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Frequently Asked Questions

KIFM is a Direct Care practice. We offer a model of family medicine that is patient-focused, thorough, holistic, personalized, accessible, and affordable.

The restrictions that typically leave physicians in a traditional healthcare model setting buried in nonsense paperwork and third-party bureaucracy are lifted through Direct Care, allowing us to spend our time where it really counts: with patients. Thus, at KIFM, we advocate in returning family practice medicine to its roots values in clinical excellence and compassionate care and restoring the sanctity of the patient-physician relationship.

New patients are always welcome in our office. Our new patient forms can be downloaded and completed prior to your first visit. In addition, our Transfer of Medical Records form can be used to request your records from your previous physician. Forwarding recent records and laboratory results to our office will insure that your first visit is more informative and productive. We are pleased to accept referrals of your co-workers, friends, and family members. Your referrals are our best compliments!.

We charge a flat monthly fee and in exchange you get direct access to your doctor, deeply discounted prices on prescription medications, lab testing, x-rays and imaging.

Please refer to our services and membership benefit page. There is a one-time enrollment fee of $100/person, family max $225. Then, a fixed monthly fee. Employer groups with 5+ employees, pay only $50/month/adult.

Charges for non-covered labs, x-rays and procedures will be added at the time of service and applied to your preferred method of payment (cash, credit card or check).

Happily, no. We forgo insurance payments in order to save our patients from the arbitrary, intrusive decisions that inevitably follow with third-party payors. Furthermore, this direct, affordable primary care model frees us from the typical contractual agreements that prevent physicians from offering wholesale prices on laboratory tests, imaging, and medications to our patients.

Yes. We recommend our patients continue a major medical plan with a high deductible and health savings account to ensure financial coverage should hospitalization, emergency services, or specialist referrals be necessary.

Yes. We accept and care for children who are five years and older. We ask that children be fully immunized according to North Carolina requirements.

Yes. You need only sign a one-time waiver declaring that neither you nor your doctor will directly bill Medicare for our services. Medicare will still cover any laboratory testing, imaging, medications, or hospitalizations prescribed by our office.

Direct Primary Care (DPC) is a low-cost medical practice model where patients would have a direct access to their primary care physician with a low monthly flat fee. DPC removes insurance from doctor-patient relationship. This growing movement helps remake the healthcare system in a way that benefits both physicians and patients, while containing costs and increasing quality of care. By cutting out the administrative costs of complying with health insurance, the physician reduces overhead and savings are passed on directly to the consumer. Meanwhile, doctors are freed to spend more time with fewer patients.

Yes, sort of… but with a few distinct differences.

DPC and concierge medicine are two models of primary care that have exploded over the past two decades. Though the terms are used interchangeably, they are not the same.

Concierge medicine has traditionally described a medical practice model tailored to wealthy patients who pay an expensive premium ranging from $2,500-$5,000 annually to have access to their own doctor. While the traditional form of concierge medicine involves the patient paying the monthly or annual fee in exchange for direct access to a physician, they also bill insurance company for visits, thereby, still subjected to the rules and restrictions of health insurance mandates. However, under the DPC model, many providers do not accept insurance whatsoever, and solely rely on the monthly/annual fee they receive from their patients.

Practices that operate under the DPC practice model, like Karrenbauer Integrative Family Medicine, offer patients concierge like service and personalized primary care with membership fees that are much more affordable (typically only $300-1000/year) and does not participate in insurance.

Yes. Physician access is one of the greatest benefits of the direct primary care model.

Although we prefer to try to answer most routine questions and calls during office hours, we realize that illness and injury don’t always occur between regular office hours. You may call, text, or email your physician accordingly.

We’ll be there for you – via phone, e-mail or text.

Because we know you well, we can streamline your care when you’re sick away from home. Many illnesses can be diagnosed and treated with a simple conversation by phone, e-mail or text. We’ll offer our advice and order medications as needed that are most appropriate for your circumstances. If you need to go to the hospital or seek other medical attention while away from home, we can advise you on that as well.