Frequently Asked Questions

We strive to provide the highest quality medical care, emphasizing a comprehensive approach to prevention and disease management. We want our members to be completely satisfied with every aspect of their care.

Banner Peak Health will always have another physician from the practice provide any and all services should the need arise. We work collaboratively and share patient information on an electronic health record and communication between our staff.

Yes. Concierge medical practices do not take the place of general health insurance coverage. Banner Peak Health is a primary care medical practice, not a health insurance program. You are advised to continue your PPO, Medicare, or other insurance program.

Yes, Banner Peak Health is a Participating Provider with Medicare and will bill Medicare on your behalf, as required by law.

No. The annual concierge fee only includes services that are not covered by Medicare and, as such, cannot be paid for or reimbursed by Medicare. I will bill Medicare for your sick visits and for any additional services performed at my practice that ARE covered by Medicare.

It is unlikely that this service will be reimbursable. However, some Flexible Spending Account and Health Savings Account plans may pay for all or part of the annual fee. Members are advised to consult their human resources representative at their place of employment.

Our private direct fees pay for a combination of diagnostic, routine exam services and a communication/health data plan that supports those routine exams all year. Our fees are therefore designed to be eligible “medical expenses” under the Internal Revenue Code, such that those fees may be paid by HSA, HRA, or FSA funds. Please check with your tax professional on proper HSA funds utilization, and check with your plan fiduciary on FSA/HRA fund use.

Your annual fee pays for membership in the practice, your annual wellness exam, and other benefits listed on this page. However, all other procedures and services not performed in the office will be billed by the performing entity.

If you have a life-threatening emergency, call 911 immediately. After you call 911, please call us. We will attempt to coordinate your emergency care thereafter. Patients are asked to contact us before going to any urgent care facility and at any time of the day or night. We will attempt to address urgent after-hours problems directly.

Call 911 if you have a life-threatening emergency. Then call us. Call us first if the problem is minor. With the exception of a few controlled substances, most prescriptions can be ordered anywhere in the country. If necessary, it may be possible to find you a resource where you are for care. If you seek care at an emergency room or urgent care center out of our area, please have the attending doctor call us for coordination. We will be readily available for a phone consultation with you and/or other healthcare personnel. If you should require hospitalization while away, at your request, we will establish phone communication with you and your attending physician(s) to ensure continuity of care.

Of course, our members are free to see any specialist they wish. We are available to help you decide what specialists to see and to coordinate such consultations. In this way the most appropriate resource is used, the earliest arrangements are made, and your applicable medical information is sent in advance of your specialist visit.

The costs of prescription medications are the patients’ responsibility and in most cases should be covered by their insurance plans. We have expertise in assisting patients in purchasing medications in the most cost-effective manner.

Yes. Paying your concierge fee allows you to be a member of the practice whether you are sick or well. However our practice is not an insurance company and does not cover the medical services you receive. We strongly encourage you to utilize the amenities offered including wellness consultations and emails for appropriate non-urgent health related questions, regardless of your state of health.