Frequently Asked Questions (FAQ)
Questions about My Doctor Medical Group
Our founder and Medical Director, Dr. Paul Abramson, is a graduate of UCSF School of Medicine where he currently serves as Clinical Assistant Professor. He is on staff with full admitting privileges at California Pacific Medical Center (Sutter CPMC), San Francisco’s best private hospital system.
We are a direct medical practice and out of network for insurance. Please read the other “frequently asked questions” to learn more about these concepts. This arrangement allows us to provide the best and most responsive services to our patients without conflicts of interest.
We can not only deal with acute medical issues, but also help you to proactively keep yourself healthy using natural and preventive medicine. We utilize a network of specialists in San Francisco and throughout the world, and our doctors are on staff with admitting privileges at California Pacific Medical Center. We are ready and available to help those who live here in San Francisco, as well as those traveling here from abroad. We take the time to listen to you and understand your health needs and goals. We can also handle complex situations and help you navigate the healthcare system.
By establishing this direct relationship we can provide you the very best medical care and focus our attention on your needs and wellbeing. We have no conflicts of interest.
- We work directly for you, not for insurance companies or any other third parties, which allows us to provide the best possible medical care, with attention to customer service and privacy. This arrangement allows the doctor to really listen to your concerns and customize the treatment plan to your individual needs and preferences.
- No more long waits or rushed visits. The doctor takes the time to listen to your concerns and you will not feel rushed during your visit.
- We are available when and where you need us. Same-day and next-day appointments are often available. We can make house calls when needed. Dr. Abramson can direct admit patients to the hospital in many situations, without the need for an ER visit. We can also be flexible about providing services (when medically appropriate) via telephone, secure e-mail, and secure video, at times preventing unnecessary ER visits and hospitalizations. This can save you time and money while improving the quality of your care.
- We are cost effective. We know the health care system and can help you avoid paying more for services than is necessary. By taking the time to get to know you, and by being available to you when you need us, we can get you healthy faster and target tests and treatments to your actual needs.
Happily, we are the exception to the rule.
Our doctors are on staff at California Pacific Medical Center where they can often admit you directly without needing to go through the Emergency Department. We are independent and work only for you. We can also coordinate your care at other hospitals throughout the region as needed to make sure you get the best and most expeditious treatment.
And when it’s time to return home from the hospital, we will see you at home or in our office, ensuring a seamless transition.
If you have PPO insurance, we can help you submit claims out of network for potential reimbursement directly to you. Please also refer to the “out of network” FAQ section.
Importantly, most lab tests, imaging, specialist consultation and hospital services that we order can be at in-network vendors for those with PPO insurance. So it's just our visits and other time spent by our doctors on your behalf that are out of network. We know how much the “real price” is for medications and tests, and can help you get the best value from your insurance and limit out of pocket costs.
Patients with PPO insurance can recover a percentage of the amount allowed (by the insurance company) for each service/code, after deductibles and coinsurance. Patients with Kaiser or HMO insurance will typically not get reimbursement for out of network services. International travelers insurance for Europeans often reimburses patients quite well.
While this can seem daunting, our patients find the value of our services to be so great, and our practice to be so responsive and responsible, that it's worth going out of network to assure the best possible health care and outcomes for themselves and their loved ones.
We also know the “real price” for labs, tests and specialist consultation and can frequently arrange these services at a much lower price than you would otherwise be able to obtain on your own.
However, most things we might order, like labs, tests, specialists and hospital services are covered by Medicare and our doctors are allowed to order them even though we are opted out.
Our concierge medicine services offer a level of access and responsiveness that is unique in San Francisco.
We have many Medicare patients in our practice who have decided they value optimal health care, a responsive and personalized practice, and access to Dr. Abramson and our world-class team. We offer a unique value proposition and our expertise in medical risk management is second to none.
Please contact us for further information.
We are extremely conscientious about the privacy of our patients, and frequently cater to high-profile individuals with unusual needs for privacy and discretion. Please contact us if you have specific needs or concerns.
Please read our Notice of Privacy Practices – My Doctor Medical Group (MDMG) – a federally mandated document that describes how we comply with HIPAA privacy regulations.
We generally go far beyond the legally required privacy guidelines, and are used to working with people with particular privacy needs.
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