Concierge/Membership Medicine Benefits
Dr. McConnaughey limits the number of patients enrolled in the Practice in order to provide additional services to his patients. These services which are not provided in a regular medical practice include the following:
Enhance Annual Membership - $4,200/year
- Limited wait time
- Priority appointments (same-day or next-day)
- Prolonged, unhurried office visits
- Dedicated phone numbers to expedite communication and appointment scheduling
- Office Hours Line: For use Monday-Friday (8:30am-5pm, holidays may differ)
- After-Hours Line (emergencies only): For use Monday-Friday nights (5pm-8:30am), plus weekends & holidays
- In-office lab draws for convenient bloodwork
- Access to IV services
Patient Acknowledgments
The patient acknowledges and agrees that the Practice is a unique program with certain specific limitations as follows.
Patient Responsibility for Other Fees Incurred
The Participation Fee covers the services set forth listed above. All other services provided to the patient will be billed to the patient or, as a courtesy, to the Patient’s Third-Party Payer (Insurance). The patient will remain financially responsible for all fees incurred, including applicable deductibles and copayments. It is strongly recommended that all patients carry commercial insurance for all other medical costs. Private Insurance and Medicare can not be billed for Membership/Participation Fees.
Use of Public Carrier Communications
Dr. McConnaughey and his staff will use their best efforts to keep communications with the patient confidential in accordance with federal and state laws and regulations pertaining to the confidentiality of patient information. However, Patient is hereby advised that medical inquiries by patients using email, fax, text or cellular telephone are not guaranteed to be secure or confidential methods of communication, and that Patient accepts the risk of third-party interception by using these methods of communication. Patient is also advised that such communications may become part of the Patient’s medical record. Patient should not use email or fax to communicate urgent or emergent medical
issues.
Term and Termination
The term of this Agreement is the one-year period commencing on the Effective date set forth below. Patient may terminate this Agreement at any time during the term by providing Dr. McConnaughey with written notice; however, no portion of the annual Participate Fees will be refunded. Patient understands and agrees that upon expiration or termination of this Agreement, patient will no longer
be a recipient of the concierge membership services. Dr. McConnaughey may terminate this Agreement at any time upon thirty (30) days' notice to patient. In the event Dr. McConnaughey terminates this Agreement prior to the end of the term, the Participation Fee will be refunded on a prorated basis to reflect the remaining number of days of the existing term.
The undersigned certifies that he/she has read and understands the above terms and conditions for participating in the Practice and hereby voluntarily accepts, agrees and consents to such terms and conditions on behalf of Patient and Patient Family Members.