Financials

Direct Primary Care

  • $50 one time – Family registration fee
  • $70 / month -First Adult
  • $50 / month – 2nd Adult/Spouse
  • 30 / month – Each child
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Cash Pay Single Visit

Variable discount off Traditional Insurance Based Fee Schedule(call for specific details for a given service)

Financial Policy

THIRD PARTY INSURANCE

Major Networks include:

TRICARE, Independent Doctors of Idaho, Saint Alphonsus Health Alliance, Blue Cross, Medicaid, Medicare, and Idaho Physicians Network

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Major Individual Payers include (as of 5 Jan 2017):

  • Aetna PPO
  • Aetna NGS Trinity Health
  • Allegiance Benefit Plan Mgt
  • Altius Health Plans/Coventry
  • AmeriBen/IEC
  • Assurant
  • Auxiant
  • Benefit Administrative Services
  • Best Life and Health Insurance
  • Bingham Memorial Hospital Employee Health Plan
  • Boulder Administrative Services
  • Blue Cross Anthem
  • Blue Cross Commercial Care
  • Blue Cross Connected Care
  • Blue Cross – IDID
  • Blue Cross PPO/POS/HMO
  • Cigna
  • Clear Springs Foods
  • Coastal Administrative Services
  • Connected Care St Alphonsus Alliance
  • Coresource
  • CorVel
  • Cypress Administrative Services
  • DAS Micron (tier 2 PPO)
  • Dakotacare Admin Wise PPO
  • DakotaCare Administrative Services
  • Direct Care Administrators
  • EBMS
  • EBSO (formerly SOBI)
  • EMI Health
  • FEP Blue Cross
  • First Choice Health Network
  • GWH-Cigna
  • Health Scope Wise PPO
  • Health Comp Administrators
  • Health EZ
  • Humana PPO/POS/PFFS/HMO
  • Humana Medicare Advantage
  • Idaho Workmans Comp
  • Key Partners
  • Lifewise Health Plan of Oregon
  • Managed Care Administators
  • Managed Care Blue Cross
  • Mayo Clinic Health Solutions
  • MBA Benefit Administrators
  • Medicaid – Idaho
  • Medicare – Noridian
  • Micron Coordinated Care PPO – St Alphonsus’ Alliances
  • Moda Health Summit
  • Mountain Health Co-op LINK/ACCESS
  • MS Administrative Services
  • Multiplan/PHCS
  • Pacific Source Smart Alliance
  • PacificSource MyCare Medicare Advantage
  • Preferred One Administrative Services
  • Providence Health Plans
  • Railroad Medicare
  • Regence Blue Shield of Idaho Medicare Advantage/HMO/HMO Plus
  • Regional Care
  • Secure Blue Connected Care
  • Secure Blue PPO
  • Starmark
  • TRICARE Extra/Standard
  • TRICARE remote
  • True Blue HMO & Connected Care
  • True Blue Medicare Advantage
  • UMR
  • UMVS
  • United Health Care
  • United Health AARP
  • WMI Mutual Insurance
  • WPS

Third Party Insurance We DO NOT Accept

Meritain Health

Blue Cross Data from 2018 Confirms surgical, lab and imaging are typically cheaper through independent sources like Treasure Valley Family Medicine than hospital owned centers.

The CMS (the Center for Medicare Studies) estimates that it pays $75 to $85 more for the same services for Medicare beneficiaries in hospital owned outpatient settings versus independently owned physician offices.

The Alliance, a group representing 160 self-insured employers including Trek Bicycle and John Deere, calculated that the average visit to a hospital owned clinic cost each employee an additional $118 compared to an independently owned clinic.

Further reading:

https://www.modernhealthcare.com/care-delivery/outpatient-prices-exceed-physician-office-prices

https://www.beckershospitalreview.com/finance/6-things-to-know-about-facility-fees.html