Hoffman Family Medicine uses a Direct Primary Care model. This is a little like joining a gym. We get paid directly from you, NOT your insurance company. This means that we work for YOU!!! (not your insurance company) Woo Hoo!!
Membership fees: Pricing: $200*/month (This payment is required prior to 1st visit), *PLUS cost of testing and supplements (individualized based on needs)
Benefits included: -Unlimited visits to see Dr. Hoffman as your Primary Care Doctor AND your Functional Medicine Doctor (see below) -30-60min visits, depending on availability and need -Punctual visits -Same or next day appointments, based on need (basically, you contact us and we (you and our team) will determine how best to meet your needs -Interactions with our super nice and amazingly competent staff -You will be seen by the same doctor every time -Ability to call Dr. Hoffman for any urgent concerns -Ability to call, email or text the office for any non-urgent concerns -Home visits if you're unable to come in (included within 20miles of the office. Extra $20/10miles/visit). -Visits can be in person, video or phone depending on appropriateness -Visits with Functional Medicine Health Coach, Jennie Buffington, LPN, FMCHC -4 visits/year of nutrition support with Kelly Martin, DCN, RDN, CDN -4 visits/year for physical fitness evaluation and fitness plan recommendations with physical therapist, Chelsea Leahy, PT, DPT, C-PS
We offer the typical Family Medicine services that you're used to... -acute care visits for acute illnesses (we love snot!!), injuries (evaluating sprains, minor burns, etc) -chronic care management (diabetes, high blood pressure, COPD, depression, anxiety, etc -annual wellness physicals (including breast exams and pap smears) - at this point, we do not PROVIDE vaccines - these can be obtained through the pharmacy, the public health office or other primary care offices - we will help coordinate this for you -minor skin biopsies -minor skin lesion removals (ie. skin tags, etc) -DOT/CDL physicals -basically, if Dr. Hoffman feels comfortable handling it, we'll do it here (all included in your membership fee)!! If not, then appropriate referrals will be made (use your insurance for this).
ALSO... For the past 5+ years, I’ve been learning more about a field of medicine called Functional Medicine. The goal of this type of medicine is to understand underlying/root causes of dysfunction/disease. Specifically, since 2022, I’ve been doing a Functional Medicine Mentorship with Dr. Dan Kalish (you can look him up). I have been learning about some different testing options (blood, saliva, urine and stool tests) that can give me objective information about how certain metabolic functions are working in your body.
Dysfunction of these systems can contribute to all types of symptoms, including why you might be fatigued, overweight, underweight, have heartburn, unpredictable bowel movements, gas, bloating, irregular menstrual cycles, fertility issues, low libido, hot flashes, anxiety, low motivation, depression, brain fog, attention issues, insomnia, sugar cravings, allergies, pain, skin issues, etc.
We do a very in depth history and physical. Then we decide what other testing would be helpful. Then we can develop an INDIVIDUALIZED HEALTH PLAN including recommendations for lifestyle changes and supplements specific to what YOU need. We will also provide the support to help you with these changes which include visits with a health coach, nutritionist and a physical fitness expert along with Dr. Hoffman. It's a true team approach! While we cannot guarantee results, however, we can offer insight into your overall health.
We do NOT handle Worker's Compensation or No Fault Cases.
The membership fee does not cover most lab frees (it will cover urine pregnancy tests, strep tests and uranalysis done in the office), imaging or consultations. For tis you will need insurance or will need to pay out of pocket.
Dr. Hoffman does not admit patients to the hospital. If you require hospitalization, we will help coordinate your are by communicating with the hospitalist (the doctor caring for you in the hospital). We will then pick up your care upon discharge home.
The other thing that is super important in the services that we office here, is that we expect your engagement. We are giving your power back to you! We can help you, but Dr. Hoffman's goal is to EMPOWER YOU!! What, you might ask, does this practically mean?
It means that if you don’t hear about lab/radiology results or a referral within one week, then you need to call and find out what happened. If lifestyle recommendations are discussed as treatment, then those recommendations need to be attempted -or at least be honest about what you can and cannot reasonably do for your health. -It means that if something is scheduled for you, then please show up, or call them to cancel. -It means thinking about your situation, being astute with the story (i.e. any details about symptoms, etc.). You are so important in helping us to help you!!
I’m sure everything is crystal clear, right? Well, just in case you’d like more information, look below.
What is Direct Primary Care? Why can’t you just take my insurance? Under the Direct Primary Care (DPC) model, the patient (you) receives comprehensive primary health care directly from their DPC physician (me. Dr. Hoffman). The patient pays for this care through a reasonable monthly fee, paid directly to Hoffman Family Medicine. That fee covers many primary care services, like office visits, skin biopsies, etc.
Because DPC practices do not participate in any insurance or plans, the physician is able to avoid the ever-increasing and costly documentation demands and administrative intrusions that come with accepting insurance. These require staff, time, and money, often amounting to substantial intrusions on patient privacy.
Because DPC physicians avoid these obligations to insurance companies, they are free to spend that time listening to and treating patients. And because DPC physicians eliminate the significant overhead costs of participating in insurance, they can pass the savings on to you, the patient – and give compassionate, attentive, and timely care at an affordable cost.
We will work for you, NOT some giant profit-driven corporation.
Honestly, it allows us more time to build relationships. We believe it’s these relationships that do the real healing work. You will still use your insurance to pay for medications, lab testing, imaging, and referrals.
Does Hoffman Family Medicine accept health insurance, Medicaid, or Medicare? No. We’ve decided to step out of the frenzied model you read about above and have time to love and care for our patients and ourselves. We will be paid by you, not your insurance company. If you have Medicare, you are welcome here as well. Medicare requires the patient and doctor to sign a waiver promising that we will not bill Medicare for your services. Insurance, Medicaid, and Medicare will still cover labs, imaging, medications or hospitalizations prescribed by our office. By being free from insurance, Medicaid, and Medicare this allows us more time with our patients. You receive the care you deserve and need. Decisions about your health and are made between you and your doctor – the way it should be!
This is all very new and different stuff. I want to check things out with my insurance, but what do I ask them? Dr. Hoffman will be considered an out-of-network provider. You’ll want to ask if an out-of-network provider orders labs, imaging, referrals, or medications, will that service still be covered.
If you want to describe what the type of practice this is, you can describe it as:
Direct Primary Care
An affordable Concierge Practice
A Membership Model Practice
Should I still have insurance? Yes. You need health insurance for the big things like cancer, heart attacks, and car wrecks. We encourage you to have at least a catastrophic (ie. low premium/high deductible) medical plan.
By participating in this practice, does this count toward ACA requirements? Unfortunately, no. Being a member of this practice will not count toward the ACA requirements. You can consider getting a low premium, high deductible plan to pair with our practice for the most economical way for your overall care.
Will I still benefit from membership even if I don’t go to the doctor that often? Absolutely. You will be able to text, email, and call Dr. Hoffman with any questions/comments/concerns. Not all problems require a trip to the office. Maintaining your health is very important. The best way to stay healthy is to prevent disease in the first place. Chances are, you have a maintenance plan for your car. Shouldn’t you have a maintenance plan for your life? And, you never know when you will be in urgent need of a doctor.
Can I use my Health Savings Account (HAS) or Flexible Spending Account (FSA) to pay for the membership? Your membership fee covers medical office visits and services including an annual physical tailored to your needs. You may be able to use your HAS or FSA for your membership fee, however, we advise that you consult with the plan or your tax accountant.
Is there a limit to the number of patients you’ll accept? Yes. Dr. Hoffman is only one person. There is a balance of what one human can do to provide optimal care. So, in order for Dr. Hoffman to have time and flexibility for each patient, enrollment will be limited.
What if Dr. Hoffman is on vacation? Unless there is an emergency, we will do our best to notify you when upcoming vacations and away-times are, so that you can plan to be seen before she leaves. We do arrange for coverage when she is out of town. In some situations, it may be recommended to go to the ER or urgent care.
How do I make an appointment? Call or text 607/643-4045 OR email: [email protected]
How do I sign up? Call or text 607/643-4045 or email: [email protected] for more information.
If you want more information, please: Check out the Services Tab OR EMAIL: [email protected] OR Call or TEXT: 607-643-4045 OR check out the contact page
Notice of Privacy Practices Your Information Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Uses and Disclosures. The following categories describe the different ways in which we may use and disclose your individually identifiable health information, unless you object:
Treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members. Additionally, we may disclose your health information to others who may assist in your care, such as other healthcare providers, your spouse, your children or parent. Payment. Your health information may be used in order to bill and collect payment for the services and items you may receive from us. For example, we may use and disclose your health information to obtain payment from third parties that may be responsible for such costs, such as family members. Also we may use your health information to bill you directly for services and items. Health care operations. Your health information may be used as necessary to support the day to day activities and management of Hoffman Family Medicine, PLLC. For example, information on the services you received may be used to support budgeting and financial reporting, activities to evaluate and promote quality, to develop protocols and clinical guidelines, to develop training programs, and to aid in credentialing medical review, legal services, and insurance. Appointment reminders. Your health information will be used by our staff to contact you and send you appointment reminders. Information about treatments. Your health information may be used to send you information that you may find interesting on the treatment and management of your medical condition. We may also send you information describing other health related products and services that we believe may interest you. Law enforcement. Your health information may be disclosed to law enforcement agencies to support government audits and inspections, to facilitate law enforcement investigations, and to comply with government mandated reporting. Release of Information to Family/Friends. Our practice may only release your health information to a friend or family member that is involved in your care, or who assists in taking care of you if you give us written permission. If parent or guardian asks that a babysitter take their child for an appointment, we will require a permission slip from the parent or guardian. Patient mass communication. We may use your name and email address(es) and/or text numbers to contact you with bulk messaging. For instance, to share new promotions for the clinic, to send clinic newsletters, or to notify you of a physician’s upcoming absence, such as for vacations. Other uses and disclosures in certain special circumstances.
Public Health Risks - (i.e. vital statistics, child abuse/neglect, exposure to communicable diseases, reporting reactions to drugs or problems with products or devices.)
Health Oversight Activities
Lawsuits and Similar Proceedings – May use or disclose in response to a court or administrative order, if you are involved in a lawsuit or similar proceeding or in response to a discovery request, subpoena, or other lawful process.
Deceased Patients – may be required to release to a medical examiner or coroner. If necessary, we may also release information in order for funeral director to perform their jobs.
Organ and Tissue Donation
Serious Threats to Health or Safety
Military - If you are a member of the U.S. or foreign military forces (including veterans) and if required by the appropriate authorities.
National Security
Inmates – Our practice may disclose your health information to correctional institutions or law enforcement officials if you are an inmate or under the custody of a law enforcement official. Disclosure would be necessary for the institution to provide health care services to you, for the safety and security of the institution, and/or to protect your health and safety or the health and safety of others.
Worker’s Compensation
Disclosures of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before your notified us of your decision to revoke your authorization. Your Rights You have certain rights under the federal privacy standards. These include: ● The right to request restrictions on the use and disclosure of your protected health information for treatment, payment, or health care operations. You have the right to restrict our disclosure to only certain individuals involved in your care or the payment for your care, such as family members and friends. We are not required to agree to your request; however, if we do not agree, we are bound by our agreement except when otherwise required by law, in emergencies or when the information is necessary to treat you. You must make your request in writing to the attention of the Privacy Officer. Your request must be described in a clear and concise fashion: a) the information you wish restricted; b) whether you are requesting to limit our practice’s use, disclosure or both; c) to whom you want the limits to apply. ● The right to receive confidential communications concerning your medical condition and treatment ● The right to inspect and copy your protected health information. We will provide a copy or summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee. Our practice may deny your request to inspect and/or copy in certain limited circumstances; however, you may request a review of the denial. ● The right to amend or submit corrections to your protected health information. This request must be made in writing and submitted to Privacy Officer with reasons to support your request. We may deny your request if you ask us to amend information that is in our opinion: a) accurate and complete; b) not part of the health information kept by or for the practice; c) not part of the health information which you are permitted to inspect and copy; or d) not created by our practice, unless the individual or entity that created is not available to amend the information. We will provide a written explanation for any denial in 60 days. ● The right to receive an accounting of how and to whom your protected health information has been disclosed. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any that you asked us to make). We will provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months. ● The right to receive a printed copy of this notice, even if you have agreed to receive the notice electronically. Requests to Inspect Protected Health Information You may generally inspect or copy the protected health information that we maintain. As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting your physician and/or privacy officer. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request. Hoffman Family Medicine, PLLC Duties We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices. We also are required to abide by the privacy policies and practices that are outlined in this notice. Right to Revise Privacy Practices As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Upon request, we will provide you with the most recently revised notice on any office visit. The revised policies and practices will be applied to all protected health information we maintain. Complaints If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to: Hoffman Family Medicine, PLLC Attn: Privacy Officer 50 Dietz Street Suite M Oneonta, NY 13820 If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address. You will not be penalized or otherwise retaliated against for filing a complaint. This notice is effective on 1/2016 Revised 1/28/2024
If you want more information, please: Check out the Services Tab OR EMAIL: [email protected] OR Call or TEXT: 607-643-4045 OR check out the contact page