4501 N. Witchduck Rd., Suite E
Virginia Beach, VA 23455
drmeyer@baysideinternalmedicine.com (757) 318-3700

FAQs

FAQs

Q?

What Is Concierge Medicine?

A.

Concierge medicine is a commonly used term for membership medical practices in which patients pay a fixed amount of money, eg. by the month, for unlimited and prompt access to their physician.  These practices are sometimes referred to as membership, subscription, or boutique practices.  This is a business model that has grown out of the shared frustration of patients and physicians with the intrusions of medical insurance.  On the clinical side, for example, are the inordinate demands of insurance companies for time-consuming documentation that results in shortened patient visits.  On the business side are the onerous insurance company requirements for billing medical services, the threats of punishment for inaccurate billing,  the denials of payment for services, and the grossly discounted allowances for services that ultimately require physicians to see more and more patients.  And, you guessed it, these result in shorter and shorter patient visits.  In many practices, as much as forty percent of the revenue is spent on billing.  The demands of insurance companies for billing codes and for clinical documentation, coupled with their “Big Brother is Watching” tactics, take an emotional toll on doctors and their office staffs, as physicians have to see more and more patients just to keep up.  The concierge model of care, on the other hand,  allows physicians to dial back the volume and spend more time with their patients.  This is obviously a win-win for the doctors and for their patients.

Many concierge practices charge a monthly fee and also bill patients’ insurances.  Here at Bayside Internal Medicine, however,  we have chosen not to bill insurance companies or government insurance programs such as Medicare and TriCare.  This means that our patients do not have to deal with EOB  (explanation of benefits) reports and other insurance hassles.  With us, once you have paid your monthly fee, your obligation is done.  You will not receive any other bills from us, nor any insurance forms to decipher.

Q?

Can I pay the membership fee with HSA (Home Savings Account) funds?

A.

Probably.  Current IRS statutes do not directly address membership medical fees, but physician visits, annual “physicals,” and preventive health, which we provide here at Bayside Internal Medicine, are considered legitimate medical expenses by the IRS.  We recommend that you discuss this with a qualified tax advisor.

Q?

Can I recoup any of my monthly membership fee from my insurance company?

A.

Maybe.  There may be scenarios wherein you can recoup money by submitting a “bill” to your insurance company for care from an “out of network provider.”  Generally speaking, however, your monthly membership fee is “out of pocket.”

Q?

Will you see me in the hospital?

A.

No, we do not see patients in any of the local hospitals.  Virtually all the inpatient medical care in our area is provided by “hospitalists,” who are much better equipped to handle hospital care.  However, we do follow along with the progress of our patients and are available anytime to provide input to the hospitalists as needed, and provide hospital follow up care.

Q?

Do I need medical insurance to join Bayside Internal Medicine?

A.

No, you do not.  However, we strongly recommend that everyone have health insurance.  While we can often offer effective options to reduce patients’ medical costs, modern diagnostic testing can be very expensive without insurance, not to mention the costs of medical and surgical treatments, specialist consultations, and hospitalization.

Q?

What is internal medicine?

A.

Internal medicine is a branch of “primary care” medicine that caters to adult medical problems.  Physicians practicing internal medicine are called “internists.”  They typically see patients on a daily basis for long term management of chronic medical problems such as hypertension (high blood pressure), diabetes, high cholesterol, obesity, stable thyroid problems, stable heart disease, asthma, emphysema, and stomach problems.  Most internists will also see their patients when they develop acute illnesses such as bronchitis, sinus infections, and urinary tract infections.  The foregoing is a good description of what we do here at Bayside Internal Medicine, where we welcome patients 18 years of age and older.