Faq

Frequently Asked Question

Got questions? We’ve got answers

Not having insurance should not be a barrier to quality, convenient, common sense care.

Fawkes offers Direct Primary Care and a personalized patient-doctor relationship even if you do not have insurance. With 2 telehealth visits, email and text access to their doctor, the value can’t be beat.

Fawkes, MD also negotiates labs and imaging at cost to patients without insurance so they can get the answers they need when they need them. Fawkes, MD does not provide urgent or emergency care and will refer uninsured patients to seek an emergency room in those cases.
Direct Primary Care is NOT insurance. With numerous limitations to insurance, you may not be able to see your primary care physician for weeks or get the necessary labs when you need it the most. And when you finally do get an appointment, many times you’re seen by a non-doctor.

At Fawkes, MD, we offer the option to see the doctor without the hassle of driving to your doctor’s office or waiting in a germ infested waiting room. No insurance company is undermining patient care time, and for one low monthly payment, patients can speak to a medical doctor for up to an hour at a telehealth visit or phone call.

At Fawkes, MD, there will never be copays, coinsurance, prior authorizations, or unexpected bills sent months after the visit. Your insurance can pay for labs and imaging, emergency visits, and hospital admissions.
Patients who are generally healthy but experience that inevitable suspicious UTI on a Friday or cough at night that won’t let them sleep may have to wait to see an insurance paid doctor physically.

This translates to waiting until Monday morning at the earliest before the doctor is able to squeeze you in. Insurance won’t pay the doctor if they don’t see the patient!

At Fawkes, MD, the doctor can talk to the patient on the phone or see them via telehealth for a minimum of an hour at a time, even on weekends!

Patients who desire clear, convenient, common sense medicine with a medical doctor who is easy to access deserve DPC as a backup or as their primary care source.
It covers up to 2 telehealth visits with your doctor and unlimited messaging with your doctor to arrange the care you need. It also includes everything listed in Services, as well as medical record review, medication review, paperwork members need filled out, and in the case of hospitalization, a medical advocate to help you navigate what’s happening.
No. Fawkes, MD patients can get in touch with their doctor as often as they want and usually have an answer the same-day or next-day. If their question requires a telehealth visit, they will be advised to schedule one on the same or next day to have their needs met. Member patients can see a doctor when they need one.
As soon as you need one.
As soon as patients enroll online, membership begins! That means they will be welcomed with an email providing information on how to contact their doctor and set up a telehealth visit immediately. Membership is renewed after the first 6 months on the first of the subsequent month and thereafter on the first of the month.
Yes.
No. Fawkes, MD serves patients 18-64 years old.
No, Fawkes, MD does not bill or use health insurance. To deliver clear, convenient, common sense care, Fawkes, MD focuses on individual patients via communication and most importantly, time and attention. Telehealth appointments are up to 1 hour long to establish doctor-patient relationships and make sure your doctor understands your health goals. Insurance based doctor visits are not based on quality or time, but on quick visits to meet business guidelines. Fawkes, MD is a dedicated medical practice, not just a business.
Health insurance provides catastrophic coverage in case of heart attack, stroke, accidents, or cancer care. Fawkes, MD provides non-urgent, non-emergent primary care services.

No, unfortunately Fawkes, MD physicians still accept Medicare, and as long as they do, they are not permitted to accept cash payments from Medicare eligible patients. Some physicians see Medicare patients outside of Fawkes, MD, and you can email info@fawkesmd.com to find out who and where they are.

Fawkes, MD is happy to provide membership receipts so patients can attempt to get them reimbursed by insurance or through their HSA.
Fawkes, MD provides same or next day telehealth visits, unlike many medical offices that are overstretched and cannot do that. Further, Fawkes, MD is staffed by medical doctors with tens of thousands of hours in training to recognize, diagnose, and treat patients cost effectively and responsibly. There’s no substitute for experience.

Lastly, Fawkes, MD can get you in touch with your doctor outside of a telehealth visit almost immediately. Most medical practices do not allow for a doctor to make or take patient calls during business hours, much less after hours. Fawkes, MD can do that.
When calculating an annual Fawkes, MD membership, it’s $720 in 2023, which is some patients’ monthly insurance premium. That’s $8640 per year in health insurance without copays!

To access a physician when they’re needed is worth it to most patients, even the healthiest ones. The competitive membership Fawkes, MD offers is to make sure patients DO talk to their doctor more, see their doctor more, and prevent any health issues before they arise.
Some very lucky healthy people only rarely need a doctor. They can pay the $150 fee online and schedule a same day or next day telehealth appointment and spend the hour with the doctor. This visit will be long because the doctor will need to take a thorough history and understand a patient’s needs. This requires A LOT of questions, so patients should expect to use the whole hour and understand that their time and investment is of higher value if they enrolled in membership.
If patients have PPO insurance Fawkes, MD can refer to in-network specialists.

If patients have HMO insurance, Fawkes, MD will attempt a referral to an in-network specialist. In all likelihood, this will be rejected and patients may have to see the primary care physician on the back of their insurance card to get a referral to the specialist.

If patients are uninsured, Fawkes, MD has a list of specialists that offer cash pricing for their medical services.
Fawkes, MD aims to keep patients OUT of hospitals through clear, convenient, common sense care. However, emergencies do happen. If patients are en route to the hospital and notify Fawkes, MD, the physician will call the ER and attempt to speak with the emergency physician to help coordinate care. Upon admission to the hospital, Fawkes, MD will attempt to speak to the hospitalist team to discuss patient treatment, discharge, and transition. Having a medical advocate in the patients’ back pocket provides answers, clarity, peace of mind, and better care in and out of the hospital.
Fawkes, MD requires an introductory 6-month commitment to membership so patients can experience the advantages of having a doctor at their fingertips. After that, membership is month to month and may be canceled online at any time via the membership portal. Once canceled, re-enrollment requires the annual enrollment fee to be paid again, and membership fees increase after our 2023 launch.

Life happens, especially in our current economy. Email info@fawkesmd.com and explain what’s happening. Fawkes, MD will help create a plan with patients to make sure they don’t lose access to clear, convenient, common sense healthcare.

Memberships are non refundable during the introductory 6-month period. Thereafter, refunds are available until the 8th of the month and are treated as a cancellation of membership. See above.

Yes, you can! Arguably, health is the greatest gift we have, and to give it is an incredible gesture. Email info@fawkesmd.com to set up a gift membership.

Email info@fawkesmd.com or leave a submission on the Contact Us page.