Live healthier. On your terms.

We have answers.

Here are some of the most common questions asked about MetaClinic by employers and their members. If you have any other questions, we invite you to fill out a contact form.

Employer Questions

Primary care savings up to 30%? Sounds too good to be true.

We get that a lot. Quite simply, MetaClinic eliminates the unnecessary (and HIGH) mark-ups that you pay for meds and lab work. And with your GUARANTEED COST-PER-VISIT, you are assured of paying less for every primary care visit your members make. The savings really add up!

Show me an example of HOW We'll SAVE.

In addition to a lower cost to see a provider, with MetaClinic, you pay WHOLESALE prices for labs and meds dispensed on-site. Here's an example from a real MetaClinic patient's annual physical visit.

We are already getting the best discount on meds and labs.

You might be. But while a carrier may be giving you the "best discount" they can, they still expect to make a profit on them so you're still paying a mark-up on everything. We consider all these costs "pass-through" so you pay what we pay. Which is the WHOLESALE price that insurance carriers pay before they mark it up. You will be shocked at the difference between a carrier's price and our WHOLESALE price.

So what will our costs be each month?

You pay three things each month: 1) A cost per physician slot, which includes a charge for medical supplies; 2) Cost for meds dispensed and lab work done (these are WHOLESALE prices - you pay what we pay); 3) and finally, our MetaClinic Management Fee, which is a monthly fee for each member covered under your health plan. These three things are added together to establish your average cost-per-visit.

explain the guaranteed cost-per-visit.

After we have analysed two years of your paid claims history, we determine the number of expected visits by your covered members in a 12-month period. We then add up the forecasted 12-month costs for your expected labs, generic medicines, physician charges (slot fee and medical supplies). Then we divide by the number of expected visits to determine your Guaranteed Cost-per-Visit. And it is always lower than the rate you and your members are paying now.

How do you determine the average cost of a primary care visit in-network?

We analyze your two-year paid claim history to determine the number of primary care visits made by your covered members. Then we determine the annual costs - charges for primary care visits, all lab work, and medications prescribed (only the ones that can be dispensed on-site at MetaClinics) to determine the total charges for primary care during that year. That total is divided by the number of visits to determine the average cost of a primary care visit in network. Click here to see an example of three average visit costs - 1) In-network, 2) MetaClinic, and 3) a combination of MetaClinic and in-network (for members who do not utilize the MetaClinic at first.)

How many clinic locations will we have?

That depends on how many members you have and where they live. The goal is always to make sure that MetaClinic access is easy and convenient for ALL your people. If your people tend to live in one geographically concentrated area, you are likely to have fewer clinic locations. If your people are really spread out, it might take more locations to be sure they all get served.

Can we add clinic locations if we need to?

Absolutely. The MetaClinic program is completely flexible - we can add new locations in as few as six months should you require it.

Why wouldn't we just build an on-site clinic?

You might. There are certainly situations where that makes the most sense. And we can even help you do that. But in our experience, companies prefer to avoid the expense of new construction or build-out if they can. More often than not, companies choose more locations serving more members.

Are we too small to qualify for the program?

Probably not. Our flexible program allows us to establish MetaClinic programs for companies with as few as 50 members up to companies with tens of thousands of lives.

What type of companies benefit most from MetaClinic?

While almost every type of company can benefit, the MetaClinic program is ideally suited for self-funded companies. Because the MetaClinic program is so effective at increasing engagement and improving overall health, it has proven to reduce claims substantially. This model has proven VERY effective for unions of all sizes.

Why does this model work so well for unions?

Because unions rarely have a centralized location where the members live and work. So a traditional, on-site clinic doesn't work. By establishing multiple clinics, where they can serve the most members, MetaClinic delivers what other models can't. READ: "Does the Traditional On-Site Health Clinic Model Work for Today's Trade Unions?"

Can we customize the services offered?

Yes. We can work with you to ensure that your MetaClinics offer the primary care and other services (ie. occupational health, x-rays, emergency care, etc.) your members need.

Will our people utilize the clinics?

Definitely. Our clients have noticed the numbers of people using the MetaClinic rises consistently from year-to-year. Mostly because we make it so easy and convenient. And because it's FREE to your members!

How can we maximize the benefits of our MetaClinic program?

By getting more members engaged. We'll work with you to maintain ongoing communications promoting the services of the MetaClinic so that health and wellness remains at the top of their minds. Because the more members who use the clinic, the healthier they'll be and the more your costs will decrease.


Have a question that’s not answered here?

Give us a call 844-774-4325.


Member Questions

WHAT IS A METACLINIC?

A MetaClinic is a full-service, primary care medical practice staffed by board certified doctors, physician assistants, and nurse practitioners.

WHAT CAN I COME TO THE METACLINIC FOR?

You can use the MetaClinic services for anything you would use a standard doctor’s office for -sickness and injuries, annual health check-ups, physicals, vaccinations/flu shots. Our board certified physicians and nurse practitioners can take care of the same things that any doctor’s office can, and for issues that require specialized attention, we are ready to provide you with professional referrals to specialists in the area who can provide you with the advanced care you need. We will even set up the appointment if you’d like!

WHAT IS A HEALTH COACH?

Every MetaClinic location offers the services of a Health Coach who specializes in helping members achieve their own personal health goals. Working as part of your MetaClinic Care team, your Health Coach will help develop a plan that enables you to live healthier on your terms. Some great examples of goals that Health Coaches have helped MetaClinic members achieve are: lose weight, quit smoking, get off diabetes medication, reduce other medications, run a 5k, eat healthier, and more!

DO HEALTH COACH SERVICES COST ANYTHING?

No. As a member, nothing at the MetaClinic will ever cost you anything.

WHAT ELSE DOES MY MEMBERSHIP ENTITLE ME TO?

As a member, you can come to the MetaClinic for all of your primary care office visits, your lab work, and most of your generic medicines. All at NO COST to you. Appointments are all exactly 20 or 40 minutes, so there is NO WAITING. And since you can get most of your meds and labs right here, you save wasted trips to the pharmacy and lab.

WHAT IF I DON’T CURRENTLY HAVE A PRIMARY CARE OR FAMILY DOCTOR?

You’re in luck. That’s what MetaClinic is designed to do. Not only can we provide all your primary care needs, but we can also refer you to local specialists when you need more advanced treatment.

WHAT IF I DO CURRENTLY HAVE A FAMILY DOCTOR?

Not a problem. You have two choices. If you decide you’d like to switch to MetaClinic as your new team for primary care, we will be happy to help you make the transition, including getting your family’s records from your existing physician. OR, if you prefer to keep your primary care doctor for now, you can still take advantage of MetaClinic services for labs and generic meds (but you will still have to make an appointment to see our provider.)

WHAT IS THE FIRST THING I NEED TO DO?

To activate your MetaClinic membership, all you have to do is schedule an Initial Health Assessment. This is a free 40-minute consultation in which a MetaClinic provider will give you a physical exam, review your medical history, take some basic health information, and discuss your overall health with you. After that, you are free to use all the MetaClinic services you want. And even if you don’t use the MetaClinic much after that, your membership will be activated and ready to use when you change your mind.

HOW DO I SCHEDULE AN APPOINTMENT?

It’s easy. Go online to mymetaclinic.com where you can schedule your appointment and even fill out your initial paperwork to save more time. Or you can call us at 1-844-774-4325. Appointment days and hours vary by MetaClinic location. Our goal is to make it convenient, so there will be some appointments in the morning, some in the afternoon and some in the evening. Check the web site or call for available times.

CAN MY FAMILY MEMBERS GO THERE TOO?

Of course. We encourage anyone who is covered under your current health plan to utilize the MetaClinic. Because the more people who use these services, the more money you save

HOW DOES IT WORK WITH MY INSURANCE?

The MetaClinic is an option to use for your primary care and doesn’t require your insurance. Rather than going to your family doctor and using your insurance card, paying the co-pay and deductible, all you have to do is make an appointment and show up on time. If you need lab work, the MetaClinic staff will take care of that. If you need generic medicine, and the MetaClinic stocks what you need, you leave with it in your hands. All at NO CHARGE TO YOU. And with NO EXTRA TRIPS to the lab or the pharmacy.

WHAT GENERIC MEDICINES CAN I GET AT THE METACLINIC?

Your MetaClinic can prescribe all medications, and is able to fill prescriptions for many of the most common generic medications on the market today. If you have a question about a certain medication, we invite you to call 1-844-774-4325.

IF ANOTHER DOCTOR WANTS ME TO HAVE LAB WORK DONE, CAN I GET IT DONE AT THE METACLINIC?

Sure can. Just make an appointment with the MetaClinic, bring your lab order with you and it will be done on the same visit (if you need to fast, and didn’t before doing the lab, a 10-minute follow-up visit will be scheduled). The MetaClinic provider needs to see you though, so don’t forget to make an appointment first.

CAN I JUST WALK IN IF I’M SICK?

Not yet. For now you still need an appointment. However, some MetaClinic locations include urgent care facilities that can accommodate walk-ins.