Question 1

WHAT INSURANCE DOES BLOOMING BRIGHT PEDIATRICS ACCEPT?

Accepted Answer

We do not bill any insurance companies. At Blooming Bright Pediatrics, we run a membership-based model because it allows us to work directly for our families without insurance dictating the care your child receives. This approach gives us incredible flexibility to meet your family’s needs!
Here’s how it works: 
~ We offer office visits, home visits, and telehealth visits to make care as convenient as possible. 
~You’ll have direct access to your doctor via text or phone call, 24/7. We get to know your family so well that many small concerns can be handled over the phone or text without scheduling a visit. 
~ When in-person care is needed, we provide same-day or next-day appointments—no long waits! These appointments can be scheduled online at anytime (even when you've been woken up at 2am by your kiddo with a fever!) 
~ Our families love the simplicity of a flat monthly or annual membership fee. No surprise bills, no hidden copays.

Since we don’t bill insurance, you can use your HSA or FSA for membership fees (as long as they’re eligible for out-of-network providers). Your insurance can still be used for medications, labs, imaging, specialists, or hospital visits if needed.  We’re here to make high-quality, personalized care accessible and stress-free for your family. Let us know if you have any questions—we’d love to help!

Question 2

WHAT IS DIRECT PRIMARY CARE?

Accepted Answer

Direct Primary Care is a model of healthcare that focuses on the physician-patient relationship. We provide high-quality care that is convenient for busy families, and we use technology (text messaging, online scheduling, virtual visits, etc.) to improve the care and convenience of our members. DPC practices don’t bill through insurance and therefore eliminate the constraints, price hikes, unexpected medical bills months later, and confusion around billing that come with insurance. The DPC model has the benefit of comprehensive care with a full range of personalized services through a low membership fee.

Question 3

WHY CHANGE TO A DPC MEMBERSHIP MODEL?

Accepted Answer

This model allows our team to provide our patients with personalized care and direct access to their physician and pediatric team. Our fixed price allows our members to budget their healthcare finances without worrying about unexpected or hidden medical costs. You never pay a copay or have to worry that an unexpected illness will ruin your family's monthly budget. Families with multiple children love our $500 monthly maximum (no matter how many children are enrolled!).

Question 4

WHAT DOES MEMBERSHIP COVER?

Accepted Answer

• Checkups
• Unlimited sick visits (acute and chronic care)
• Remote visits/virtual care
• School/camp/sports physical forms
• Management of minor lacerations (stitches, glue) 
• Developmental and behavioral screenings 
• Counseling and guidance (nutrition, development, sleep, behavior, parenting, and more)
• Evaluation and medical management (when necessary) of chronic pediatric conditions such as eczema, asthma, ADHD, depression, anxiety, and more
• Expedited access to our pediatric and adult team of collaborators including therapists, psychiatrists, fitness coaches, and obesity medicine providers.

Question 5

HOW DO I PAY FOR MY MEMBERSHIP?

Accepted Answer

Membership fees are automatically charged monthly to your checking account or credit card. You can use your health savings account (HSA)*, any credit card, or your checking account. We offer a 5% discount for annual payment. Since your membership fee is automatically charged, you never have to worry about an unpaid bill or wonder if any insurance claim has been processed or how much you still owe.

*Ability to use your HSA is dependant on your specific account and their terms regarding out of network providers.

Question 6

CAN I AFFORD THIS LEVEL OF CARE?

Accepted Answer

The membership model is actually MORE affordable for most families! Families with multiple children pay a maximum of $500/month, no matter how many children are enrolled!

There is a one-time $200 family enrollment fee. After that, the monthly fee is based on how many children you have enrolled. When broken down by day, the payment just about the same as your daily specialty coffee order. There are no hidden fees.

In a traditional practice, a visit for a simple rash can cost more than $150 out of pocket. Follow-up visits for an upper-respiratory infection with ear infection can easily reach more than $300. With Blooming Bright Pediatrics, ALL of these visits are included in your membership fee no matter how many visits, phone calls, or texts it takes to provide the care your child needs.

Question 7

WHAT DOES MEMBERSHIP COVER?

Accepted Answer

We recommend all patients have health insurance to provide coverage for catastrophic events, hospitalization, medications, and other expensive unexpected health needs.

Think about it this way: your car insurance covers collisions and major repairs but not car washes, oil changes, or new tires. Your health insurance covers expensive hospitalizations and procedures but most patients pay out of pocket for the most of their healthcare through deductibles, copays, and secondary bills that insurance doesn't cover.  In our pediatric practice, you just get a lot more value for your money!

Question 8

WE DON'T GET SICK OFTEN. IS THIS THE RIGHT MODEL FOR US?

Accepted Answer

Our practice is designed to benefit you when normal life and the unexpected happens. Childhood is full of unpredictable illnesses and injuries—bumps, scratches, rashes, and more. When your child needs stitches, has a fever, gets sick while out of town, or needs a last-minute sports physical, we are available to provide peace of mind and compassionate care for your child.

At a traditional large practice, you might not be able to get in quickly and instead be referred to an urgent care or ER for care that could be provided by a pediatrician. A single visit to an ER or urgent care can carry a cost equal to months (or years!) of personalized care at Blooming Bright Pediatrics.

And even if you do only visit the doctor a few times each year for annual physicals or checkups, it will be a whole new experience. Same-day or next-day appointments, relaxed visits in your home. You will receive a higher level of personalized care that you won’t find in today’s large, busy pediatric practices.

Question 9

DOES THIS PLAN MAKE SENSE FOR A FAMILY WITH TWO HEALTHY KIDS - AN INFANT & A TODDLER?

Accepted Answer

Even families with kids considered very healthy are surprised when they think back on the past year and realize just how many doctor appointments they’ve had (and how fast they add up!)

Most parents who have kids with ear infections or pinkeye wouldn’t say their kids have health issues, yet those families are in the office quite a bit for ear exams so they can get a script or advice on care— you pay for each of those 5-minute visits at a traditional practice.

Parents with infants also tend to be more vigilant about bringing in their babies with mild coughs or runny noses because they know upper-respiratory viruses can be more dangerous in little babies as opposed to their big kids. But parents of big kids have their concerns, too; many will discuss behavior or developmental issues at well-checks. Often these families are referred to a behavioral specialist or scheduled for a follow-up to re-check a few months later. Those appointments add up in a traditional practice, but at Blooming Bright they are all included in the membership. And the best part is our members say is they no longer think twice about bringing in their child for “just a runny nose” because they know it’s covered and they can get the peace of mind without the price tag! Plus, families with multiple kids enjoy a $500 monthly maximum no matter how many kids they enroll.

Question 10

WE JUST HAVE ONE CHILD, A NEWBORN, AND THOSE MANY VISITS ARE ALL COVERED BY INSURANCE AT OUR TRADITIONAL PRACTICE. DOES IT MAKE SENSE TO SWITCH TO BLOOMING BRIGHT?

Accepted Answer

Families with newborns benefit a ton from our DPC model—particularly the ability to access us directly via text! I can’t tell you how many photos of rashes I get, and usually I can give treatment advice just by looking at them! No need to wait for an appointment, try to schedule it around their feeding time, load up the baby in the car, and wait a fussy baby in a lobby … only to be told the rash is not a concern and you owe $150 for the sick visit.

Now, if an in-person visit is more your style, we are more than happy to accommodate a visit ASAP, and that visit will be covered by your membership. This goes for more than just rashes—there is help with lactation concerns, tummy troubles, runny noses, cough inevitably happening in day care. There are also all the growth and development questions, sleep help, advice on starting solids, allergy concerns and everything else that may come up in those first months/years of life. These are all covered under your membership fees at Blooming Bright.

Question 11

DOES BLOOMING BRIGHT MAKE SENSE FOR ME IF I HAVE A CHILD WHO NEVER GETS SICK BUT HAS SOME CHRONIC CONDITIONS?

Accepted Answer

Yes, of course. It’s hardly fair to charge more for the chronic conditions! Eczema, asthma, ADHD, anxiety, environmental allergies -- all visits for chronic care are covered with your Blooming Bright membership, and many check-ins can be done via text, email, or telehealth so you don’t have to take off work or pull kids from school. And if a higher level of care is required, we coordinate with specialists to ensure no one drops the ball or has an unnecessary wait to get needed care.

Question 12

WOULD BLOOMING BRIGHT BE A GOOD FIT FOR OUR FAMILY WITH A MEDICALLY COMPLEX CHILD?

Accepted Answer

Absolutely, 100% yes. The value and care we provide for kids with complex health is unmatched. Membership covers extended appointment times so we can cover everything needed AND we can coordinate care with specialists so you don’t have to. At Blooming Bright all visits are in your home or virtual which is great for our patients with medical complexities. And all of this is covered with membership, making it feasible to do frequent check-ins to ensure optimal health. Plus, we’re at your fingertips whenever questions arise—just text, email, or call.

Question 13

DOES BLOOMING BRIGHT OFFER A DISCOUNT FOR MULTIPLE CHILDREN AND LARGER FAMILIES?

Accepted Answer

Yes! We love caring for families of all sizes, so we set a maximum rate of $500/month/family no matter how many children.

Question 14

ARE THERE ANY SERVICES AVAILABLE TO NON-MEMBERS?

Accepted Answer

The vast majority of our availability is reserved for members, but we do have medical grade ear piercing available to everyone. Members receive a discount on ear piercing.

We also have a limited number of one-time visits including second opinions, sleep and parenting consultations, and urgent care visits for nonmembers depending on availability.

Question 15

WHAT SERVICES ARE NOT COVERED BY THE MEMBERSHIP FEE?

Accepted Answer

The vast majority of day-to-day medical expenses that would be out-of-pocket at a traditional practice are completely covered by your monthly membership fee. In fairness to our patients, if it is something that most patients wouldn't utilize, then we charge for use rather than charge all patients. These include:

• Lab tests (we work with local lab companies to negotiate for the lowest cost for our members. If you have insurance, the lab will bill your insurance for these just like getting lab done at a traditional office)
• X-rays (we will arrange for these to be done nearby, as needed, and the facility will bill your insurance)
• Ear piercings

PEDIATRIC CARE, REDEFINED.

CONTACT US

E: Hello@BloomingBrightPediatrics.com
Tel: 813-359-1561
Fax: 813-576-0892
5607 Skytop Dr. Lithia, Florida

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