This agreement is not health insurance and the primary care provider will not file any claims against the patient’s health insurance policy or plan for reimbursement of any primary care services covered by the agreement. This agreement does not qualify as minimum essential coverage to satisfy the individual shared responsibility provision of the Patient Protection and Affordable Care Act, 26 USC Section 5000A. This agreement is not worker’s compensation insurance and does not replace an employer’s obligations under Chapter 440.
The PMM creates a practice model that has the potential to eliminate third party payers from the physician-patient relationship. The PMM does not indemnify for services provided by a third party.
Primary services may include, but not be limited to: office visits, annual physicals, ECGs, or other necessary primary care procedures. It might also include patient education and chronic disease management. The monthly fee includes access to the primary care provider for the services set forth in the agreement.