Answers to common questions about our practice, fees, and how concierge medicine works.
Yes. We will be credentialed with most major insurance plans, including Medicare, and your insurance is billed for covered medical services you receive in our office. Your annual exam fee is separate — it covers your comprehensive annual exam plus your concierge benefits, like extended visits, 24/7 direct access, and personalized attention, and is not billed to insurance.
Depending on your individual plan, certain medical services provided as part of your care may be eligible for reimbursement through a Health Savings Account (HSA) or Flexible Spending Account (FSA). We are happy to provide documentation for medical services upon request. We recommend confirming coverage details with your plan administrator.
Yes. We want you to feel confident joining our practice. Your terms and cancellation details will be outlined in your patient agreement. Please reach out to our office for specific details.
Bring a photo ID and a list of your current medications and health history. We'll send any new-patient forms ahead of time through your patient portal so your first visit is unhurried.
You can access your records, lab results, and visit notes securely through your patient portal. Reach out anytime and we'll help you get set up.
We provide comprehensive care coordination. If you need a specialist, we will assist with referrals, communicate directly with the specialist team, and help you navigate the process. Your insurance can still be used for specialist visits and any additional services outside our practice.
As a patient, you have access to same or next-day appointments for urgent needs. We intentionally keep our patient panel small so that you never have to wait weeks to be seen.
Patients have direct access to their physician via phone, text, or email for medical concerns and follow-up questions. You will no longer need to navigate a call center or wait on hold to reach your doctor.
Your annual exam fee is processed securely through Stripe, our payment processor. Stripe is used only to collect your annual exam fee — we do not sell or charge for prescriptions, medications, or pharmacy products. Any medication your physician prescribes is sent to the pharmacy of your choice, which you pay directly.
Yes. Our comprehensive weight management program includes physician evaluation and a personalized care plan. When clinically appropriate, evidence-based prescription therapies may be part of your plan, with ongoing monitoring and support. Any prescription is sent to the pharmacy of your choice, which you pay directly.
Yes. We provide evidence-based, physician-supervised hormone optimization for both men and women — including support for low energy, perimenopause and menopause, and thyroid health. All care is individualized, carefully monitored, and focused on safe, sustainable outcomes for those who qualify.
Your annual comprehensive evaluation includes a thorough review of your medical history, preventive care, an EKG, pulmonary function testing, vision and hearing screening, cardiovascular risk assessment, and advanced lab interpretation. It is designed to give you a complete picture of your health, identify any areas to address proactively, and set a personalized health plan for the year ahead.
Laboratory testing and imaging are not included in the annual exam fee, but we work to provide access to these services at transparent and often significantly reduced costs. We partner with providers to offer wholesale pricing wherever possible.
The first step is a free discovery consultation. This gives us the opportunity to learn about your health goals, answer your questions, and determine if our practice is the right fit for you. From there, you can enroll as a patient and schedule your comprehensive intake visit.
We intentionally limit our panel to approximately 300 patients. This allows us to provide the level of attention, access, and personalized care that defines our practice. Availability is limited.
Yes. Dr. Neff and Dr. Karem provide care for adults and children at our Anchorage, KY office, serving families throughout the Louisville area. Your family can receive primary care under one roof.
We'd love to answer them. Reach out and our team will get back to you.
