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Frequently asked questions about Nextera Healthcare

Please see below for answers to some common questions that other people have asked about Nextera Healthcare.

 
  • 1. Are the Nextera HealthcareTM plans actually insurance programs?
    No, they are not. There are many medical problems, treatments, and therapies which cannot be provided by your primary care physicians. The Nextera Healthcare plans do not constitute health care insurance on their own, rather they are best used along with a 'catastrophic' health insurance policy that can be provided by a separate entity.
  • 2. Do the Healthcare Nextera plans cost more for patients with prior medical conditions?
    No.
  • 3. How do I reach my doctor after hours?
    Simply call the 24/7 doctor line and you'll be called back by your doctor. They will decide what needs to be done. Typically, a medication may be called into a local 24 hour pharmacy. Alternatively, the doctor may wish to meet with you in the office after hours. Occasionally, the doctor may conduct a 'housecall' at your home. However, if you are having what could be a life-threatening emergency then you need to call 911 or go to the nearest ER immediately.
  • 4. What services are included in the basic plan?
    Primary care services, including: All annual physicals, sports and school physicals, DOT physicals, urine tests, strep tests, flu tests, EKGs, acute visits, laceration repairs with stitches or glue, care of broken bones (that do not require surgery) with casts or splints, in-office nebulizer treatments, trigger point injections, cortisone joint injections, care of the vast majority of medical conditions (high blood pressure, diabetes, high cholesterol, etc.), nutritional analysis, weight loss management, care of depression and other mood disorders, gynecology, pediatric care, geriatric care, end of life care.
  • 5. Why do you recommend a high-deductible insurance policy alongside the basic plan?
    While we can take care of the vast majority of your family's medical needs in our office, certain conditions requiring major surgery, severe trauma, or serious illnesses such as heart attacks, strokes, and certain cancers are best treated in a hospital setting. If these unfortunate conditions do arise, the expenses can quickly become astronomical. A high-deductible insurance policy will protect you in the event of such catastrophic conditions. Such a plan is often referred to as a 'major medical' or 'catastrophic' plan. Numerous options are available through insurers such as Rocky Mountain Health Plans, Cigna, Blue Cross, etc. Contact your health insurance broker to help choose the best one for you.

    Contact your health insurance broker to help choose the plan that best complements your Nextera Healthcare program. If you don't have a broker, please contact our office and we will be happy to refer one to you.
  • 6. What happens if I am traveling?
    Your doctor will always be available by phone, or email. Often a medication can quickly be called into a nearby pharmacy. If you have a rash or an injury, it may be helpful to take a picture with your phone and text or email your doctor. For more serious conditions, your doctor will personally help direct you the nearest hospital, or urgent care center and coordinate your care with the local health care providers. As always, if you experience a life-threatening medical condition anywhere, call 911 immediately, or go directly to the nearest ER.
  • 7. What happens if I need an Xray, CAT scan, MRI, blood work, or other laboratory service?
    We typically contract for these services, and others such as Xrays and skin biopsies, at a rate that is a fraction of the typical cost. Below is a sample of some of our current lab and imaging prices. For a complete list, please contact our office. Many of these tests often cost significantly more with other programs. Nextera Healthcare is constantly searching for the most competitive rates for our patients, and the fees are subject to change (usually for the better). Labs
    complete blood count:   $5
    complete metabolic panel:  $5
    thyroid (TSH):  $8
    cholesterol panel:  $5
    vitamin D:  $28
    Hemoglobin A1C:  $8
    C-reactive protein:  $16.40

    Imaging
    xrays (3 views):  $60
    CT scan:  $300
    MRI scan:  $450
    ultrasound:  $190
    echo-cardiogram:  $299
    treadmill stress test: $249
    virtual colonoscopy:  $775

  • 8. What about medication costs?
    As of 2011, there are extremely few medication classes which do not have generic versions. The vast majority of medications are now available for about $4 per month at many pharmacies (there are several exceptions noted below). If you are currently taking a brand-name medication, we will carefully review with you the different options available with the goal of providing the optimal health results AND cost-efficacy.
  • 9. Who can join The Nextera Healthcare Programs?
    Anyone not eligible for, nor covered by, Medicare, Medicaid or other government or Military health benefit programs. Furthermore, there are several chronic diseases for which current 'standard of care' approaches utilize extremely costly medications. Examples include patients with:
     
    • Severe rheumatological problems such as rheumatoid arthritis or lupus who use TNF-alpha inhibitors (such as Remicade and Enbrel)

    • Hepatitis C who use antiviral and interferon regimens (including Pegasys and Pegintron)

    • Multiple Sclerosis who use Copaxone or interferon medications

    • Cancers treated with chemotherapy and/or radiation

    • In these cases, the cost of the medications are so prohibitive, that we recommend patients obtain the best possible drug benefits offered by standard health insurance plans.
     
    Nonetheless, you may determine that Nextera Healthcare is still the best option for your primary care needs.