What is Everside Health? Everside Health is a provider of primary care services that is at the forefront of innovation in healthcare. It operates doctor?s offices where patients can get most of the medical services they need from an experienced provider, usually at no cost to the patient, including no copays or co-insurance. Everside Health providers are dedicated to serving an employer?s population, are highly accessible at convenient doctor?s office locations and are held accountable for delivering great care and service. These providers provide a personal level of service and are available around the clock via phone for urgent health matters.
How do I enroll? If you choose to be on the Town?s health insurance, and choose the Direct Primary Care Plan, you will automatically be enrolled in Everside Health. In addition, any family members that you want to include on the medical coverage will also be enrolled in Everside Health. You will need to choose one of the Everside Health providers to be your primary care provider (PCP). You are welcome to visit the Everside Health medical office to meet the care team and get biographies for each of the providers before enrolling.
What happens if I need to contact my provider after hours or while I?m away from home? Simply call your Everside Health provider?s office. No matter where you are or when you call, you will have 24/7 (including holidays) access to your provider via phone for urgent needs.
Does choosing the Everside Health option increase my healthcare costs? No, it should do just the opposite. Since there are no co-pays, co-insurance or deductibles to meet, it ends up costing you less. The Everside Health benefit has no impact on your healthcare premium?it is completely separate from your healthcare plan.
Are there other expenses associated with Everside Health? All services occurring within the doctor?s office are free; however, certain tests sent to outside labs will be charged to your insurance. Or, if you are given a prescription for a medication that is not available at the clinic, you will pay your pharmacy for it.
Why do I still need a health insurance plan if this benefit covers my primary care? While the Everside Health benefit does cover approximately 80% of what you typically see a provider for, it does not cover hospitalizations, specialists, specialist tests, prescription drugs, and certain procedures. You must have insurance coverage to provide for these potential needs.
Will the Town have access to my protected health information? First, we take your privacy and the confidentiality of your records very seriously. Under HIPAA?federal law? your Everside Health provider cannot share your medical records or medical information with the Town, except in some specific instances (e.g., information may be shared that is required to manage the health plan, pay for your membership or administer your benefits with authorized administrators of your health plan).
What will never be shared: ? Specific visit information, beyond what is required to administer your health benefits ? Test results or your health records ? Diagnoses or care plans
Does every member of my family have to join? Yes, in order to be enrolled in the Direct Primary Care Plan, all members of your family that are enrolled in the Town?s medical insurance must enroll in Everside Health.
When I join Everside Health and change doctors, how do I transfer my records? The Everside Health care team will work with you to get your records transferred. There is typically a written release that you will need to sign, but this process can be coordinated by your care team.
I have a gynecologist (or other specialist) that I want to continue to use. Will I still be enrolled in the Everside Health benefit? Absolutely. Your Everside Health provider will work closely with your specialists to ensure you receive the highest quality of care. You may continue to see your gynecologist for an annual physical and treatment.
What do I do when I need to see a specialist? Your Everside Health provider is a completely independent provider and is free to select the best specialist for your needs. The provider can coordinate your appointment for you and will closely monitor your progress while under a specialist?s care. If you already have a specialist you like, you may certainly continue to use that provider.
Do I have to visit the Everside Health provider at their office? Your Everside Health provider will have regular office hours and you will have access 24/7 to your doctor for urgent needs. You and your provider will choose the option that is most appropriate for your situation.
What happens when my provider goes on vacation? You can contact your provider via phone for urgent needs even when the provider is on vacation. For extended absences, there will be another Everside Health provider who will be available to cover for your physician to ensure you get the same level of care and service.