SimpleCare – Providing Healthcare Your Way
What is SimpleCare?
SimpleCare is a program of the Non-Profit organization the American Association of Patients and Providers, or the AAPP. As the largest Patient/Provider organization in the United States, SimpleCare is dedicated to returning a means of providing common sense, affordable, patient-driven healthcare to the healthcare community.
The program was created by three MD’s in Seattle who decided there had to be an easier way to provide high quality individualized healthcare without the hassle, inefficiencies and exorbitant pricing schemes of the health insurance industry and government. These doctors took paying for healthcare back to how it was originally meant to be, an affordable and simple transaction between the patient and provider, just like how you pay for any other product or service.
Why should you be a member?
Because both you the provider and your Patients/Clients become members of the same mutual membership organization, you can legally and ethically offer a separate cash fee schedule for SimpleCare members willing to Pay In Full At the Time Of Service (We call this PIFITOS). This Fee schedule is different from the coded fees you may already bill insurance companies. We explain how to determine these fees in our Provider Manual.
SimpleCare does not dictate your pricing or services offered. Your membership does not auto renew, and we do not "Credential" our providers. It’s up to each individual provider to decide on a fair fee to charge for his/her services to SimpleCare Patient/Client members. SimpleCare works best for those who are either uninsured, seeking services not covered by their insurance, or for members of a Health Share Organization. SimpleCare also benefits people who have a high insurance deductible that they will most likely never meet for the year and just want to pay a fair price out of pocket. (In the last case, the Patient/Client would not be advised to attempt reimbursement or send in a HCFA form for the payment to be applied to their deductible, as there will not be insurance codes assigned to the services or goods they receive.)
SimpleCare is not promoting an all or nothing approach to being contracted with insurance companies. We are simply providing a way for you to clear the gray area of having two separate fee schedules for your services with or without being contracted with insurance plans.
Obviously, you don’t have to be a member of SimpleCare to accept cash payments. However, the benefits of being a member far outweigh the nominal membership fee of only $125 your first year and $50 each year after to renew and maintain the status of a participating provider on the SimpleCare website.
SimpleCare providers are often the heroes of their community. Not only can your uninsured and underinsured Patients/Clients pay a fair price for your services, but they can now receive the same benefit at other SimpleCare providers in your area, and nationwide. As a Provider Member you can also receive the benefits of paying an affordable fair price for healthcare expenses when you or your family see participating providers for care.
By joining SimpleCare you will be provided with a vast array of materials, contacts, and online marketing that will help you provide your Patients/Clients with the option of PIFATOS…and you’ll gain the “Freedom from corporations” that you need to practice medicine and healthcare the way you choose and know to be best!
SimpleCare is Not Insurance
SimpleCare is, unfortunately, NOT available in the state of Nevada