Frequently Asked Questions

Pinnacle Testimonials

We’ve gathered answers to some of the most common questions about PinnacleCare’s Programs. If you can’t find the answer to your question here or would like more in-depth information, please contact us with your own questions.

Can we use “pieces” of PinnacleCare to enhance our executive benefit or is it an all-inclusive service?

We can design a program that will suit your business needs. While it is possible to take advantage of all our services, we can tailor a program that will work for you. Give us a call.

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How do I decide who should be covered by our program?

Every business is different. We would be happy to talk to you about what other businesses like yours have elected to do, as well as go through different program options.

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Can PinnacleCare be helpful to a group of healthy executives?

Many of our business clients become PinnacleCare clients for convenience and peace of mind, not because of illness. They understand the impact of early detection for their most valuable people, as well as the burden of spending time on health-related administration. They want PinnacleCare to handle obtaining appointments, physician research, and all the forms for their appointments. They enjoy the ease and peace of mind when they are traveling knowing their medical records are gathered and stored and ready to be sent immediately at a moment's notice.

They know that our approach to wellness means an emphasis on a healthy lifestyle and early detection. This includes services such as regular updates about wellness issues, and information on alternative and integrative therapies. PinnacleCare can help your people find the best physicians when they relocate or are simply dissatisfied with their current quality of care.

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How do you manage privacy and confidentiality?

PinnacleCare takes the confidentiality and privacy of our Members’ medical information very seriously, not only from a legal standpoint, but from a moral and ethical perspective as well.

Our staff, including our health advisors, executive team, and sales and marketing team, is trained in all aspects of privacy and confidentiality. Every employee signs a confidentiality agreement at the time of his or her employment. The Member’s healthcare is handled confidentially by our members services team.

Our goal is to help our Members get the very best healthcare for their families, and we accomplish this goal by working as a team and tapping into our extensive knowledge network. Although we are not required to be, we are HIPAA-compliant. All medical records are scanned into our secure, password protected server, and all paper records are shredded after digitization.

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Does the cost of coverage include treatment?

No. Plan fees do not cover the cost of medical treatment.

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Do you work with our existing insurance?

We can assist in counseling executives on doctors within their insurance network in order to avoid out-of-pocket expense.

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Can we use PinnacleCare services with a pre-existing condition?

Yes, no one is excluded for coverage based upon a pre-existing condition.

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Does PinnacleCare only refer to specific Centers of Excellence and their network of physicians?

We customize our search based on the clinical, geographic, and personal preferences of our Members. We often provide physician, hospital, and treatment options for our Members to consider from our own researched database of practitioners. However, if a Member has a need that cannot be met by a practitioner currently in our database, we will research available options and if we identify additional physicians, these will be offered to the member as possible options and added to the database for future reference. Our database grows through pure member research, by recommendations of our Medical Advisory Board, and by regional physicians and hospitals that we have researched as our Members have moved, traveled, and requested. We also research physicians and therapeutic approaches recommended by our Members who have had excellent prior experiences. On request, we will also provide background research on doctors that our Members want to remain with after they have PinnacleCare coverage.

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What information about doctors and hospitals can you get that we can’t?

Experts in various specialties know and interact routinely with their peers discussing successes, failures, exciting new ideas, and disappointments. This information is shared much more rapidly informally among peers—the medical and lay press generally trails this informal process in reporting information. In fact, it is rarely, if ever, reported. Through the broad knowledge of our Medical Advisory Board, we are able to learn which physicians and hospitals are on the leading edge of medical treatments, diagnostic development, and innovative approach to healthcare. Because our PinnacleCare health advisors are taught how the healthcare system works, they can frequently obtain knowledge from hospital and office administrators, nurses, and others about how patients feel about the service a physician provides and through meticulous research, the success they have had. People with the appropriate skill set who are determined to do intensive research and spend the time to uncover in-depth knowledge can achieve this themselves, but the process is time-consuming and arduous. PinnacleCare exists for those who want to hire experts to do this for them. With PinnacleCare, our Members can use their valuable time to care for their loved ones, focus on business, or pursue other activities, knowing we will manage this and all their healthcare-related needs.

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Is it possible to request a specific doctor?

Yes. The Member’s wishes are always paramount. Members can request a specific doctor. We will research the background of this doctor to ensure that doctor has deep experience in the particular area of concern. We might also suggest alternative physicians whom we believe to be qualified, based on location (if that is a key criterion), treatment options associated with each doctor, and the doctor’s availability. Members will be given options beyond their initial request that take into account all these variables. It is always the Member’s choice!

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Why do doctors and hospitals accept PinnacleCare Members preferentially?

PinnacleCare is promoting the practice of medicine the way most doctors prefer to practice—with the focus on the individual, not the hospital, the employer, or the insurance company. The doctors and hospitals know that with the support of their PinnacleCare advisory team, a PinnacleCare patient will arrive prepared, with all their records and forms, and their questions prepared. We have formal agreements for this type of preferential treatment with many leading Centers of Excellence. Our Members, with the help of their PinnacleCare advisors, are generally treated in a preferential manner at hospitals where we do not have a formal agreement. Additionally, our Members are frequently desirable patients in that they are typically informed, affluent and educated individuals.

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Some of our executives are happy with a primary care doctor. How do you keep this physician involved or do you expect them to change?

Many of our Members elect to remain with their primary care doctors. Other Members ask us to provide options. Many primary care doctors are our biggest fans. They are grateful for PinnacleCare’s rigorous attention to detail and research. In other words, primary care doctors frequently see PinnacleCare as a tremendous resource: we can do the in-depth research on treatment options that the primary care physician would like to do but does not have the time. We can also get facilitated access to the best specialists, something that many primary care physicians are not able to accomplish. We also make sure that the local primary care physician gets all our Members' medical records for any care that we arrange. We strive to always keep them up to date on their patients. And, of note, we provide a good deal of the administrative support the current healthcare system cannot afford to provide, making the physician’s job easier.

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