Medicine the way it used to be…


Winter Park Concierge Care

Dear patients, colleagues, neighbors and friends,

I am passionate about helping people take charge of their health. I am blessed to finally have the opportunity, autonomy and flexibility to deliver the care that you deserve.

In the midst of the health reform discussions, I am sure you are aware of the fact that the costs of delivering medical care are increasing while reimbursement rates do not keep pace with increasing expenses. Over the years I have tried to provide a very personalized and comprehensive style of practice. I believe medicine can only be practiced by having enough time to listen to your patients and really get to know them. This is my goal. This is why I went into primary care. However, this is not sustainable due to the above mentioned poor reimbursement and increasing expenses. There are many expenses that arise from meeting administrative demands that are not actually part of the delivery of medical care to my patients. For this reason, I have chosen a model of medicine that will involve a yearly fee. While I deeply regret the need to impose this additional expense, unlike some other primary care practices, I am asking a smaller fee to defray the escalating costs and poor reimbursement. Without this charge it would prohibit me from continuing to deliver the kind of medicine I believe is important and hopefully, you feel you have received and is equally important to you. I actually will limit the size of my practice to sustain and enhance my style of medicine: more time with you each visit, same day, next day visits where necessary and expectations of less waiting time for you appointment.

Compared to other concierge practices that charge upwards of $5,000/year, I have decided to charge $1500/year for similar services. Although your insurance company will not reimburse you for your annual payment, you still may be able to write off a portion of your payment on your income taxes. In addition, if your company has a Flex (Section 125) Plan or a Medical IRA, you should be able to receive reimbursement for your annual payment with “before tax dollars.” I encourage you to talk with your tax advisor and employer about these options. Please understand that I realize $1500 is a LOT of money—many of you already pay a lot for health insurance and are on a fixed income.

This yearly fee is for services not covered by any insurance plans:

1. After hours email/cell phone contact with Dr. Doshi
2. Same day or next day appointments
3. Annual preventive physical exam if not covered by your insurance
4. Dedicated support personnel
5. Expedited referrals with specialists
6. Secure internet patient portal
7. Unhurried office visits
8. Nutrition/Fitness Consultations
9. Same Day Prescription Renewals
10. Prompt telephone feedback for test results.
11. Phones answered by attentive staff who know you personally

With the above services as standard of care, I can provide each and every one of you with an individualized health care regimen that focuses on preventative care. The yearly fee will insulate you and I from future changes in the health-care system.

Please peruse the below articles so you can better understand the benefits to you of such a system:

http://www.forbes.com/sites/brucejapsen/2013/01/30/1-in-10-doctor-practices-flee-medicare-to-concierge-medicine/ http://online.wsj.com/article/SB10000872396390443768804578034172542214016.html/

Please personally call me at 321-285-6363 if you have ANY questions I can answer. The future of primary care is quickly changing. With all of those changes forthcoming, I want the art of medicine to remain as it used to be, with the practice of medicine as it should be.

Warmest Regards,

Neha Doshi, MD

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