Question 1

How is the concierge practice model different from a traditional medical practice?

Accepted Answer

We have intentionally limited the size of our practice to devote more time to each patient’s care and individual needs.

The patients will have little to no office waiting room time.  Appointments will start promptly.

We can schedule longer appointment times and both the physician and the patient will feel less rushed and more connected.

Patients can contact Dr. Robles on his personal patient-dedicated cell phone and email, making it easier than ever to communicate.

Question 2

Can I use my medical insurance for care with Dr. Robles?

Accepted Answer

Yes. You can use your insurance coverage for all of your lab work, PAP smear pathology results, ultrasounds, mammogram, hospital services, or any other specialists you would need to see. Your Obstetric Care Fee is NOT covered by your insurance. However, you can use your Out of Network benefits to get reimbursed for the CPT codes used for your visit. You can also use your HSA and FSA cards to pay for your fee to Little Medicine Ranch Obstetrics.

Question 3

Do I still need health insurance to enroll with you?

Accepted Answer

We are Out of Network with all commercial insurance plans. You can use your medical insurance (such as Aetna, Regence, Premera, Cigna, United, Kaiser, First Choice, Uniform) to get reimbursed for your care with Little Medicine Ranch Obstetrics by requesting a Super Bill from us after your visit. You can then easily submit this online to your insurance plan to get reimbursed. To get an estimate of how much your plan will reimburse you, please call them and ask for what your Out of Network coverage is for specific Obstetrical CPT codes. Please let us know if we can provide you with the specific CPT codes you would need, before you call your insurance plan.

You will use your Medical Insurance for all of your care otherwise – labwork, ultrasound, mammogram, hospital stay, labor and delivery bill, surgery, etc. just like you would with any other medical office.

Question 4

What is the conceriege obstetrical (pregnancy) fee?

Accepted Answer

The Annual Concierge Fee for Obstetrical (pregnancy) Care is $12,000.

Our pricing is simple and transparent. You will receive no more bills or costs from us for Dr. Robles’s Professional services for the remainder of the year, no matter how many times you need to see us for your medical care.

We are Out of Network with all insurance plans, but you can use your insurance plan (such as Aetna, Premera, Regence, United, Kaiser, Cigna, Uniform, First Choice) to get reimbursed for your visit with Dr. Robles. After your baby is delivered, we will give you a Super Bill which you can submit to your insurance carrier for Out of Network coverage reimbursement. Historically, most patients get reimbursed for Pregnancy Care between $2,000 – $5,000 for this. Please check with your individual insurance plan regarding your Out of Network benefits. Please ask us if you would like the CPT codes for your visit, so you can have a better idea of your Out of Network coverage.

The Annual Concierge Obstetrical Fee covers the following:
All routine Prenatal, Intrapartum (labor) and Postpartum Care. This includes:
Initial 60 minute visit with a complete medical and obstetrical history, review of genetic testing options, physical exam, bedside Ultrasound, prenatal labwork orders and thorough review of all patient questions.
Regular prenatal visits (usually between 10 – 13 visits). These are usually during the following weeks of your pregnancy – 8, 12, 16, 20, 24, 28, 32, 34, 36, 37, 38, 39 and 40. There may be some variation in the appointment frequency if you prefer or if complications arise.
Access to our Centering Group for the entirety of your pregnancy.
Ongoing education about your pregnancy and any questions / concerns you desire to discuss.
Care at the hospital throughout your labor and delivery, and at a minimum daily postpartum care in the hospital until discharge home.
One postpartum Virtual or house call visit between 7 and 10 days after you give birth, at your convenience.
One postpartum office visit at 6 weeks after you give birth, which includes a physical exam and contraception counseling, as well as addressing your recovery, both physical and mental / emotional.
After hours and weekend phone call availability to address urgent and emergent concerns.
Referral to specialists as indicated or desired, such as Maternal Fetal Medicine specialists, Massage therapy, Nutritionist, Acupuncture, PT, Lactation, Private Childbirth classes, Newborn Photographer.
Arrangement for back-up physician group coverage in the event of Dr. Robles's absence due to Vacation, Family Emergency, or Illness.

Patient Support FAQs

How is the concierge practice model different from a traditional medical practice?

Can I use my medical insurance for care with Dr. Robles?

Do I still need health insurance to enroll with you?

What is the conceriege obstetrical (pregnancy) fee?

Practice Name: Little Medicine Ranch Obstetrics

Specialties: Luxury Concierge OBGYN & Functional Prenatal Care

Location: Bend, Oregon (Serving Bend, Redmond, Sisters, and the greater Central Oregon region)

Clinic Setting: Private boutique clinic adjacent to the historic Box Factory