Resources

A: We are a group of family, adult and geriatric providers who can assess and treat a variety of conditions for individuals of all ages. 

Please review our website for a list of common acute and chronic illnesses, as well as health and wellness interventions. 

A: Yes. We are addressing the current pandemic:

• We provide medications and education for C-19 prevention
• We treat C-19 infections, both phase 1 and phase 2 of illness. We take a wholistic approach, including using medications, nutraceuticals, and diet.
• We treat long haul syndrome using medications, nutraceuticals, and diet, as well as provide referrals to specialists as needed. 
• We draft patient specific letters for exemptions related to vaccination, mask requirements and work accommodations.

A:  If you cannot find an appointment, we are full. We open our calendar for 2 months at a time, unless you are an established patient, and we book a follow up appointment at the time of an already scheduled visit. 

We do have cancellations daily, and appointments do become available immediately once a patient cancels their visit. Please check our schedule frequently to reserve your spot. 

A:  Additional providers:

www.exstnc.com

www.aapsonline.org/covidearlytreatment

www.covid19criticalcare.com 

A: We have several types of visits.

• General visits are visits that address any medical/health concern you may have. These visits are telephonic or video. You are contacted by your provider at the time of your visits. Medical forms are emailed to your prior to your visit. 
• Covid prevention visits: until Telehealth NP has fully transitioned to the Elation platform and has a good workflow, a provider will call you at your appointment time (provided you included a phone number when you booked your appointment). In the future, Covid prevention visits will likely be E-Visits. E-Visits are a type of telehealth visit where there is asynchronous exchange of information. A patient answers forms, a provider responds with recommendations, prescriptions and education. Billing is completed after the E-Visit is complete. Your visit summary is sent to you with the ability to then sign up for Elation Passport.
• COVID treatment visits: a provider will call you at your visit time. The visit may have a video component. If video is included, a zoom link is sent to your email and smart phone. An assessment and evaluation of your situation will occur, recommendations made, prescriptions electronically faxed to your pharmacy. Billing occurs at the end of the visit. Your visit summary is sent to you with the ability to then sign up for Elation Passport.
• COVID long haul syndrome visits: a provider will call you at your visit time. The visit may have a video component. If video is included, a zoom link is sent to your email and smart phone. An assessment and evaluation of your situation will occur, recommendations made, prescriptions electronically faxed to your pharmacy. Billing occurs at the end of the visit. Your visit summary is sent to you with the ability to then sign up for Elation Passport.

A:  We bill after services are rendered. If your visit is telephonic or video, the billing occurs after this encounter. If your visit occurs electronically to process a request, billing does not occur until after a prescription is sent or request is honored. 

A:  After your first visit with Telehealth NP on Elation, you will receive an invitation and code to create an Elation Passport account. Passport is a patient portal for seeing your visit notes, provider messages and for sending us messages. Elation passport does not work for patients who have not been seen yet and established within the Elation system.

A: No. Elation passport can be accessed using any web browser on a computer or smartphone. It does require internet connection. Elation Passport works with Apple and Android products. If you wish to, you can download the Elation Passport app to your smartphone.

A: DPC is affordable, compassionate, subscription based, primary care for the whole family.

A: A concierge practice generally charges a high cost yearly subscription fee. Additionally, they will collect copays at each visit and bill your insurance for any services provided. DPC provides the personalized service normally associated with concierge medicine, but at a much lower cost. DPC practices do not collect copays at visits and do not bill your insurance for any services provided.

A: Visit our services page here 

A: Direct primary care membership does cost money up front, but the downstream benefits come in many forms. Patients with high deductible insurance plans can often save money in a DPC practice. We never charge a copay. Lab work and most generic medications are provided at wholesale cost. Imaging tests are cheaper too. We not only provide your preventive and wellness needs, but also your care for chronic conditions and urgent care needs. Over the course of the year these combine to save families hundreds, if not thousands of dollars that would have been spent in the traditional system. The intangible benefits are harder to measure, but are there too — appointments based on your schedule, a direct line to your doctor, little to no wait times for appointments, texting and video-conferencing if appropriate. DPC is primary care on your terms.

A: NO. Direct primary care is not health insurance. Even though we can take care of most of our patients' healthcare needs, we still recommend that patients continue to carry health insurance for catastrophic needs, specialist referral, surgeries and hospitalization.

A: No. You can choose whatever type of health insurance coverage that best fits your family’s needs.:  We bill after services are rendered. If your visit is telephonic or video, the billing occurs after this encounter. If your visit occurs electronically to process a request, billing does not occur until after a prescription is sent or request is honored. 

A: Medicare patients can absolutely join the practice! Several of our nurse practitioners are geriatric board certified, and/or have years of experience with older adults living in their homes, assisted living, or nursing homes. Dr. Yoder is especially passionate about the care of older adults. Dr. Mittiga is highly skilled in palliative care, advanced care planning and end of life. However, Telehealth NP has chosen not to participate in Medicare on a fee for service basis. This means we will not send bills for any of our services to Medicare, but we can still order referrals and medical equipment through Medicare for our patients. Medicare patients can use their Medicare for labs, medications, urgent care, specialists and hospitalizations (anything outside of the monthly membership services). 

A: Every state is different in regard to whether Medicaid will cover DPC membership fees. As of now, we treat Medicaid the same as Medicare. See answer to the Medicare question. 

A: One great benefit of direct primary care is our Nurse Practitioners get to spend more time with their patients, allowing us to fully assess the issues at hand, often reducing the need for referrals. However, we understand that specialty care is sometimes needed.  We can refer patients to a local specialist at any time. 

A: Our Nurse Practitioners will assist you in coordinating with the hospital on your transfer and discharge. 

A: Please contact the office for a no-obligation conversation to answer your questions. 

A: Click Here to enroll now  (coming soon)

A: Most first visits will last 45-60 minutes if you are brand new to our practice. If you have been a patient with us before, it will take 30-45 minutes, allowing ample time for review of your medical history, any acute issues, and create any goals you want.

A: Absolutely! DPC can be a great value-added benefit for your employees.  With low monthly costs and personalized service, employers can see increased productivity, lower absentee rates and happier employees.  Please contact us for more information.

A: We understand that your primary care needs may change. You can cancel your membership at any time with written notice. 

View Our Pharmacies

A: Yes, GOOD RX coupon provides a great savings. They have a free app. Check their prices at: https://www.goodrx.com/ivermectin 

A: I am sorry to hear that! No problem. Find a pharmacy that will fill your prescription. Then, call pharmacy #1 and ask them to forward the RX to pharmacy #2. Pharmacies do this regularly at patients’ requests.  

A: Please wait at least 2 hours before calling your pharmacy for your prescription. It takes them time to process their faxed orders. Pharmacies can call or fax our office with questions. Please send a message to our office through Elation Passport (our office’s patient portal) so we can follow up on your concern. 

A: Yes, we can! An appointment is required to have one of our providers review your unique health history and assess your risk. We provide a thorough evaluation in order to make the best recommendations for your situation. I have updated my website with a booking calendar to better manage the many requests for COVID help. Please visits www.telehealthnp.com to book an appointment. 

A: I am glad you were received help. Please let us know if we can be of assistance to you in the future! Please cancel your appointment so that it is available for another individual. 

A: Yes. Each individual needs their own appointment time so we can provide adequate attention to reviewing your health history, making recommendations, prescribing and answering questions. You can book your appointment here: 

A: Yes. We follow the FLCCC I-RECOVER guidelines and assess you and your unique situation. 

Resources for long haulers can be found at:

• https://covidlonghaulers.com 
• https://www.facebook.com/groups/416179869477953 
• https://covid19criticalcare.com/wp-content/uploads/2020/12/FLCCC-Protocols-–-A-Guide-to-the-Management-of-COVID-19.pdf