What is a Direct practice?
Skypark Preferred Family Care is a direct practice. This
innovative practice design allows doctors to limit the size
of their practices to a few hundred rather than several
thousand patients, enabling them to offer faster access,
more time for each patient visit and 24/7 direct cell phone
access to the doctor. To finance this higher level of
service each member patient is asked to pay an annual
direct fee to participate in the practice. This fee also
pays for a periodic, detailed, preventive medical
2. What is the mission?
Skypark Preferred Family Care seeks to provide
coordinated, detailed, personalized, quality care to its
members in an environment of quick easy access and high
level service. Patients can feel confident that their doctor
is readily available, and as concerned with their welfare as
he would be with a close relative or friend. Access to their
own personal doctor, with rare exception, should be prompt,
direct, and whenever needed. Mission
3. What services are provided?
The Skypark Preferred Family Care office strives to be a
“one stop shop” for all primary care needs. To this end
a long list of services are offered and extensive equipment
exists on site. For a partial list of services provided go
to our Services and to our Highlights
4. Do you offer disease management?
Yes. Modern medical care requires that many disease
states such as diabetes, asthma, hypertension,
atherosclerosis and others be carefully managed in a variety
of ways. Skypark Preferred Family Care strives to comply
with the “best practice guidelines” that have been
established to optimize the care of various medical
5. Do I need insurance if I enroll with you?
Yes. Skypark Preferred Family Care is a medical practice
not a health insurance program. Patients are advised to
continue their HSA, PPO, Medicare or other insurance
6. Is there a co-pay?
There is no co-pay for the direct services of access
and your periodic wellness exam. However, illness care and
ongoing management of medical problems are billed to
patients and health insurance programs based on the
provisions of the insurance you carry.
7. Do you bill Medicare for the annual Direct Practice fee?
No. The annual direct practice fee is a fee for “Medicare
non covered services” and as such cannot be paid for by
Medicare. We do bill Medicare for services performed at
Skypark Preferred Family Care that ARE covered by Medicare.
8. Will my private insurance reimburse my annual direct practice
Almost certainly not. However in some cases direct practice
fees can be paid for through Flexible Spending Accounts
through employers. Health Savings Accounts can at times be
used to pay for direct practice fees. Members are advised
to consult their human resources representatives at work,
FSA and HSA plan managers, their tax consultants or
attorneys to clarify these issues in their particular
9. What about lab, x-ray, specialists’ fees and
Your direct practice fee pays only for membership in
the practice and for your periodic wellness exam with its
associated tests Highlight and Details.
All other services are the patient’s financial responsibility,
are often covered by his/her health insurance policy, HSA
or by Medicare.
10. What if I have an emergency?
If you have a life threatening emergency, do call 911
immediately. After you call 911 please do call Skypark
Preferred Family Care. We will try to help you until the
paramedics arrive and will attempt to coordinate your
emergency care thereafter. For minor urgent problems that do
not require paramedics, call us directly and we will take
care of the problem. Patients are asked to contact us BEFORE
going to any urgent care facility and at any time of the day
or night if real need exists. We will attempt to do what
ever is necessary to deal with your urgent after-hours
11. What if I need to see a specialist or a surgeon?
Of course our patients are free to see any specialist they
wish any time they wish. We suggest our patients allow us to
decide with them what specialists to see and to coordinate
such consultations. In this way the most appropriate
resource is used, the earliest arrangements are made, and
your applicable medical information is sent in advance of
your specialist visit. Often direct doctor to doctor
discussion of the reason for consultation is done, in the
presence of the patient, before such consults occur.
Coordination of follow-up after the consultation is also a
12. Can I still see my gynecologist?
Of course. Skypark Preferred Family Care does not wish
to disrupt any medical relationship you already have with
any specialist, if you wish to continue with it. However, we
do offer fairly complete office gynecologic services if you
wish to make use of them.
13. What about the cost of prescription medicines?
Often we can start treatment with samples from the
office. To the extent we have samples in the office we are
happy to supply them to our patients. We work with patients
to keep their costs down whenever possible. However,
ultimately the cost of prescription medicines is the
patient’s responsibility or covered by their insurance
plan. For Medicare patients we advise you enroll in Medicare
Part D for coverage. The Humana
Medicare Part D plans do seem to be among the best we
Will I be required to pay my annual direct practice fee even
if I do not use your services?
Yes. Paying your direct practice fee allows access to
the practice whether you are sick or well. We strongly encourage
wellness consultations regardless of your self perceived
state of health.
15. What if I get married or have/adopt a child? Can I extend membership in Skypark Preferred Family Care
to this person?
Every effort will be made to accommodate
your new family member. If you have joined as a family with
children, any number of children are included automatically
as long as they are dependent and under age 25. However,
there may be times when new family members will be placed on
a waiting list for availability.
16. What happens if I move out of the area after I enroll?
A copy of your records will be sent to your new
physician upon receipt of a signed release to that doctor.
Under the Skypark Preferred Family Care direct practice contract
membership fees are not refundable. However, on a case by
case basis exceptions and prorata refunds will be
17. Can I wait and enroll in Skypark Preferred Family Care
By design, Skypark Preferred Family care is a membership
practice with a limited enrollment. Once that enrollment
limit is reached a waiting list is established. Every effort
will be made to accommodate interested patients, but the
enrollment limit must be honored in order to provide
excellent service to the existing enrollees.
18. What do I do if I become ill while out of town?
Call 911 if you have a life threatening emergency and
then call us. Call us first if the problem is more minor. It
is often possible to deal with your urgent medical problem
on the phone. Most states accept prescriptions called in
from out of state doctors. If not, it may be possible for us
to find you a resource where you are for care. If you do
seek care at an emergency room or urgent care center out of
our area, have the doctor seeing you call us for
coordination. Be sure and carry a copy of your last
“Wellness” exam with you when you travel. This detailed
medical record can be invaluable to a doctor who has never
seen you before.