Frequently Asked questions

Concierge Medicine, also known as boutique medicine, is a healthcare model that emphasizes personalized and patient-focused care, prioritizing direct access to primary care providers. It allows for enhanced access to a physician, ensuring that care is tailored to the individual needs of each patient. With a concierge practice, you receive attentive, comprehensive healthcare designed to not only meet but anticipate your health needs, fostering a proactive approach to your wellness.

New patients to the practice are asked to set up a complimentary meet and greet with their physician to ensure that the practice fits your needs. Please call our office at 202-489-0077 to schedule an appointment. The staff will explain the benefits of the program and answer any questions that you may have before meeting with the doctor. If you and the doctor find that the practice is appropriate, we will provide you with all the necessary documents to enroll.

Current or prior patients of Drs. Paul Silver, Christopher Duke, or Andrea Hulse can skip the meet and greet visit with their physician and only need to complete the enrollment paperwork to enroll. Please go to our website and follow the links under the enrollment section or call our office at 202-489-0077. Once the enrollment paperwork and the membership payment are received, we will confirm enrollment, and you can schedule your first visit.

Our number one priority is to remove the barriers between the patient and their provider. We want our patients to be able to develop a long-term relationship with their physician and our staff. We believe that a strong relationship between physician and patient takes time and is the foundation to good healthcare. We structure our schedule and our practice so that you can have the time you need with your physician to develop the trust necessary for a successful patient-physician relationship. 

To accomplish this, our membership includes the following benefits:

• 24/7 Access to your physician via email and cell phone
• Each physician maintains a small number of concierge patients ensuring availability for you
• New patient physicals are 90 minutes
• Our phones connect directly to staff so you can always speak to someone familiar with your care
• Same day or next day appointments always available with your physician
• Vaccines, injections, immunizations, EKGs, all lab work and all viral testing performed in office
• Patient Portal via My Chart so you can view all results and appointments instantly
• Privileges at Sibley Memorial Hospital so your physician can visit you in the hospital
• Commitment to personalized care with an emphasis on wellness and prevention

The annual membership fee is $2,500 for each patient. The annual membership fee is competitively set to allow our providers to maintain a small patient panel so we can ensure each patient has the access they need. The membership fee is collected at the beginning of each year for existing members. New patients enrolling in the program will pay a pro-rated membership fee based on their enrollment date, and then will pay the annual membership fee at the beginning of each year going forward. The membership fee provides access to our practice, your physician, our staff, our office, and our phlebotomist and is separate from charges for medical services provided. To learn more, please call today. 

Complete Concierge Care is a membership program that is designed to work in conjunction with, not replace, your traditional health insurance. For all office visits and services, we provide, we will submit a claim to your insurance company on your behalf.  If your insurance company applies a portion of the bill to deductible, copay, or coinsurance, we will bill you for that portion. The membership fee does not include the cost of an annual visit or physical. There is no limit to the number of visits per year. All providers within Complete Concierge Care participate with Medicare as an In-Network provider. 

Complete Concierge Care is In-Network with the following major commercial insurance plans:

• CareFirst Blue Cross Blue Shield – PPO and HMO plans
• Blue Cross Blue Shield Federal Employee Program (FEP) – Basic and PPO plans
• Anthem Blue Cross Blue Shield and all other out of state Blue Cross Blue Shield PPO and HMO plans
• Aetna – PPO, HMO and Medicare Advantage Plans
• Cigna – PPO and HMO plans
• Humana – Medicare Advantage plans
• Johns Hopkins Insurance – Including – Johns Hopkins EHP – Employee health plan and USFHP – Johns Hopkins US Family Health Plan, and Johns Hopkins Advantage MD

Out of Network: We are currently out of network with the following health plans – we can still see you and we will still file claims directly with your insurance plan.

• CareFirst Medicare Advantage Plans
• Cigna Medicare Advantage Plans
• United Health Care – all plans

Medicaid: We do not accept or participate with any Medicaid plans. 

Medicare: All our doctors are enrolled as a participating Medicare provider. When you require care, Medicare (and your secondary insurance if applicable), we will file a claim directly to Medicare. Our office fees are set to match what Medicare allows to ensure coverage is complete as possible. Fees for radiology and lab testing are separate from Complete Concierge Care and are billed to your insurance by the appropriate facilities and lab companies. You will need to continue to use your Medicare health insurance for any visits with medical specialists and for hospital, imaging, and lab services.

Commercial Insurance (Non-Medicare, Non-HMO) Plans

If you are insured by a commercial insurance plan, you must maintain your health insurance. Your insurance plan will be billed at or near the Medicare Allowable rate for the services provided. Our office fees are set to match what Medicare allows to ensure coverage is as complete as possible. If your plan assigns an amount to copay, coinsurance or deductible, then you will receive a bill(s) for those amounts. You will need to continue to use your commercial health insurance for any visits with medical specialists and for hospital, imaging, and lab services.

Typically, we are not able to use an HSA or FSA card to pay for the annual membership fee. We advise that you should speak with your HSA or FSA plan administrator and inquire if you are able to get coverage for this fee. We can provide a detailed receipt, and you may be able to submit for reimbursement.

Our doctors devote a great deal of time to getting to know you. Our NEW patient appointments are scheduled for 90 minutes. At your first consultation and subsequent annual check-ups, you will spend extensive time exploring your medical history, family background, and work and life experience, as well as doing your physical exam, and performing whatever blood tests or routine diagnostic tests are needed. Our doctors are readily available to help you with any new issues that arise after your visit or to help with problems that require ongoing attention. The care plan may include:

• Comprehensive labs drawn in our office by our experienced phlebotomist 
• Full screenings include family history evaluation and complete past medical history review
• Full Testing Protocols including, EKG, Pulmonary Function Tests, Audiology and more
• Full explanation of any recent test results, discussion of health risk factors for cancer & heart disease, laboratory results review, and overall wellness & prevention planning
• Sign up for patient portal via My Chart, which allows for online review of all lab results, diagnostic results and after visit summary for each appointment

To ensure continuity of care, we will help coordinate all specialist referrals. We feel communication between primary care physicians and sub-specialists is crucial to your health. While we help you navigate the process, it is usually necessary for you to call the specialist office to confirm an appointment. Our physicians will stay in close contact with your specialist before, during and after any referrals to ensure you are receiving the care you need.

Complete Concierge Care is located inside Sibley Memorial Hospital. We now have two different Suites within the same building. Dr. Jim Williams and Dr. Amy Stone are located on the third floor, Suite 310. Dr. Christopher Duke, Dr. Paul Silver and Dr. Andrea Hulse are located on the fourth floor, Suite 460. The hospital address is 5215 Loughboro Road, NW, Washington, DC 20016.

Once you have enrolled with Complete Concierge Care you can schedule your annual physical and blood work by calling our office at 202-244-9300 for Drs. Williams and Stone or 202-489-0077 for Drs. Duke, Silver and Hulse. New patients will have their blood drawn as part of their initial visit. For existing/returning patients, we would like to schedule blood work in advance of the physical to allow for results to be available for review. Patients should fast after midnight the night before blood work is scheduled. Water, diet soda, coffee and tea without cream are allowed. If you have any questions at all, please call our office.

DO is an abbreviation for “Doctor of Osteopathic Medicine”, in the past, just called, “Osteopaths”. Osteopathic Medicine is a parallel branch of American medicine that promotes primary care and a holistic, “whole person” approach to patient care. Dr. Andrea Hulse is a Doctor of Osteopathic Medicine, and we want to clarify what that means for interested patients. Dr. Hulse practices evidence based primary care in the same way that the other MD’s at complete concierge care do. 

• Both DO’s and MD’s are fully licensed physicians who have the opportunity to specialize, perform surgery and prescribe medication.
• Both DO’s and MD’s complete four years of basic medical education.
• Both DO’s and MD’s proceed to internships (first year out of med school), residencies, and fellowships.
• Both DO’s and MD’s are eligible for Board Certification by all national medical boards.

These tenets and that the body has self-healing mechanisms are what drew Dr. Hulse to apply only to DO medical school. Dr. Hulse attended the founding school of Osteopathy in Kirksville, Missouri (A.T. Still University). Dr. Hulse is NOT a complementary and alternative medicine provider. She is open to patient’s interest in these fields, but they are outside the realm of her expertise. Many DO’s also provide Osteopathic Manipulative Treatment (OMT) which is a hands-on set of musculoskeletal techniques most analogous to chiropractic care. Dr Hulse does not provide OMT.