PriceMDs has a proprietary platform with an established database of facilities, surgeons and medical specialists throughout the U.S.
that have listed all-inclusive bundled pricing for elective medical and surgical procedures.
It enables private and public sector entities, including employers with self-insured healthcare plans to receive an all-inclusive,
low-cost bundled prices for more than 400 outpatient elective surgical procedures at 30% - 50% savings.
PriceMDs SCC bundled pricing includes all costs that are required to perform that elective procedure. That Includes the facility fee, the surgeon's fee
(inclusive of initial consult and post-op care and pre-op lab work), the anesthesiologist's fee, also durable medical equipment, implants & pathology if needed.
Clients will be provided with marketing material to share with their members. This information will direct the member to contact a PriceMDs
Registered Nurse (RN) if a physician has recommended surgery and their dedicated RN will manage their care. PriceMDs RN can also coordinate
imaging if needed (outside of the bundled pricing).
The patient preference can be accommodated if that provider is listed in PriceMDs' directory. If a specific provider is not available,
the ability to waive by the employer patient's OOP cost (usually $2,000 to $5,000) is an incentive for the patient to choose the PriceMDs high quality
and more cost-effective alternative solution.
Once a procedure is performed, the facility sends a UB04 claim for the authorized bundled price directly to the payor. The provider receives payment from the payor
within 10 business days in receipt of the claim.
TCC is a program that significantly reduces the cost of expensive specialty medications for employers and their members. Approximately 180
specialty medications are available through the program.
It is a second opinion program where patients will have live telehealth consultations with U.S. Board Certified, U.S. educated,
and U.S. trained physicians who after consultation and medical records review to determine appropriatness of treatment will prescribe
the same branded medications patient is already receiving. A 90-day supply of the medication
will be delivered to their home or office after completion of telehealth consultations.
Yes, these are the same brand name medications from the same manufacturers that supply to U.S. pharmacies and healthcare
facilities. PriceMDs directly sources these same medications from the lower established price in the European Union.
Zero cost, no sign-up fee, no PEPM, no cancelation fee. The client will only receive an invoice if their member is participating in the
TCC program which will lower their cost by ~30%. PriceMDs will quote an all-inclusive price and lock it in for one year,
subject to a possible increase each April 1st.
PriceMDs follows all guidelines of the Federal Food, Drug & Cosmetic Act 2003 804j for self-importation. Only FDA approved medications are sourced.
All shipments are subject to examination at the border by FDA, CBP, and USDA. It is a second opinion program that requires a consultation with an
international, U.S. Boarded and Licensed MD and a U.S. boarded and licensed in the state of the patient's domicile.
PriceMDs is fully insured for regulatory compliance and medical malpractice by the Beasley Group (a Lloyd's of London Co.).
No, the patient's treatment plan and care will continue by their physician. This program allows patients and
employers to save on the high costs of specialty drug treatments. It does not replace the patient's relationship with their treating physician.
Members must possess a U.S. passport as per U.S. Customs shipping requirements. Although there is no travel in the TCC telehealth
program, a passport is required to show citizenship for self-importation. A PriceMDs Registered Nurse (RN) will provide details.
Patients must have up to date medical records and prescription for their specialty medication. Their dedicated PriceMDs RN will organize a 30-minute video
teleconference with our U.S. trained, U.S. Board Certified non-U.S.-based physician and also with a U.S.-based Board-Certified specialist,
licensed in their state who will write the prescription.
The patient will receive a 90-day supply of their medication with each shipment in about 30 days or less after telehealth consultation.
Their dedicated PriceMDs RN will monitor the shipment closely and follow up with the patient after the shipment arrives.
The PriceMDs RN tracks each fill and contacts patients approximately 60 days before it is time for their next treatment.
Just like the initial fill, the dedicated PriceMDs RN will assist the patient every step of the way.
Yes, cold chain (refrigerated) shipping is our specialty. From ambient room temperatures, to controlled room temperatures (20°C to 25°C),
to refrigerated (2°C to 8°C), all medication shipments arrive to facilities and shipping hubs that provide temperature control.
All pharmaceutical packages ship via FedEx Express or DHL Global Express and are tracked and monitored to ensure the least amount of
time in transit, while allowing for clearances by CBP, FDA, and USDA.