Faq's

A. While this may seem like an inconvenience, we’ve found that often the insurance companies make slight changes to the insurance ID numbers which are important for us to know.

Q. Why do I need to arrive 15 minutes before my scheduled appointment?

A. 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 prior to your scheduled appointment to complete any necessary paperwork. If you are a new patient, or an established patient who has recently moved or has had changes to your personal information, print and complete a Registration Form and bring to your next visit to save time and avoid completing it in the office. (Pediatric Registration Form)

Q. I have a question about a bill I received. Who do I call?

A. Call us at (937) 312-8111 for any questions regarding a bill you have received.

Q. What types of insurance are accepted by PriMed Physicians?

A. PriMed Physicians accepts traditional Medicare and most major health insurance plans. Similar to many healthcare providers, PriMed participates in most insurance networks, but we do not take all insurance plans.

Q. Does PriMed accept my insurance plan?

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

Q. Does PriMed participate in health plans through the Exchange?

A. 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.

Q. Can I see a PriMed doctor even if my plan's network doesn't include my physician?

A. 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.

Q. How do I contact my physician after hours?

A. Simply call the office and you will either be connected to the physician on call or prompted to leave a message. If you are experiencing an emergency situation, 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 want to address any other non-urgent issue, please call during business hours.

Q. As an expectant mother, I’ve already selected my child’s Pediatrician. Who do I tell at the hospital?

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

Q. If I need to have my physician’s office complete a form for daycare, school, sports, camp or work, how do I get the form completed?

A. 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 give 72 hours notice for the form to be completed.

Q. Why must I show my driver’s license when I visit the office?

A. 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.

Q. What is the best way to request a prescription refill?

A. 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 FollowMyHealth.

Q. Can I receive medical services even if I don’t have health insurance?

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

Q. I have health insurance, but haven’t received my ID card. Am I still able to keep my appointment?

A. Yes. Prior to your appointment, contact the customer service department of your health insurance company. You will need the following information: Member number (including prefix and suffix), group and plan numbers, claims filing address and copay amount. This information may be available on your insurance company’s website. If so, simply print the insurance verification and bring to your appointment. 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.

Q. What do I need to bring with me for my appointment?

A. Please bring your driver’s license or state/military ID; insurance card and copayment; and a list of your current medications, or the bottles of medications you are currently taking. If the patient is a minor, a parent or guardian will need to come with them on the first visit. If you are a new patient, or an established patient who has recently moved or has had changes to your personal information, print and complete a Registration Form and bring to your next visit to save time and avoid completing it in the office. (Pediatric Registration Form)

Q. Do I have to see the Primary Care Physician on my ID card, or can I see any PCP?

A. Some insurance companies won’t cover your charges unless you see a specific doctor. Call your insurance company prior to your visit to verify your coverage and the requirements of selecting a PCP.

Q. What is the “guarantor” for healthcare services?

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

Patients 18 years of age and older are the guarantor 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 that 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 that signs the financial responsibility form is the guarantor. It is the responsibility of parents to settle the shared expenses.

Q. Can someone other than me or my spouse bring our child for an appointment?

A. 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. Treatment includes, but is not limited to, sick and well visits, allergy and antibiotic injections, and vaccine administration. That individual must be over the age of 18 years.

Q. What is an Advance Directive and why do I need one?

A. 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. But if you become seriously ill, you may lose the ability to participate in decisions about your own treatment without an advance directive.

Q: What is PriMed’s affiliation with CompuNet?

A: 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 the 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 nearest to your home or place of work.