FAQ
The Answers You Need
Traditional Health Insurance involves paying premiums to insurance companies to access a broad range of healthcare services, including primary care, specialist visits, hospitalizations, and prescription medications. It typically includes deductibles, co-pays, and co-insurance, and may have network restrictions for providers.
How does Traditional Health Insurance differ from Direct Primary Care?
Traditional Health Insurance provides coverage for a wide range of healthcare services beyond primary care, including specialist care, hospitalizations, and prescription drugs. It offers broader network options and may be suitable for individuals with complex medical needs or those requiring frequent specialist referrals.
What are the advantages of Traditional Health Insurance?
Traditional health insurance often comes with higher premiums, deductibles, co-pays, and out-of-pocket expenses, which can be financially burdensome for patients, especially those with limited resources. Additionally, traditional insurance plans may restrict access to specific healthcare providers and require referrals for specialist care, leading to longer wait times and less personalized attention. In contrast, DPC offers transparent pricing, enhanced accessibility, and a focus on preventive care without the constraints of traditional insurance networks, providing a more affordable and patient-centered healthcare experience.
What are the disadvantages of Traditional Health Insurance compared to Direct Primary Care?
Yes. Reform ABQ can accept Medicare patients. However, we are not in-network with Presbyterian Health plans, so these patients will have to join as Direct Primary Care patients or may be responsible for the remaining out-of-network deductibles.
Does Reform ABQ accept Medicare?
Our Direct Primary Care Patients receive the following benefits: same-day and next-day appointments, 24/7 provider access, 1-hour long appointment times, no copayments, and more. See our service guide for more information.
What Benefits Do Direct Primary Care Patients Get?
Reform ABQ is currently in-network with Blue Cross Blue Shield, United Healthcare, UMR, Aetna, Molina, Medicare, and Medicaid. We are working on expanding our access to other health plans. Unfortunately, Presbyterian is not accepting new Primary Care Providers, so we cannot bill Presbyterian Medicaid, PPO, or HMO plans.
What Insurance Plans does Reform ABQ Accept?
Insurance Disclaimer: Reform ABQ is in-network with the insurance plans listed on our website. However, this does not guarantee that the specific plan you carry as a patient is in-network. It is your responsibility to verify with your insurance provider whether your plan is accepted at our facility. Reform ABQ is not liable for any insurance billing claims, including those that may result in out-of-network charges. For any questions regarding your coverage, please contact your insurance provider directly.
