Continuing a Tradition of Medical Excellence
in Greater Portland since 1959
Family Practice is a direct pay practice.
We do not bill insurance
companies. We work directly with and for our patients without the
interference of insurance corporations or government agencies.
In America today, nothing is more unpredictable than health care. Our objective is to make it as predictable, affordable, and accessible as possible.
We are excited to offer a new option to our patients, both old and new. We want to encourage people to seek care not only to get treatment when they are sick, but also to work at maintaining and improving health. Our goal is to remove the traditional barriers that patients can run into when dealing with insurance, such as high cost, confusing rules, copayments, and deductibles. We believe that our patients should have better access to their personal physician for routine annual physical exams, disease management visits, and visits to care for acute illnesses and injuries at an early stage to help prevent issues from turning into a crisis. We are certain that we can do all this at a fraction of what it costs in the traditional medical model.
We are now offering our patients a subscription option in our practice. For a predictable monthly cost, you receive essentially all the services offered by your primary care physician.
What is included?
Annual physical/wellness exams
Office visits for chronic disease (diabetes, high blood pressure, etc)
Office visits for acute illnesses and injuries, as well as general health questions.
Services required for diagnostic testing that can be done in our office:
Spirometry (breathing tests)
Nebulizer (breathing) treatments
Ankle/Brachial Index testing (screening for artery blockages in legs)
Hemoglobin A1C testing (fingerstick blood test for monitoring of diabetes)
Urine dipstick testing, including pregnancy tests, drug screening
Some joint injections
Minor skin procedures (draining abscesses, biopsies)
Freezing of warts, skin tags, and precancerous lesions
Unprecedented access to your personal physician in the office, and via e-mail.
For laboratory tests which we must send out of our office for processing, we will provide them at our cost when paid for at the time the sample is collected. This represents a savings of 25-75% compared to local hospital and commercial labs. (For patients wanting to use their insurance for the labs, we will forward your insurance information to the lab for them to process.)
We now stock many generic medications in our office which we will offer to our subscription patients at our cost. This applies only to medications prescribed by us.
A 50% discount on house-calls
What does it cost?
Single Adult $50/month
Adult Couple $95/month
Our billing is every six months. For patients who pay for one year in advance, they receive a 12 month subscription for the price of 11 months.
Can my significant other be included?
Absolutely! Your spouse/significant other residing at the same address is welcome and you may enroll as a couple for a discount.
Can my entire family be included?
We welcome patients of all ages. Any child living in your home under the age of 26 is eligible under our family plan.
How do I enroll?
Simply let us know!
How can I pay for my plan?
You can pay for your plan in two ways; either 6 months or one year paid in advance. For anyone paying for a full year in advance we will discount your rate one month. You may pay by cash, credit card, or bank check.
Is this health insurance?
This is not health insurance. It is more of a personal service contract with your personal physician for primary care services. We strongly encourage our patients to have either catastrophic insurance coverage or a membership in a health ministry organization to cover more expensive treatments such as hospitalizations and surgeries.
What is not included?
Any lab work (blood, urine, or biopsy samples) that we must send to an outside lab is not included in the subscription price, but we provide them to our patients at our cost. We use Atherotech Labs for the majority of our blood tests. They give us significant discounts which we pass directly on to you.
X-rays, CT scans, MRIs, colonoscopies, or any other tests that are performed outside of our office. With these tests, we work with facilities that provide cash discounts for patients who do not have insurance coverage.
Consultations with specialists. Like with other services performed outside our office, whenever possible, we refer our patients to independent physicians who are often more willing to work with our patients.
Hospital and nursing home visits. While Dr. Ciampi no longer makes hospital or nursing home rounds, he is happy to coordinate care with the house doctors during your stay at a facility to make the transition back home smoother.
Legal proceedings. In the rare instances where a service such as a deposition is needed, we are happy to negotiate a special rate with your attorney.
Laser pain treatments are currently not covered under the subscription agreement.
Disclaimer: While there is no predetermined limit to the number of visits per year, Ciampi Family Practice does reserve the right to have a discussion with individuals who have unexpectedly high use of services to determine appropriateness of care and if a modified arrangement may be appropriate. Medical services are provided as deemed medically necessary by Ciampi Family Practice and the patient. Any refunds will be pro-rated after subtracting the fees for services already rendered, after subtracting a 25% administrative fee.
We do not keep controlled medications (pain killers, tranquilizers, etc.) in stock in our office and we cannot supply directly to patients.
We do not prescribe narcotics for chronic pain or medical marijuana
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