FAQs
Answers To Common Questions
Why Choose Solstice Health & Wellness?
For a better doctor/ patient relationship, accessible care, convenience and a stress-free way to get and stay healthy.
What are your payment options?
Solstice Health & Wellness offers an affordable monthly membership plan which covers all or most of your essential healthcare services. A concierge style level of service without the high price tag to make care affordable for people of all incomes, with or without insurance.
Our statements may be submitted for full or partial reimbursement if allowable by your health insurance plan. Please contact your health insurance provider directly to verify amount covered, deductible and co-payments for out-of-network providers by asking the following questions:
- Am I eligible for out-of-network (OON) benefits?
- How much is covered for OON provider
- How much is my deductible and has it been met?
- What is the co-pay amount for OON?
- Are there other out-of-pocket fees I need to be aware of?
What is included in the membership?
Membership offers the most value for your healthcare without the limitations of insurance coverage, co-pays, or hidden fees. The flat monthly fee covers everything that can be done in our office or via telehealth visit including health physicals, acute medical care for sick visits or minor injuries, chronic disease management such as high blood pressure, diabetes, addiction treatment, common office procedures, and care coordination. As a member you have increased access to your care team via phone, text, and email; same day, next-day appointments that start on time; less wait time, and more time with your doctor during unhurried visits; access to wholesale prices on your lab tests.
The membership plan is not insurance and is not a substitute for health insurance. You should still maintain your present health insurance plan or purchase one. The most common and economical approach is a high deductible plan with lower monthly premiums to cover specialized care, emergency room visits, complex procedures, and hospitalization.
What is telehealth?
Telehealth means communicating with your doctor via a phone call, text, email or even a video visit. Many patients are seeking out this type of care between office visits for convenience.
I usually only see the doctor once or twice a year. Why can't I just pay cash when a visit is needed?
The direct care model works to keep the costs down for all patients because everyone is paying a monthly fee. This allows the total membership costs to stay relatively low. Some patients may feel that they only need the doctor on a minimal basis but this can change very quickly with a bad bronchitis, new injury or other unexpected medical problem. Life is unpredictable but having a membership plan means that you are covered when you need it. It is also ideal for “healthy” patients because we have more time to devote to prevention and lifestyle issues allowing us to focus on your wellness and longevity.
Can I use my FSA or HSA accounts/cards with Solstice?
Can I use my insurance elsewhere if I join Solstice?
Your insurance plans will continue to operate “as usual” at other doctors, hospitals and pharmacies.
What about lab work and other testing?
All members have access to many basic lab and diagnostic testing (urinalysis, urine drug screen, pregnancy test, EKG, breathing tests, and others) at no extra cost. Most health insurance companies cover labs not covered under membership. For uninsured patients or non-coverage by health insurance, we offer significantly discount wholesale prices 50%-90% less than out of pocket cost.
What if I need a specialist, special testing, ER, surgery?
We can order and refer just as any insurance-based doctor can. We can provide many urgent care (stitches, simple fractures, etc.) and office procedures (toenail removal, skin biopsy, etc) to avoid a trip to the ER.
Are there any contracts or commitments?
A minimum of the first month of membership and a registration fee is paid upfront and are non-refundable. If you decide to cancel and have a balance of prepaid membership fees remaining, a pro-rated refund will be given to you based upon date of cancellation.
May I re-start my membership after canceling?
Yes, we do allow for re-enrollment after cancellation, but members will be charged a re-enrollment fee before service can be restarted.
What if I have more questions?
What are your regular clinic hours?
*Please do not submit any Protected Health Information (PHI).