General FAQs

While this may seem like an inconvenience, insurance companies often make slight changes to insurance ID numbers, which is important for us to know.

PriMED Physicians accepts traditional Medicare and most major health insurance plans.

Please contact your health insurance company to verify that the physician you choose is participating in your plan.

On the Exchange, also known as the Insurance Marketplace, PriMED is currently participating in several plans. Please check with our practices for the most current list of accepted plans.

If PriMED is not part of your health plan's provider network, you will have higher out-of-pocket expenses when seeing a PriMED doctor. Please keep in mind, you will be financially responsible for expenses not covered by your health plan.

Yes. However, you will be responsible for the amount due for your visit.

Yes. Prior to your appointment, contact your health plan. You will need your:

• Member number
• Group and plan numbers
• Copay amount
• Claims filing address

If you are unable to provide this information, you will be responsible for the amount due for your visit. A minimum $50 payment will need to be made at the time of your appointment.

Some insurance companies will not cover your charges unless you see a specific doctor. Contact your insurance company prior to your visit to verify your coverage and the requirements of selecting a PCP.

Please call our billing specialists at (937) 312-8111 for any questions regarding a bill you have received.

Our goal is to have you in the exam room and prepared to see the doctor at your scheduled appointment time. Please plan to arrive 10-15 minutes before your scheduled appointment to complete any necessary paperwork.

Simply call your preferred PriMED office, and you will either be connected to the on-call physician or prompted to leave a message.

If you are experiencing an emergency situation, please hang up and dial 911.

Physicians are on call for urgent situations only. If you are calling to cancel an appointment, to request a prescription refill, or to address any other non-urgent issue, please call during business hours.

We request that our patients show their driver’s license or other form of photo ID for their protection. This helps to prevent identity theft and health insurance fraud.

During your exam, your doctor will determine if a refill, or possibly a different medication, may be required. To request a prescription refill when not in the office, you can contact your pharmacy. Prescription requests are also available through your patient portal.

Please bring the following items with you to your PriMED appointment:

• Driver’s license, state or military ID
• Insurance card
• Copayment
• A list of your current medications, including dose, or the bottles of medication you are currently taking.

If the patient is a minor, a parent or guardian is required to attend their first visit.

Inform the hospital staff when you arrive at Labor and Delivery.

In order for us to complete a form, you must have had a complete physical within the last twelve months by one of our physicians. Please allow 72 hours' notice for the form to be completed.

The “guarantor” (or responsible party) is the person who signs the financial responsibility form.

• Patients 18 years of age and older are the guarantors for expenses related to their care. The exception is an incapacitated adult.
• The guarantor for a child, under the age of 18 years, is the parent who signs the financial responsibility form. The exception is an emancipated minor, who is the guarantor.

If a divorce decree is presented, stating the other parent is financially responsible, the guarantor is changed to the parent designated in the divorce decree. The decree will be scanned and recorded in the office. If the decree states shared responsibility, the parent who signs the financial responsibility form is the guarantor. It is the responsibility of parents to settle the shared expenses.

We understand that there are times when it may not be possible for you to accompany your child to each visit. Therefore, we will accept a signed Consent to Treat - Alternate Request form from the parent or legal guardian for any visit. A written consent must specify the name of the alternate decision-maker for treatment, who must be at least 18 years old.

Treatment includes but is not limited to:

• Sick and well visits
• Allergy injections
• Antibiotic injections
• Vaccine administration

Advance Directive is the general term that refers to a person’s verbal and written instructions about future medical care, in the event the person becomes unable to speak for him or herself. Advance Directives give you a voice in decisions about your medical care when you are unconscious or too ill to communicate.

As long as you are able to express your own decisions, your Advance Directive will not be used, and you can accept or refuse any medical treatment. If you become seriously ill, however, you may lose the ability to participate in decisions about your own treatment without an Advance Directive.

During the course of your treatment, a PriMED provider may refer you to receive certain laboratory tests to assist in the determination of the best course for your treatment. One possible laboratory that can provide these tests is operated by CompuNet Clinical Laboratories, LLC (“CompuNet”).

A financial relationship exists between PriMED and CompuNet, namely that CompuNet provides payment to PriMED for the provision of clinical management services in their provision of certain laboratory tests for PriMED patients. This disclosure is intended to help you make a fully informed decision about your health care.

For more information about alternative providers of laboratory services, please ask a member of PriMED staff. We will provide you with names and addresses of laboratory testing providers best suited to your individual needs that are convenient for you.