What is Everside Health? Everside Health is a whole new approach to primary care for members enrolled in the School District of New Berlin health plan at no additional cost to join. Everside Health offers comprehensive primary care services including chronic condition management, preventive or wellness visits, and same day or ?sick? visits. Everside Health doctors are highly accessible at convenient locations and by phone for urgent after-hours health matters. They provide high-quality care to all their patients and take the time to listen to concerns and spend the time needed to care for their patients. On average, our services are provided at a much lower cost than other doctors.
Why is School District of New Berlin offering this benefit? Employers, individuals and insurance companies alike have been seeing significant healthcare cost increases each year. School District of New Berlin is offering an additional choice to address the cost and quality of the healthcare you receive through this partnership with Everside Health. Through this program, you will receive high-quality, low- or no-cost primary care through your Everside Health provider.* Ultimately, this innovative approach to primary care is designed to help you be healthier and to lower your overall healthcare costs.
Who is eligible to sign up for Everside Health? All School District of New Berlin employees and their eligible spouses and dependents that are enrolled in the School District of New Berlin health plan are eligible to receive Everside Health services.
Does choosing the Everside Health option increase my healthcare costs? No, it should do just the opposite. Most services are at no cost for preventive and non-preventive services. There is also no charge for phone, email or other remote interactions with your doctor. School District of New Berlin is providing this benefit for members and their eligible family members. Everside Health services cover a wide array of the most common tests and procedures. There are some tests and procedures that are billed to your primary insurance at rates that are usually much lower than with other providers. Services not covered by Everside Health membership may be covered by the School District of New Berlin health plan.
What is different about Everside Health compared to my current primary care provider? Everside Health provides primary care services for you and your family but is not just another primary care provider. The biggest difference is that the Everside Health providers schedule enough time to dedicate to you as a whole person. They will take the time to get to the issues you are having and then help to navigate the healthcare system if you need referrals or other services. That saves time. They offer same-day or next-day appointment availability to see you as soon as you need. As a Everside Health patient, you get access to your doctor 24/7 via phone for urgent needs. For urgent after-hours needs, simply call the office scheduling number which will allow you to have your call directly and securely routed to your doctor. Everside Health doctors offer a scope of services that is broader than a typical primary care practice, so you?ll be able to receive more of your care provided through Everside Health. Your personal Everside Health doctor will be your health advocate and help you navigate the healthcare system when you need specialist services or care that cannot be provided at the Everside Health doctor?s office.
I already have a long-standing primary care doctor, why would I change? Everside Health is a benefit that supplements your existing health plan. You do not need to switch doctors or stop seeing a preferred specialist. We recommend that your Everside Health provider become your first point of contact. This means that rather than going directly to a specialist to receive care, you take advantage of the many convenient access points to your Everside Health doctor. We recommend that you schedule your first appointment?the Comprehensive Patient Evaluation, so the provider can get to know you. Then take some time to see if this health benefit works for you.
What if I have a pediatrician for my children I already like? You do not need to switch doctors. While Everside Health doctors are fully trained in pediatrics, many parents have an established relationship with a pediatrician. You may choose to enroll your children but continue a relationship with their existing pediatrician. Your Everside Health doctor can be another option for your children?s healthcare?typically, it takes less time to get an appointment at the Everside Health office than it does in the pediatrician?s office. Also, your Everside Health doctor?not an answering service?is available by phone 24/7, including nights and weekends.
I take a lot of medications. How does Everside Health help make it easier for me to manage refills and changes in dosages? At many of its office locations, Everside Health dispenses approximately 50 commonly prescribed medications, including medications for chronic conditions. This means that you can walk out of your appointment with most of the medications you need for treatment in-hand. The costs for these medications are usually lower than if obtained through a pharmacy. Additionally, many refill requests and many dosage adjustments can be handled remotely with your doctor and called in to your pharmacy of choice without the need for an in-person office visit.
How is Everside Health different from an Urgent Care Clinic? As a Primary Care doctor?s office, we don?t have the long wait times that you may experience when going to a walk-in clinic. Scheduling your appointment for same or next day urgent needs allows you to get in at your scheduled appointment time instead of waiting behind the people in front of you.
Can I visit any Everside Health location? Am I only allowed to see my selected doctor? Your selected Everside Health doctor will be your primary point of contact and the medical professional overseeing your care. However, you may make an appointment at any of our Everside Health locations that are open to the public and choose to see another provider as needed. You may also email or call your doctor with your questions, or for consultation. You and your doctor will choose the option that is most appropriate for the situation.
Will School District of New Berlin have access to my health information? First, we take your privacy and the confidentiality of your records very seriously. Under HIPAA?federal law?your Everside Health doctor cannot share your medical records or medical information with your employer, except in some specific instances (e.g., we may share information in order to verify your eligibility, pay for your membership or as a part of an aggregate view of the health of the school district population). There will be no personal health information shared with School District of New Berlin.
*Certain prescriptions, procedures or tests sent to outside labs will be charged to your insurance. All telemedicine services are free.