Plan 1 - $49 per month/ children <18 $39 per month
- office visits
- wellness visits
- State supplied immunizations <18 years old
- “in house” laboratory (rapid strep, rapid RSV, rapid flu, H. pylori, monospot,
- urine pregnancy test, urine dipstick, fingerstick glucose)
- earwax irrigation
- trigger point injections
- skin tag removal
- simple lacerations
- cryotherapy for benign lesions/warts
- fracture care including casting*
- joint injections (knee, shoulder, hip bursa) including cost of medications
- incision and drainage of hematomas/abscess
- toenail removals
- Hemoccult testing
- oximetry
- flu shots
Plan 2 - $69 per month
- all listed benefits in the $49 per month plan plus
- minor skin surgeries**
- standard laboratory***
- pulmonary function tests
- simple x-ray****
- colposcopy
- endometrial biopsies
- skin biopsies
Services Not Covered
(some services available on a discounted basis)
- vasectomy
- obstetrics
- osteopathic manipulative treatment
- Hospital care
- immunizations >18 years old except flu shots
- subsurface skin lesions
- durable medical equipment (splints, fracture boots, fracture shoes, etc.)
- circumcisions
- specialist care
- colonoscopy
- melanoma removal
- Specimens sent to pathology lab (PAML)
- Lab testing except as noted above
General Terms
Initial contract will be for 6 continuous months, after which the contract continues on a month-to-month basis.
Contract covers one wellness visit and up to 20 other office visits per calendar year. Additional visits will be at a substantial discount.
Chronic pain management requires screening before becoming a member. The patient will also be required to sign and adhere to a pain agreement.
*Fracture care and casting is subject to the comfort level of the physician. Depending on the complexity of specific case, the physician may, at his own discretion, elect to refer the patient to a specialist for management. Management by specialists is not a covered expense, unless they are also members of On Stage Health. Diagnosis and initial care will be included in the member plan.
**Minor skin surgeries are defined as epidermal and dermal and include such lesions as small nonmelanoma skin cancers, small epidermal cysts, small sebaceous cysts. Some skin lesions, however, may be referred to specialty care depending on the size, location, and complexity of the required removal. Whether the physician elects to include the services as part of the member plan or refer them to a specialist will be at the sole discretion of the physician. Initial diagnosis which may also include a sample biopsy would be included in the plan.
Removed or biopsied specimens may, at the discretion of the physician be sent to the pathology lab for identification. Because this lab company is completely separate from Post Falls Family Medicine, their charges are the patient’s responsibility.
***Standard laboratory includes a CBC, CMP, TSH, fasting lipid panel, hemoglobin A1c, BMP.
****The office has a small basic x-ray machine. This often times is adequate for extremities such as hands, fingers, ankles. More complicated or extensive x-ray services may, at the sole discretion of the physician, be referred to the imaging center (which would not be a covered expense) depending on the location, situation and quality of the x-rays needed.
Joint injections not listed above will be at the discretion of the physician depending on the location and complexity involved.
Additional Information
