Defining the 'Medical Home'
Your monthly care fee covers the primary and preventive care services described below.
At times, your care may require durable medical supplies or third-party services that are not covered. You may be asked to pay additional fees for items such as prescription medications purchased on-site, vaccines and non-included laboratory tests and outside services such as x-ray interpretation if needed. If you have health insurance, you may choose to have your laboratory tests billed to your carrier as well as have prescriptions written to a pharmacy that accepts your plan.
In all cases, incidental items purchased on-site are provided at or near our cost so our incentives in managing your care are perfectly aligned with yours. Prices and relevance to your care are fully discussed with you in advance of being incurred. For a printer friendly version of this page, click here: Patient Services Guide
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 health screenings for adult men and women. These include evaluation of current state-of-health and recommendations to improve your future health and wellbeing. Qliance provides well-child exams for infants and children as well as sports and other activity participation physicals for individuals of all ages.
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).
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.
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 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 Tests
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.
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
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
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
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
Specialist Care Coordination
When more specialized care is needed, we are available to assist in referrals to other health care providers. With your authorization, we will send each specialist a summary of your medical background and current issues and assist you in making decisions relating to their care. When you have completed your specialist evaluation, we will provide appropriate medical follow-up.
If you have insurance, we will seek to provide referrals to qualified health care providers 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, we will seek to provide referrals to qualified health care providers who have a policy of providing discounts to cash paying patients.
Hospital Care Coordination
Level 1 Patients
If it is determined that hospitalization is required, Qliance Primary Care – Level 1 patients will receive remote coordination and supervision of their care via a hospitalist. A hospitalist is a hospital-based rotating physician who assumes the 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.
Level 2 Patients
If it is determined that hospitalization is required, Qliance Primary Care – 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
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.
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.
Types of Services NOT Provided by Qliance
The following types of services are not provided by Qliance except for basic work-up, primary care level treatment and counseling.
Drug and alcohol dependency treatment
Infertility services
Marital or family counseling
Mental health care
Sexual dysfunction
Weight loss treatmentThe 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 careOutpatient diagnostic procedures (such as):
Colonoscopy
CT Scan
PET Scan
Endoscopy
Mammograms
MRI
UltrasoundOutpatient 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 the Qliance business office at (206) 381-3030 or email Qliance.