Dr. Robert Zylstra M.D.

Who is Covered?

Medical services are allowed when patients are bed or home bound because of an acute or long term condition. That is, patients that need special assistance to get medical help. This type of service is not a convenience, it is a necessity. Patients who are normally able to go to the doctor, but because of illness can’t, are qualified.

What kinds of problems can you treat?

The same kinds of general medical problems that would be addressed in any urgent care center or doctor’s office. We treat all kinds of infections and repair wounds, perform biopsies and begin medical treatment at the time of service.

 

Do I have to change my doctor to have a house call? 

You don’t have to leave your doctor. After you have been seen, we will send your doctor a copy of our findings and treatment and you can see your doctor for follow-up.

 

What if I don’t have a doctor?

If you need a doctor for long term at home care, our doctor will become your primary care physician.

 

What if I need in-home nursing help?

We will help you make arrangements for in-home assistance, including physical therapy and skilled nursing care.

 

Are there any agreements?

Yes we require an agreement between the Patient or their assigned Financially Responsible Family Member or Conservator. It needs to be agreed to and signed before services can be provided. Ask us for the copy of our agreement for your review and consideratiion.

 

What if I have an emergency?

If you have a life threatening emergency or some one is unconscious call 911 or go the nearest hospital ER. For all other problems you can call us and you will speak directly with the doctor who will ask a few questions and will give you guidance. Medicare is changing. They may not cover every 911 ambulance transport to the hospital. Many patients and their families have been given bills for non-covered transportation services for thousands of dollars. Call us if you need help.

 

What if I need to have a medication?

We will give you your first dose and a prescription that can be filled later. What if I don’t have health insurance? Our services are available on a concierge basis. See the Concierge fee schedule for details.

 

Are there any non-covered services?

Not usually, but routine services and some tests may not be covered. We will let you know before any non-covered services are provided.

 

I have an HMO, am I still covered?

You are covered by your HMO only, We can still serve you, but on a fee for service basis.

 

What if I have an HMO and I want your services at home?

We will provide you with medical care at home and bill you for the service. We have HMO patients who find the convenience well worth the out of pocket cost.

 

I have Medicare and a Part B PPO coinsurance, is this OK?

Some PPOs will cover our annual Part B deductible ($147 for 2013) and your 20% copay, some will not (they act like a coinsurance HMO). We will bill both Medicare and your PPO, but you are responsible for any unpaid deductible or coinsurance due.

 

I have Medicare and a Part B coinsurance, am I covered?

You are, but some plans have large deductibles and therefore the Medicare Part B deductible may not have been met. Check your policy for details.

 

Who is covered by Medicare for this service?

In home services (at home or assisted living facilities) are allowed when patients are bed or homebound because of an acute or long term condition. That is, patients that need special assistance to get medical help. This type of service is not a convenience, it is a necessity. Patients who are normally able to go to the doctor, but because of illness can’t, are qualified.

 

What if I don’t qualify for Medicare covered services and want the doctor to care for me at home?

You would need to sign a waiver acknowledgment and you would be billed for or services at Medicare Rates.

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Is the Preferred Patient Program covered by Medicare?

No, nor can it be billed to Medicare.

 

What if I need extra help at home?

We can help with in-home health aids. What if I can't stay at home any more? We will help you find a place that best meets your needs and budget. What if I need help protecting my assets and paying bills? We have State licensed, caring fiduciaries who will protect you now and when you can't in the future.