Defining the 'Medical Home'
Your monthly care fee covers the services described below.

Urgent Care

Qliance strives to provide same or next-day evaluation for urgent medical problems including care of minor injuries and diagnosis and treatment of those problems appropriate to primary care (e.g. colds, general illness, minor accidents; conditions that don’t require emergency, hospital or specialist care.)

Preventive Care

Qliance provides thorough periodic physical exams and age specific health screenings for men and women, infants through seniors. These include evaluation of current state-of-health and recommendations to improve your future health and wellbeing.

Wellness Care

Your Qliance provider offers both primary and wellness care. Your visits may include extended consultations and personalized coaching to create positive lifestyle changes such as: weight loss, smoking cessation and stress management.

Chronic Disease Management

Qliance incorporates national guidelines and scientific analysis to provide our patients with state-of-the-art primary care for hypertension, diabetes, hyperlipidemia, heart disease, asthma, arthritis, osteoporosis and many other chronic conditions including primary care of some mental and behavioral health disorders. Your Qliance provider is available to provide education and training to manage your chronic condition. If your chronic condition changes and you need more specialized care than your Qliance provider can provide, we will refer you to an appropriate specialist health care provider and assist you in making decisions relating to their care (see Specialist Care Coordination section below).

Specialist Care Coordination

If more specialized care is needed, we are available to assist in referrals to outside health care providers. This includes scheduling your appointment, briefing the specialist about your medical condition and following up with the provider after your consultation. If you have insurance, we will provide referrals to qualified health care providers covered by your policy. If you are paying out-of-pocket for your medical care, we will try to provide referrals to health care providers who have a policy of providing discounts to cash paying patients.  

Travel Consultation

If you are planning to travel outside the country, your Qliance provider will be able to help you with any medications or vaccines that may be required for the trip. They will consult with the Centers for Disease Control for up-to-date travel health recommendations and order the necessary vaccines. Travel medications are not included in Qliance’ monthly fee but may be ordered and provided to you at cost.

Hospital Care Coordination

Qliance Level 1 Patients

If it is determined that hospitalization is required, Qliance Level 1 patients will receive remote coordination and supervision of their care via a hospitalist. A hospitalist is a hospital-based primary care physician who assumes the bedside care of patients in the place of the patients’ primary care provider. When you have completed your hospital stay, your Qliance provider will coordinate with the hospitalist to provide appropriate medical follow-up. If you have insurance, the care provided at the hospital may be covered by your policy. Please check with your insurance plan.

Qliance Level 2 Patients

If it is determined that hospitalization is required, Qliance Level 2 patients will receive on-site coordination and supervision of their care by your Qliance provider, including admission and if appropriate, coordination of specialists, hospitalists, and nursing staff; monitoring of charts, procedures, laboratory, imaging, and pathology results; assisting with discharge planning and coordinating office follow-up. If you have insurance, the non-Qliance care provided at the hospital may be covered by your policy. Please check with your insurance plan.

After Hours Coverage

Qliance Level 1 Patients

After-hours phone coverage will be shared by all Qliance Level 1 physicians. While each physician has remote access to your medical record and is fully capable of taking care of your after-hours medical need, there is a chance that when you call, you will not be speaking with your own provider.

Qliance Level 2 Patients

After-hours phone coverage will be provided by your primary Qliance Level 2 physician except on weekends, holidays and vacations when it will be shared by all Qliance Level 2 physicians. In addition to being available to speak with you after-hours, your provider will have remote access to your electronic medical record.

Additional Services 
The following are additional services provided by Qliance.

X-Ray Imaging

Qliance offices have state-of-the-art digital x-ray equipment on-site so that we can better provide real time diagnoses of your medical condition. X-rays we can perform on-site are included in your monthly care fee. However, if your provider determines that an outside radiologist review and interpretation of your x-rays is warranted, there will be a nominal charge by that specialist. If you have health insurance, the outside radiologist review fee may be covered by your policy. If you are uninsured, paying with a health savings account or are otherwise paying out-of-pocket for your medical care, the outside radiologist review fee may be paid for with cash at a pre-negotiated discount price.

Laboratory Tests

Qliance providers are able to perform selected laboratory tests in our office. While some of these tests are provided at no additional charge, other tests will be charged to you at or near our cost. On occasion, your Qliance provider may determine that it is clinically appropriate to order lab tests that are not performed in our office and are instead sent to an outside clinical laboratory. If this occurs, you will be responsible for the cost of the outside laboratory’s services. If you have health insurance, lab tests performed outside our office may be covered by your policy. If you are uninsured, paying with a health savings account or are otherwise paying out-of-pocket for your medical care, your lab tests may be paid for with cash at pre-negotiated discount prices.

For a list of available laboratory tests and their prices, please refer to the following document: Laboratory Testing

In-Office Procedures

For your convenience and cost savings, Qliance providers are able to perform several diagnostic and urgent care procedures in our office. There is no additional Qliance service charge for performing these procedures. In some situations, your Qliance provider may determine it is clinically appropriate to send specimens collected from procedures to an outside pathology specialist for evaluation. In other situations, your procedure may require the use of items such as IUDs and other durable medical supplies for which you will be charged a fee. If you have health insurance, fees for outside service providers may be covered by your policy. If you are uninsured, paying with a health savings or health reimbursement account or are otherwise paying out-of-pocket for your medical care, outside service provider fees associated with in-office procedures may be paid for with cash at pre-negotiated discount prices.

For a list of available in-office procedures and their prices, please refer to the following document: In-office Procedures

Prescription Pharmaceuticals

For your convenience and cost savings, Qliance providers are able to dispense and sell selected prescription pharmaceuticals in our office. This can save you the time and hassle of going to a pharmacy when you are ill. Your Qliance monthly care fee does not cover the cost of these or any other prescriptions. However, the pharmaceuticals we sell are available for purchase at or near our cost. If the prescribed medication is not available from our dispensary, or if you prefer, a prescription can be written by your provider to a pharmacy of your choice. 

For a list of available prescription pharmaceuticals and their prices, please refer to the following document: Prescription Pharmaceuticals

Medications

Qliance providers are able to administer selected medications in our office. While some of these items are provided at no additional charge, some will be charged to you at or near our cost.

For a list of available medications and their prices, please refer to the following document: Medications

Vaccines

Qliance providers are able to administer selected vaccines in our office. While some of these items are provided at no additional charge, some will be charged to you at or near our cost. In Washington State, all state-approved childhood (ages 0-19) immunizations are provided at no extra cost.

For a list of available vaccines and their prices, please refer to the following document: Vaccines

Types of Services NOT Provided by Qliance:

The following types of services are not provided by Qliance except for primary care level treatment and counseling:

  • Drug and alcohol dependency treatment
  • Infertility service
  • Marital and family counseling
  • Mental health care
  • Sexual dysfunction
  • Weight loss treatment

The following types of services are not provided by Qliance at all:

  • Acupuncture
  • Chiropractic care
  • Cosmetic surgery
  • Dental care
  • Emergency room care
  • Hearing care
  • Home healthcare
  • Hospice care
  • Hospital care
  • Massage therapy
  • Maternity/prenatal care
  • Maternity/labor and delivery
  • Naturopathy
  • Rehabilitation
  • Sterilization
  • Vision care
  • Outpatient diagnostic procedures (such as):

    • Colonoscopy
    • CT Scan
    • PET Scan
    • Endoscopy
    • Mammograms
    • MRI
    • Ultrasound

  • Outpatient labs (beyond the labs tests performed at Qliance)
  • Outpatient surgery (beyond the procedures performed at Qliance)
  • Outpatient radiology (beyond x-rays performed at Qliance)

Questions

If you have a question about Qliance' patient services, monthly care fees or how to register, please call Qliance Member Services at (206) 381-3030 or email Qliance.