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Some of our most
Frequently Asked Questions.

FAQ’s

Below are answers to some of our most frequently asked questions. Click on the topic sections below to read the most frequently asked questions for that topic.

Section 1 - Qliance Membership

Section 2 - Choosing A Clinician, Appointments Contacting & Qliance

Section 3 - Emergency, Hospital & Specialty & Care

Section 4 - Qliance & Health Insurance

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Section 1 - Qliance Membership

Do I have to be healthy or have health insurance to become a patient?

No. Anyone can become a Qliance patient. We do not pre-screen or deny patients because of their age, race, religion, national origin, health condition including the presence of any sensory, mental, or physical disability, sexual orientation, education, economic status, employment status or citizenship.

 

Is there a long-term contract?

No. Qliance offers services on a month-to-month basis.

 

May I cancel my membership at any time?

Yes. You are free to terminate your patient agreement at any time and for any reason. You must submit your cancellation request in writing in order to fully cancel your membership and stop your billing cycle. The Qliance Service Cancellation Form can be found on our website or, to request a form be sent to you, you may call Member Services at (206) 381-3030. Upon confirmation of your membership termination, we will close your billing account, prorate the balance of your monthly care fee and credit your account within ten (10) business days. If you are transferring your care to another physician, your medical records will be forwarded upon request. Of course, if you are ever dissatisfied with your care, please let us know so that we can address your concerns; quality of care and patient satisfaction are our highest priorities.

 

If I cancel my membership, can I re-register at a later time?

Yes. Should you cancel your membership but decide to rejoin at a later date, you will pay a $99 re-enrollment fee. Because we limit the number of patients at our practices, we cannot guarantee that there will be room if you wish to re-join at a later date.

 

Can I add family members to my billing account?

Yes. Spouses, domestic partners, children, parents of enrolled children and other family members can be added to or removed from your billing account at any time. Each patient will have his or her individual medical record and may request to have their care provided by a different health care provider if they wish.

 

Can I register my child but not be a patient myself?

Yes. As a parent, you may register your child (or children) without being a patient yourself. Please note that the monthly care fees for children are slightly higher if the children are registered alone. Please see our Fees page for more details.

 

Can I get a discount on my monthly fee if I don’t use all the Qliance services or seek care infrequently?

No. Like a health club membership, Qliance care and services are at your disposal whenever you need, even at times that you cannot predict.

 

If I become seriously ill, will my monthly care fee increase?

No. Your monthly care fee schedule will not change based on changes in your health condition or the number of times you see your health care provider. Your monthly care fee schedule will change however when you move from one age bracket to the next or as part of a general fee schedule change. In either case, you will be given at least sixty (60) days notice of such changes and your monthly fee schedule will not change more than once a year.

 

What happens if I miss a monthly payment?

We ask that you make every effort to pay your monthly care fees on time so we are able to provide our services at affordable prices. If you are paying by automatic funds transfer, a $25 fee will be incurred for non-sufficient funds.

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Section 2 - Choosing a Clinician, Appointments & Contacting Qliance

Can I choose my own Qliance clinician?

Absolutely. Qliance is your medical home and we want you to feel your most comfortable with your clinician. We encourage you to visit the Clinicians page of our website to learn more about our providers and are happy to schedule a 15-20 minute in-person or phone meet-and-greet with the clinician of your choice.

 

How often can I see my Qliance clinician?

As often as you’d like. We feel strongly that early attention to your medical needs will make you healthier and reduce your long-term need for medical care.

 

What if the clinician I want to see is not accepting new patients?

To provide the highest quality and unhurried care, we limit the number of patients assigned to each health care clinician. If your preferred clinician’s practice is closed, you may choose another provider and may ask to be placed on a waiting list should space become available.

 

May I change clinicians?

Yes. You may switch Qliance clinicians at any time providing your new clinician’s practice is open. Should you change your Qliance service level, your monthly care fee will also adjust to the corresponding price level.

 

How do I make an appointment?

Your Qliance Front Desk is happy to make your appointment. For urgent care we will schedule you as quickly as possible. Please visit our Locations page for your practice location phone number.

 

Do I need to have an appointment to be seen?

Yes. We ask that you schedule an appointment before you come in for doing so will allow us to provide better care and service for all our patients. If you have an urgent need, we will make every effort to accommodate you as quickly as possible.

 

If I make an appointment will I see my own Qliance clinician?

Your personal clinician will be the first choice when scheduling your visit. However, since we are open seven days a week (excluding certain holidays), your clinician may not always be available. If you need to be seen immediately and your regular clinician is unavailable, we will schedule you with one of our other providers who will follow-up with your clinician about your care.

 

How do I contact my Qliance clinician?

You may phone, email or schedule a visit with your Qliance clinician. If he/she is unavailable or if you have an urgent need, you may ask to speak with another available clinician. For urgent matters we ask that you call your clinic so that you receive care as quickly as possible.

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Section 3 - Emergency, Hospital & Specialty Care

What if I have an emergency?

If you have a life-threatening medical emergency, please call 911 immediately. For urgent, non-life threatening medical problems you may call our office 24 hours a day, 7 days a week to speak with the clinician on call. If you need to be seen during office hours, we will see you as quickly as possible. If your clinician determines that you need emergency care, you will be referred to the nearest emergency room. Before you arrive, we notify the emergency room of your arrival and provide them with pertinent medical information. Your Qliance clinician will also consult with the emergency room physician after your evaluation to discuss and coordinate your after-care.

Please Note - Your Qliance monthly care fee does not cover ambulance, emergency room or other hospital services. If you have insurance, we encourage you to check with your carrier to determine your emergency room coverage. If you are uninsured, we encourage you to explore payment options with the hospital’s financial services coordinator as many hospitals offer charity care and payment plans.

What if I need to be admitted to the hospital?

If you require hospitalization, your Qliance clinician will refer you to a hospital and coordinate your admission, discharge and follow-up care. When you become a Qliance member, you may designate a preferred hospital or we can help you choose a hospital.

 

What if the clinician I want to see is not accepting new patients?

To provide the highest quality and unhurried care, we limit the number of patients assigned to each health care clinician. If your preferred clinician’s practice is closed, you may choose another provider and may ask to be placed on a waiting list should space become available.

Please note that your Qliance monthly care fee does not cover any costs associated with your hospitalization, except the coordination of care. If you have insurance, we encourage you to contact your carrier to ensure your hospital coverage. If you are uninsured, we encourage you to discuss payment options with the hospital’s financial services coordinator as many hospitals offer charity care and payments plans.

What if I have to see a specialist?

When your medical needs extend beyond the scope of primary care, we will refer you to an appropriate specialist. We will provide that specialist with relevant portions of your medical record needed to optimize your care. When his or her evaluation is complete, your Qliance clinician will coordinate your follow-up care. Please note that your Qliance monthly care fee does not cover outside specialty care. If you have insurance, we encourage you to check with your insurance carrier to ensure your specialist will be covered by your policy.

 

Are prescription medications included in the monthly fee?

No. Though your Qliance clinician can write a prescription for any of your medications, the cost of these prescriptions is not included in your monthly fee. However, we are pleased to partner with Healthwarehouse.com to offer an on-site dispensary of roughly 150 generic medications. If you need a medication that we carry on-site, we are happy to provide one (1) first-fill free of charge.* We also carry a number of medications for acute illnesses that can be dispensed to you at no charge at the time of your visit.

View a list of medications we carry.

About Healthwarehouse.com
Healthwarehouse.com is a retail mail-order pharmacy that offers cost savings, convenience of ordering, free at-home delivery and award-winning customer service. Healthwarehouse.com is able to offer best-available pricing by selling directly from manufacturer to consumer whenever possible. They offer 300 medications for $3.50 for a 1 month supply and 1000 medications under $25. Qliance patients receive a 5% discount on all orders. You are not obligated to use Healthwarehouse.com for future prescriptions and may continue to use any pharmacy of your choice for refilling prescriptions.

*Qliance does not receive any payment from Healthwarehouse.com for this program.

 

Does Qliance offer maternity care?

Qliance providers offer maternity care through the first trimester of pregnancy only. You may continue to receive other primary care services at Qliance while you are pregnant and your Qliance clinician will coordinate as necessary with your OBGYN. In-hospital newborn exams may be provided by a pediatrician at your hospital. Post-hospital, you may register your new child as a Qliance member.

 

Can I still see my gynecologist?

Yes. Being a Qliance patient does not preclude you from seeing any other clinician of your choice whenever you wish. As with all outside services, you are responsible for the costs of such care. You may find, however, that many of your gynecological needs can be met by your Qliance health care clinician including periodic well-woman exams and care of common gynecological and women’s health conditions.

 

May I access my medical record?

Yes. As per our Patient Privacy Policy, you may access your medical record and receive a copy of your record for review at anytime. For more information, please refer to our Patient Privacy page.

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Section 4 - Qliance & Health Insurance

Is Qliance health insurance?

No. We work directly for our patients to provide direct primary care. Your monthly care fee only pays only for the primary and preventive care services described in our Patient Services Guide.

 

Will you bill my insurance plan for your services?

No. Qliance does not bill any insurance carrier for our services. Your insurance plan may be billed by others for services such as emergency, hospital, specialty care, laboratory tests, diagnostic imaging, prescription drugs or other goods and services that are ordered by your Qliance health care provider but are not performed or provided in our offices.

 

Are my visits to non-Qliance health care providers covered by my monthly care fee?

No. Because we are not an insurance company, your monthly care fees do not include or cover any goods or services you receive outside of our clinics.

 

Will my insurance reimburse my Qliance monthly care fee?

No. Qliance monthly care fees are not reimbursable by any health insurance company, nor are they reimbursable by Medicare or Medicaid. If you have a Health Savings Account (HSA), Health Reimbursement Account (HRA) or Medicare Medical Savings Account (MSA), however, your monthly care fees may be eligible for reimbursement. Please check with your plan administrator.

 

Can Qliance monthly care fees be applied to my insurance deductible?

No. Qliance monthly care fees may not be applied to any insurance plan deductible. Only an insurance carrier can determine which expenses are counted against their plan's deductibles.

 

If I am in a managed care plan, may I join Qliance too?

Yes. Your monthly fee provides you with Qliance primary care regardless of your insurance or managed care plan. However, your managed care company or your health maintenance organization (HMO) may refuse to pay for any goods or services that are not ordered by one of their providers. Please check with your insurance or managed care provider plan before becoming a Qliance patient.

 

Can I become a patient if I am covered by Medicare or Medicaid?

Yes. However Qliance clinicians have opted out of Medicare and Medicaid which means that monthly care fees are not reimbursable by these programs. However, outside services such as laboratory tests, specialty care or imaging services may be billed to these programs. If you have a Medicare Advantage plan with a Medicare Medical Savings Account (MSA), your monthly care fees may be reimbursable from the MSA.

If you would like to receive more information about which plans might work for you, please contact Larry Cook from the Seniors Insurance Group* at the Qliance Medicare Hotline: (206)307-5585.

* Larry Cook is not affiliated with Qliance and does not receive payment for any services provided.

Should I also have medical insurance for serious illness or injury?

Yes. Because Qliance is not an insurance company, we encourage those who can afford traditional health insurance to purchase it to protect yourself from large, unanticipated costs associated with serious illnesses or accident. Please see our Insurance page for a list of brokers who may help you in choosing a plan. *Qliance is not affiliated with the Seniors Insurance Group.