Frequently Asked Questions
Do you accept Medicare?
Yes - All or nearly all costs of a house call visit are usually covered by Medicare and a qualified secondary insurance. Medicare does not pay for "convenience house calls". Thus, those patients who wish to use Medicare must meet certain home bound "criteria". See the FAQ section regarding homebound status.
If you wish to have a house call and have a non-accepted insurance, see above for an explanation of how this works in the FAQ section marked "Do you accept private pay patients?".
What secondary insurance do you accept?
Your private secondary insurance will be billed automatically through Medicare as long as you have them linked. If you do not have your secondary insurance linked, then you will receive a bill from us for the amount that Medicare does not pay (20%). Please call Medicare to have your Medicare and secondary insurances linked so that you can avoid any billing difficulties. You will be responsible for any difference between our charge and Medicare's amount if you do not have a secondary. We do not accept any Medicaid secondary insurances.
What private insurers do you accept?
Currently we do not accept any insurance besides Medicare and certain private secondary insurers. We do not accept Medicaid, Medicare managed care, Bravo, Kaiser, Maryland Physicians Care or other types private insurances at this time.
If you wish to have a house call and have a non-accepted insurance see an explanation of how this works in the FAQ section marked "Do you accept private pay patients?".
What if my insurance changes?
It is your responsibility to inform our practice of any changes in your insurance, Otherwise you will be billed directly and be responsible for the full cost of the visit.
Call us: (240) 744-0001 (office) (888) 206-0912 (fax)
Do you accept Private Pay patients?
We accept patients on a cash-basis and charge based on a level of visit. A typical house call visit will cost approximately $300 or more depending on the types of services needed.
What do I do about a billing issue?
Please let us know if you receive a bill that does not seem correct.
Please call the main number (240) 744-0001 to be transferred to our billing department.
What does "homebound" mean?
Medicare does not pay for "convenience house calls". Thus, those patients who want a house call and wish to use Medicare, must meet certain "homebound criteria". Call if you are not certain of whether or not you qualify. These include but are not limited to: Dementia, Visual impairment, Hearing impairment, Use of a walker, Use of a wheelchair, or are Bedbound.
Can you be my Primary Care provider?
Our staff at Capital House Calls can become either a primary care provider for you or your loved one, or can become the home-based member of your health care team. We work with many local internists, geriatricians, and family practitioners as well as specialists of all types.
Do I have to quit seeing my regular Primary Care provider?
No. We are happy to work with your regular medical team as a complementary provider in the home.
How are emergencies handled?
We do have 24/7 phone availability. Unfortunately, we are unable to guarantee emergency house calls visits since many of our providers only service certain geographical areas on specific days. We will try to accommodate these types of visits as available. You may reach the on-call practitioners by calling (240) 744-0001.
See FAQ section: "How about after-hours emergencies?".
If you believe you are having life threatening emergency, please call 911 immediately.
How about after-hours emergencies?
While we have 24/7 phone availability, unfortunately we are unable to guarantee urgent/emergent or after-hours visits. The after-hours practitioner on-call can be reached by calling (240) 744-0001. If that number does not allow you to reach someone, you may call our answering service directly at 240-790-1620.
See FAQ section: "How are emergencies handled?".
If you believe you are having life threatening emergency, please call 911 immediately.
How do I get prescription refills?
All prescription refill requests will be handled within 24 to 48 hours. Because of the volume of requests we cannot respond to these requests on an emergent basis. Calls after hours for prescriptions will be returned within the next two business days. This includes medical equipment, supplies and medications. If you use a mail order company, any paperwork that you can supply would be helpful.
Can you see patients for post-operative visits?
Our practitioners make visits to those patients who may only be temporarily home-bound after a surgery. We communicate with your regular providers until you are able to see them after your recuperative period.
Do you have regular office hours?
We see only house-calls patients. We do not maintain an office for patient visits.
What about hospital admissions?
If the unfortunate situation of a hospital admission arises, please be aware that our practitioners do not maintain any hospital privileges. We defer to the hospitalists at each of the local hospitals. We will try to maintain a line of communication with Emergency staff and hospitalists during your visit. Please be sure to let us know if any changes to your health occur so we may help you better when you or your loved ones are discharged.
How do you handle email communications?
While we often send emails to patients and their families regarding non- medical administrative issues, email is not considered to be HIPAA- compliant. If you wish to use email as a form of communication, please complete the Communications Form so that we know you would like to communicate via this modality for some types of tasks.
NO EMERGENCY communications will be addressed via email, fax, text or online form. If you believe you are having life threatening emergency, please call 911 immediately.
Call us: (240) 744-0001 (office) 888.206.0912 (fax)
How do you handle cell phone communications?
While our practitioners are mobile and often communicate with their cell phones (and some are even generous to give out the number), all emergencies and communications with the office should begin with a call to the office (240) 744-0001. That way, we can find the appropriate person to help you with your issues and make sure someone gets back to you.
NO EMERGENCY messages should ever be left on a voice mail for anyone in our practice. If you believe you are having life threatening emergency, please call 911 immediately.
Who will visit?
Our dedicated physicians make most of the first visits with patients. Most patients will have the opportunity to also meet one of our wonderful physician assistants or nurse practitioners.
How frequently will a practitioner come?
Typically, visits are made every 3-6 weeks unless more frequent visits are arranged or a patient or family member wishes for visits only "as-needed". Typically we see new patients more often since needs are often greatest at that time.
Who should be at each visit?
While we do not expect the Power of Attorney to be at every visit, it is to the patient's advantage to have a person present who can understand the advice given by the practitioner.
Please see FAQ section: "How do you handle Powers of Attorney/Guardians?"
Do you charge travel fees?
At this time we do not charge travel fees for those living in most parts of the Washington Metropolitan area. But because of the high cost of gasoline and lengthy travel times some zip codes have up to a $50 trip fee. Find out about your geographical area by calling (240) 744-0001.
How do you handle Powers of Attorney/Guardians?
Many of our patients suffer from dementia and cannot make decisions for themselves. In this case, we will defer to the Health Care Power of Attorney for all decision-making and administrative responsibilities. For patients who do not have capacity to make their own decisions and do not have a Power of Attorney, decision-making issues will be handled on a case-by-case basis. The issue of capacity when there is no POWER OF ATTORNEY is often fraught with many difficulties and referrals to attorneys may be required for assistance in these types of matters.
Please call us with questions: (240) 744-0001 (office) 888.206.0912 (fax)
Do you work with Hospices?
We work with all of the major hospice organizations in the area and will remain your practitioners through all stages of the Hospice process if those are your wishes.
What types of referrals can you make?
Unfortunately, few specialists in the area make house calls. We do our best to refer to some specialties like phelbotomy, xray, podiatry, dental and wound care as available. We cannot guarantee their availability. We also refer to home health agencies that provide some home nursing needs for certain qualifying medical problems.
Is there a no show policy?
For confirmed appointments, a $100 fee will be charged if the practitioner arrives and no one is home to receive them.
What about forms and paperwork that need signing?
Due to the large number of requests for forms and other types of chart requests, a $20 fee will be charged for certain forms and chart requests. Please allow at least 4 days for forms to be completed. We cannot fulfill requests for next day form completion.