Family FAQs

About Resident Care

At each facility we serve, the level of care we provide and the frequency of our on-site visits is determined by the needs of residents. In most cases, members of a Physicians Eldercare team visit a facility multiple times each week.
Please contact your nurse in the facility where you or your loved one resides and request that an appointment with your physician, nurse practitioner or physician assistant be scheduled the next day they are in the facility.
No. Physicians Eldercare works with local physician practices to provide hospital services when needed and if a hospitalist is not available. These arrangements can provide a smooth transition between the hospital and the long-term care facility. The name of the Physicians Eldercare clinician and the telephone triage number should be included with the contact information that accompanies a resident to the hospital.
Physicians Eldercare relies on its physicians to recommend specialists to residents. Our clinicians respect the ultimate decision of the resident, family and facility in making these decisions.

Insurance Information

Fees for Physicians Eldercare’s services are billed to the individual’s insurance company, Medicare Part B or Medicare advantage program and/or to the individual themselves. The Patient Information Sheet, once signed by the legally responsible party, allows Physicians Eldercare to bill Medicare, Medicaid or Medicare Advantage Plan along with a secondary and tertiary plan and to balance bill the patient, if needed. PEC bills Medicare Part B plans. The patient’s Medicare Part A covers the facility stay. The Part A benefit does not apply to PEC because we are Part B providers.
Most insurance companies do assign a patient liability for services, such as a co-payment or deductible. A call to the insurance company should provide an answer on eligibility and coverage. Physicians Eldercare is a contracted provider for Medicare, Medicaid and most Medicare Advantage Plans such as Blue Medicare HMO and PPO. For these Medicare Advantage Plans the responsible party must notify the plan and request a change in the primary care physician. For help with questions, call Physicians Eldercare at (336) 251-1114, option 2, between 7:30 a.m. and 5 p.m.
Insurance companies and federal regulations require service providers to bill for co-payments. Failure to bill for co-payments assigned by insurance companies is considered insurance fraud. Physicians Eldercare is permitted, however, to waive co-payments on a case-by-case basis for individuals who demonstrate that they do not have the financial resources to pay the co-payment. For individuals who do not qualify for waiver of co-payments, payment plans can be arranged by calling Physicians Eldercare at (336) 251-1114, option 2, upon receipt of first bill.
Residents who are classified by the facility as self-pay may contact our billing office to make payment arrangements by calling (336) 251- 1114.