AXIOMEDS FAQs
Individuals
AXIOMeds is a wellness-first health benefits membership that gives you 24/7 virtual access to licensed clinicians and a personal Health Coach. It coordinates in-person care when needed and closes the loop on results. It is not insurance and it does not pay emergency room or inpatient hospital bills. For life-threatening symptoms, call 911.
No—keep your current doctor if you like. We’ll coordinate local referrals for annuals, vaccines, routine labs, and minor procedures and share results when appropriate. Your virtual team remains your first stop for questions, coaching, and medication management. This keeps care continuous while reducing runarounds.
When your clinician recommends an in-person visit, we issue a referral/authorization and route you locally. Eligible services like annuals, vaccines, routine labs, and minor procedures are settled through program benefits per plan terms. You’ll see clear guidance on what’s included before you go. After the visit, we review results and schedule follow-up.
WS is the ratio of time you spend in Member Mode versus Patient Mode across an eligible plan year. It applies to higher tiers only (Silver, Gold, Platinum) and activates after a 12-month waiting period to keep things fair. Affordable tiers (Basic, Preferred) don’t use WS, though you may see an informational trend. WS never changes dues mid-year; it guides next-year prevention intensity and incentives.
For emergencies, call 911 or go to the nearest ER. AXIOMeds is not insurance and does not pay ER or hospital charges. Licensed insurance professionals can help you explore separate policies for hospitalization or catastrophic events if you choose. After discharge, we handle medication reconciliation, follow-up scheduling, and recovery check-ins.
Organizations
Think of AXIOMeds as the access and prevention layer, with insurance covering financial risk for major events. We deliver 24/7 virtual care, proactive coaching, and closed-loop local referrals to reduce avoidable ER and urgent-care use. Employers can offer membership stand-alone or alongside existing plans. Employees are free to keep their current PCPs and networks.
We report aggregate, de-identified metrics such as time-to-first-touch, virtual diversion from ER/urgent care, annuals and vaccination rates, and medication adherence. Satisfaction and retention are tracked with member-reported measures. Trend lines highlight recovery time and chronic follow-up completion. No individual health details are shared with employers without consent.
Most groups start with a 30–60 day pilot focused on defined sites or cohorts. We provide roster templates, co-branded communications, and a simple enrollment flow. Launch assets include emails, posters/QR cards, webinars, and toolbox-talk scripts. Your HR/benefits lead receives an onboarding checklist and a single point of contact.
You receive de-identified rollups by site, department, or cohort. Dashboards show access, prevention, engagement, and virtual diversion trends over time. Financial proxy metrics (like avoidable ER) are included for planning, not claim payment. Individual PHI is never shared in employer reports.
Pricing is per member per month by tier, with options from budget-friendly access to high-touch prevention. Employers may contribute fully, partially, or allow voluntary enrollment. There are no surprise add-on fees for covered program benefits; terms are disclosed up front. Members can also enroll independently if your organization prefers a voluntary offering.
Practitioners
It’s a virtual-first primary care approach covering non-emergent concerns, primary touchpoints, chronic follow-ups, preventive counseling, behavioral health check-ins, and medication management. Clear escalation criteria route patients locally for exams, labs, imaging, or procedures. Documentation, loop closure, and guideline adherence are built into the workflow. The emphasis is continuity and timely recovery, not visit volume.
Choose In-House employment under a Medical Director with internal leads, ops support, and steady panels. Or practice as an External partner through state-registered entities while keeping your independent clinic. Panels typically range from 100–500+ members with extender support and defined cadence. External partners can receive eligible in-person referrals for annuals, vaccines, routine labs, and minor procedures.
Compensation is membership-based with outcome alignment through the Wellness Score and quality measures. WS applies only to higher tiers after a 12-month waiting period and counts serious episodes under risk-adjusted rules. Minor, self-limited issues don’t accrue Patient Mode days for WS. The program excludes controlled-substance prescribing.
Active state license(s), NPI, malpractice COI, HIPAA training, and background checks are required. Board status and DEA are documented if applicable, though controlled substances aren’t part of this program. You’ll attest to documentation standards, escalation thresholds, and privacy practices. We provide QA feedback and support for consistent clinical quality.
The clinician issues a referral and authorization ID when in-person care is warranted. The external clinic performs the service and submits a claim with referral/auth details. Program benefits validate eligibility and settle eligible services, then remit to the clinic. Results return to the clinician, who schedules follow-up to close the loop.