductibility for these expenses. In the meantime, consult with your tax consultant to clarify tax consequences in your particular circumstances.
Can I contact my physician after hours? How?
By all means, yes! Because illness and injury do not respect regular office hours, you may call your physician any day, at any hour. We invite you to arrange for home visits, schedules permitting. If you prefer, you may also use our secure patient portal to access your medical record and then e-mail your physician.
Are my medical records ever shared with insurance carriers or pharmaceutical companies?
We maintain scrupulous standards of privacy. We are never obligated to provide any third party with a copy of your records, unless you specifically ask that we do so.
As a patient of Voyage Direct Primary Care, will I still need health insurance?
Yes. We aim to provide the majority of the care you will need, but medical conditions and illnesses can arise that require specialty care, hospitalization or surgery. Direct Primary Care is not intended to take the place of health insurance.
I plan to keep my current insurance plan. Can I use it?
Not for our services at Voyage Direct Primary Care. But you can use it anywhere else you might receive care or medical services. We do offer greatly discounted lab tests (sometimes 90% less than what you might be charged under insurance) as well as inexpensive, in-house, generic medication dispensing but these are not a requirement for membership. We always want you to get the most for your health care dollars. If we can provide a lab test or medication more affordably than what you could obtain elsewhere with insurance, we’re glad to provide it.
What if I need to see a specialist?
If you require a consultant for specialty medical care, Voyage Direct Primary Care will work closely with that specialist. Because we are not affiliated with any other healthcare system, we can decide together who will best serve your needs.
Dr. Sanders was our family doctor from 2013-2017. I always found him professional and competent, and he had a fantastic rapport with my children. I was also lucky enough to call him my friend and I thoroughly enjoyed our conversations outside of his office. He was thoughtful, intelligent and caring. The line between doctor and friend became blurry a few times and he was always gracious and empathetic and I couldn’t be more appreciative of that.
I met Dr. Sanders in 2011 as he delivered my friend’s child after a non-progressing home birth. I was impressed with his empathy and patience for my friend who had labored at home for nearly a week. Dr. Sanders was patient enough to give her time to deliver a healthy baby girl. After going through this entire experience with my friend, I did not hesitate to use him as my obstetrician when I became pregnant two years later. I had an uncomplicated pregnancy, labor and delivery with Dr. Sanders as my physician. When my daughter was 14 months, Dr. Sanders admitted us to the hospital with a fever of unknow origin. It turned out to be a kidney infection, likely stemming from a urinary tract infection. With Dr. Sanders’s referral, we sought further testing at the University of Utah and were diagnosed with an underlying issue which we treated for another year. I am grateful to Dr. Sanders for referring us to specialist as she would have gone untreated.