Benefactor Annual Fee

How much do I have to pay each year to be a benefactor?

Benefactors must pay the full cost for their medical service contract on or before December 31 to guarantee coverage the following calendar year. The contract fee is prorated for Benefactors joining our practice mid-year.

What is the cost?

There is a wide range of fees charged by different doctors in a retainer-based practice. It can be as low as $65/month plus co-pay per visit or as high as $20,000 a year for an adult in some areas of the country. Most doctors charge between $1,000 and $2,000 per adult per year. Children are often charged a lesser amount, and some doctors give discounts for larger households. SLFMG does not charge for more than three children in a single family. Our current fees are:

  2015 Benefactor Fees

Annual

Quarterly with AutoPay

  Dependent Child (ages 0-26)

$660

$165

  Young Adult (19-35)

$1,240

$310

  Adult (age 36-59)

$1,600

$400

  Senior (age 60+)

$2,040

$510

  In-Home Care (non-ambulatory)

$3,000

$750

 

Is this an annual fee? Can the Benefactor agreement be cancelled mid-year?

The Benefactor agreement is based on the calendar year and meant to be renewed annually. The fee may be paid once a year or on a quarterly basis. The Benefactor annual agreement term is January to December. The annual fee is prorated for mid-year enrollment and renewals are sent in November for the following year. The commitment is for the calendar year.

Can I sponsor my adult child, their family or my parent for care at St. Luke's Family Medical Group?

Yes. St. Luke's Family Medical Group may provide just the assurance you need for the care of your loved ones.

Will the Benefactor fee cover labs, X-rays and specialist visits?

The Benefactor fee covers only services provided directly by St. Luke’s Family Medical Group. Labs, x-rays and specialists have their own charges and will bill the patient's insurance a separate fee. Anything not covered by the patient's insurance is the patient's personal responsibility.

Will I be paying co-pays at my visits?

At SLFMG there are no charges for deductibles, co-pays or co-insurances. The annual Benefactor fee is the only payment that the patient makes to the practice.

Can the Benefactor fee for count toward my deductible?

It depends on the individual insurance policy. The insurance company has to have a bill from a doctor’s evaluation and treatment before they will allow money from the Benefactor fee to cover part of the deductible. SLFMG can provide you with a statement of visits information, then this part of the Benefactor fee may count toward the patient’s out of network deductible. 

Who do I contact if I have more questions?

Please contact our Executive Director, Karin Hennings at (209) 846-7916 or khennings@stlukesfp.org