Concierge Membership

Our goal  is to help you experience the highest-quality care and services, emphasizing a proactive, comprehensive approach to both disease prevention and wellness promotion. We strive to offer excellence in care that is compassionate, truly patient-centered and emphasizes trust between doctor and patient. From the moment you book an appointment to seeing your physician for follow-up, we want you to be completely

satisfied with every aspect of your care.

We have intentionally limited the size of the Practice so that more time can be devoted to each patient’s care and individual needs. Our goal is to be available to you whenever needed. You will be able to contact your Lown Cardiovascular provider directly by personal cell phone and email, making it easier than ever to communicate. We also offer members

certain non-covered amenities and benefits designed to personalize and enhance their health care experience. Members will have little or no office waiting room time, and appointments will start promptly. This practice model also enables us to schedule most appointments for 30-40 minutes, but some (for example, a comprehensive cardiovascular assessment) may take longer. If an issue requires extra time for evaluation or discussion, we will accommodate you to the best of our

ability.

Please see the Highlights & Details document for a complete list of amenities and benefits provided to our members. Your annual fee pays only for those non-clinical, non-covered services. Professional services that are covered by Medicare or a commercial insurance plan will be billed separately by the Practice, and you will continue to be responsible for any applicable co-pays, deductibles, or non-covered medical services relating to those services.

The Lown Cardiovascular Group doctors are board certified/board eligible in both Cardiology and Internal Medicine and

will each offer a combined Cardiology/Internal Medicine option for a limited number of members, on a first-come, firstserved basis. Please see the Membership Agreement form for information and enrollment options.

The office will remain at 830 Boylston Street, Suite 205, Chestnut Hill, MA 02467.

The Practice physicians are on staff at the Brigham and Women’s Hospital (affiliated with Harvard Medical School).

Lown physicians intend to be available to members 24 hours a day, 7 days a week. However, there will be occasions when

your physician is out of town or otherwise unavailable. In these situations, another trusted Lown physician will serve as

the covering physician.

Please know that you can contact the Practice at any time. However, if you have a life-threatening emergency, call 911

immediately. You can then call the Practice or ask the hospital personnel to contact us so we may assist in your care. If

you have a non-urgent problem, feel free to contact us first.

If the problem is minor, call us first. However, if you have a life-threatening emergency, call 911 immediately – then you can call us. With the exception of controlled substances, your physician will seek to accommodate your prescription requests if state/local law allows. If you seek care at an emergency room or urgent care center out of our area, you should feel free to ask the physician seeing you to call us to facilitate coordination of your care. We will arrange for your physician to be readily available for phone consultation with you and/or other health care personnel. If you should require hospitalization while away, at your request, we will attempt to establish regular phone communication with you

and your attending physician(s) to ensure continuity of care.

Yes. The testing facility will remain available to all patients. These noninvasive tests will continue to be performed at the Lown Cardiovascular Group office. For other tests or specialized procedures, you may be referred to the Brigham and Women’s Hospital. Our staff will assist in scheduling these tests.

Should you desire, your physician will be available to help you decide which specialist to see and to coordinate such

consultations. This will ensure the most appropriate resource is used, the earliest arrangements are made, and your

applicable medical information is sent in advance of your specialist visit.

Yes. Your annual membership fee only pays for the non-clinical, non-covered amenities, and benefits that are described in the Highlights & Details document. Neither the fee nor the amenities take the place of general health insurance coverage. You are advised to continue your Medicare or other health insurance program coverage.

The Practice physicians intend to remain in-network providers for most major PPO insurance plans and the Practice will bill your insurance directly for professional services that are covered by those plans. (Professional services are not covered by your annual membership fee.) If the terms of your insurance plan require a co-pay, the Practice is obligated to request payment at the time of service. Even if the Practice is not a provider for your insurance plan, it will attempt to refer you to in-network physicians for any necessary consultations and to in-network facilities for diagnostic tests and hospitalizations as medically indicated. Those services will likely be covered by your insurance plan.

The annual membership fee is not reimbursable by your insurance plan.

Yes. The Practice will file your claims with Medicare as well as with your supplemental insurer on your behalf, as required by law. Office visit fees that are not reimbursed by insurance will be the responsibility of the patient.

No. The annual fee only includes services and benefits described in the Highlights & Details document that are not covered by Medicare (or any other payer) and that will not be paid for or reimbursed by Medicare.

In some instances, the annual fee, or part of the fee, may be payable through your HSA. You are advised to consult with your HSA or FSA plan administrator, employer, HR representative, or tax adviser to clarify qualification in your particular circumstance.

Your annual fee may be paid in full by check to: Lown Cardiology Group or may be paid annually, semiannually or quarterly by credit card. If you opt to pay by credit card, the first payment will be charged to the credit card you indicate on your Membership Agreement form upon receipt of your executed membership enrollment form. The remaining balance of your annual membership/enrollment fee (if any) will be charged automatically to your credit card in installments after your start date, accordingly. Until we hear otherwise, payments will be processed continually.

Your annual fee pays for membership in the membership program and for many non-covered benefits. All medical procedures and services, whether performed in the Practice or by other providers or health care facilities, will be billed by the performing entity.

Yes. Paying your annual fee allows you to be a member of our concierge program and to be in touch with us whether you are sick or well. We strongly encourage you to utilize the benefits offered, regardless of your state of health, to help proactively safeguard your well-being.

Your membership agreement can be terminated upon 30 days’ written notice to us. If you move and wish to secure a new cardiologist, the annual fee will be refunded on a prorated basis. Your medical records will be sent to your new doctor upon receipt of a signed release from you authorizing/directing the Practice to send the records to your new doctor. This release of records is required by law.

Call our Patient Information Line at (857) 350-9872. You will be connected with our transition team at Specialdocs Consultants, an outstanding company long respected for its expertise in membership medicine. They work closely with us to understand the specific needs of the Practice and our members, and are available to thoroughly and thoughtfully answer your questions and/or assist with your enrollment. Lown Cardiology Group (dba for Boston Heart, LLC) and Specialdocs have business associate relationships with Lown Cardiovascular Group. Neither Lown Cardiology Group nor Specialdocs is a health care provider.