Frequently Asked Questions

Children’s Membership Eligibility

Medicare & Insurance

  • Many membership-based practices offer enhanced wellness services — coordinated screenings, annual exams, and improved scheduling — within a traditional office-based model.

    The membership fee improves access to a system. Praxis is structured differently. Membership here is a direct relationship with your physician: one doctor who knows your history, is reachable when it matters, and comes to you when in-person care is needed. The difference is not in the amenities. It is in the relationship.

  • No. Praxis is an independent private practice. Dr. Adams has no exclusive affiliation with any hospital network, which means his clinical guidance and advocacy are not shaped by where you receive care. If you require emergency care, hospitalization, or specialist evaluation, Dr. Adams will communicate directly with your treating team — at any facility, in any system.

  • Yes. For most members, Praxis serves as their primary physician and first point of contact.

  • Membership fees are not billed to insurance. Some external services may be eligible for insurance billing.

  • We evaluate many urgent concerns but do not replace emergency services. Life-threatening symptoms should be directed to 911.

  • Urgent concerns are prioritized based on clinical need. Exact expectations are outlined in the membership agreement.

  • Praxis does not operate a traditional walk-in clinic. Care is delivered remotely or in the patient’s home when appropriate

  • No. Telehealth is one layer of care. Members also receive direct physician access, coordinated in- person evaluation, and escalation when necessary.

  • Yes. Praxis Private Physician offers child memberships as an adjunct to an enrolled adult membership.

    Child memberships are designed to support generally healthy children and adolescents through:

    • direct physician access

    • medical guidance and triage

    • routine acute concerns

    • care coordination when specialty services are involved

  • Because Praxis is a physician-led concierge practice without in-office pediatric subspecialty services, child memberships are intended for generally healthy children.

    Children who require frequent specialty management, advanced pediatric subspecialty oversight, or multidisciplinary care are often best served within a pediatric-specialist–led medical home.

    For this reason, child membership enrollment is subject to physician review to ensure the practice is an appropriate care setting for the child’s medical needs.

  • Generally healthy children are those whose medical needs can be safely managed within a primary care–based setting, including:

    • routine childhood illnesses

    • minor injuries or acute concerns

    • school, camp, or sports clearance questions

    • medication guidance

    • developmental or behavioral questions appropriate for primary care

    • coordination with outside pediatric specialists when needed

  • Children with medical conditions that require ongoing pediatric subspecialty management, frequent hospital-based care, or complex care coordination are often better supported by practices specifically structured for those needs.

    In these cases, Praxis may not be the appropriate primary medical home, as continuity within a pediatric-specialist-led system is essential for patient safety and optimal outcomes.

  • Absolutely.

    Adult membership is always independent of child enrollment. Families are welcome to enroll parents or guardians even if a child’s medical needs are better served elsewhere.

    When appropriate, Praxis is also happy to assist adult members with care coordination, guidance, and navigation of pediatric specialty services

  • Our priority is always patient safety and quality of care.

    Children with complex medical conditions benefit from pediatric teams that manage those conditions daily and have immediate access to pediatric subspecialists, hospital systems, and support services.

    This policy ensures every patient receives care in the environment best suited to their medical needs.

  • Child membership eligibility is determined through a brief medical intake review prior to enrollment.

    This process helps ensure expectations are aligned and that Praxis can provide safe, appropriate, and high-quality care for each child.

  • Yes — and we recommend it. Child membership at Praxis is designed to complement, not replace, an established pediatric relationship. Praxis is best positioned to handle urgent and acute medical concerns, provide same-day guidance or home visits when something comes up, and serve as a physician advocate if your child is ever seen in an emergency department or urgent care setting.

    For routine well-child visits, developmental screenings, scheduled immunizations, and the ongoing longitudinal care that pediatric medicine requires, a dedicated pediatrician remains the appropriate primary provider. Praxis works alongside that relationship — not instead of it.

    Members with questions about whether a specific pediatric concern falls within Praxis’s scope are always welcome to reach out directly.

  • Yes. Praxis Private Physician participates in the Medicare program. Members who are Medicare beneficiaries will have covered medical services — including evaluation and management visits, telehealth encounters, and medically necessary home visits — billed to Medicare as required by federal law.

  • The membership fee covers enhanced access and coordination services that are separate from and not reimbursable by Medicare. These include direct physician communication, extended availability, care coordination, semiannual health evaluations, and the concierge-level services that define the Praxis membership experience. Medicare will be billed for covered medical services in addition to — not instead of — the membership fee. However, because of this, the membership fee is reduced for Medicare patients.

  • Home visits that constitute medically necessary covered services will be billed to Medicare regardless of your membership tier — including the four visits included in Signature membership. Any additional home visits beyond those four will also be billed to Medicare when medically necessary, as required by federal law. You remain responsible for any applicable copayments, coinsurance, or deductibles.

    Signature membership is designed for members who anticipate needing four or fewer home visits per year. If you anticipate needing more than twelve home visits per year — roughly one per month or more — Priority membership is required, as that level of care reflects a meaningfully greater commitment of physician time and scheduling capacity. This will be discussed with you at enrollment.

  • No. Your Medicare rights and benefits remain completely intact. Nothing about Praxis membership limits your right to obtain care from other providers, submit claims to Medicare, or access any Medicare benefit. Medicare beneficiaries receive a separate Medicare Beneficiary Addendum at enrollment that outlines these distinctions in detail.

  • Membership fees are not billed to insurance. For members who are not Medicare beneficiaries, Praxis operates as an out-of-network provider and does not bill commercial insurance. Some external services — including laboratory testing, imaging, and specialist consultations performed by third-party providers — may be eligible for insurance billing by those providers.