Dear Patient,
I hope you are doing well!
In our announcement in April, we informed all patients that they must determine the level of utilization they desire from our services.
In summary, we would like you to decide what level of service you desire and make a payment corresponding to your needs.
Level of Service: Consulting only:
- You do not need to pay an annual fee.
Level of Service: Basic Care, PAY $299 Annual Administration Fee.
includes:
- Appointment Requests 1-4 times a Year;
- Patient Inquiries (portal, email, or phone) 1-4 times per Year
- Prescription Renewals/ Refills
- Assistance with Prior Authorizations. (no guaranteed outcomes)
- Limited Testing Initiated During Visits
Level of Service: Advanced Care with Physicians Involved as “Treating Physician”.
PAY $1299 for 12 months Membership Program
PAY $899 for 6 months Membership Program
includes:
- Visit Physician as a “Treating Physician”
- Ideal for patients with more complex medical conditions
- Receive a $50.00 Discount for each Follow-Up Visit, 30 minutes or more
- Priority and Flexible Scheduling
- Unlimited Scheduling Requests
- Patient Inquiries (portal, email, or phone) 1-4 per Month
- Prescription Renewals/ Refills [See Details] (when appropriate & applicable)
- Prescription for Controlled Substances (when appropriate & applicable)
- Assistance with Prior Authorizations (PA) (no guaranteed outcomes)
- Assistance with Appeals when a PA is denied (no guaranteed outcomes)
- Coordination of Care with other Physicians
- Coordination of Care with Pharmacists for TPN/PPN (Intravenous Nutrition)
- Coordination of Care for Homecare Services
- Coordination of Care with Dietitian for Enteral Feeding
- Request Concierge Services – discuss with the physician directly
- Request Labs before a visit (honored up to twice a year)
- Request Jury Duty Excuse (when appropriate & applicable) (additional fees apply)
- Request Forms for school or other institutions (when appropriate & applicable) (additional fees apply)
- Request Forms for the Family and Medical Leave Act (FMLA) (when appropriate & applicable) (additional fees apply)
- Request State Disability Form -discuss with physician directly, acceptance is case by case (when appropriate & applicable) (additional fees apply)
Please Note:
If you are already a part of the membership program or concierge services, you do not need to pay the minimum fee.
When your membership starts to expire, we will ask you to renew or select a different level of service.
If one family member is a part of the membership program, the second family member (must be part of the same household with the same address) pays half.
This policy will be effective May 01, 2024.
If you have an appointment already scheduled, please discuss with our staff to start your enrollment.
If you are interested in conceirge services, please talk to the physican directly.
We appreciate your understanding and being part of our practice.
Kind regards,
— Farshid Sam Rahbar, MD FACP ABIHM
Los Angeles Integrative Gastroenterology & Nutrition, Inc.
