Frequently Asked Questions

Nope! The initial registration and membership fee covers all services that Dr. Silakoski provides, including any supplies and medication used at the time of the visit.

Members have Dr. Silakoski cell number and email address to contact them for any urgent care needs that cannot wait for a regular office visit.

No. Under the Idaho Direct Primary Care Act, effective July 1, 2015, neither the physician nor the patient may submit a bill for payment of services provided by a Direct Primary Care practice. However, there is active lobbying for allowance of payment through a Health Savings Account (HSA).

While Dr. Silakoski is on vacation, medical care will need to be obtained at another facility. During vacation weekdays, the office will be staffed to help assist patients with their medical questions and prescription refills. On these days, Dr. Silakoski will be in touch with the office staff, so any question will be answered within one business day.

Yes, we do! Please contact us for the details!

Yes. To provide superior service and care within the practice, there is a limit. A waiting list for interested patients will be set up once the practice is full, and these patients will be contacted once an opening is available.

No. It is important to understand that direct primary care is not a substitute for medical insurance. It will not exempt you from any monetary fine if you do not carry health insurance. However, you may still sign a direct primary care contract with Dr. Silakoski, even if you choose not to purchase insurance.

The following is a list of the services that are not included under our direct primary care model: Services provided by other practitioners, such as a sub-specialist to whom the patient is referred. Outpatient medication purchased at a pharmacy or through our office as well as supplies we cannot provide in the course of treatment during a patient visit. Hospital care, including inpatient admission, rounds, and discharge. Imaging studies (i.e. x-rays, CT scans, MRIs, ultrasounds, etc.) Lab studies done outside the office. Any services rendered by other facilities or by another provider, in the rare event that Dr. Silakoski is unavailable. Newborn circumcisions. Certain ancillary services (such as home health or Hospice orders for Medicare patients), as these may be limited by the patient’s insurance policy. Now, with all that said, it is important to understand that we have a number of strategies in place designed to help patients save money when she cannot provide a particular service in-house (such as lab work or imaging services). Dr. Silakoski and her staff are also skilled at obtaining name-brand prescriptions free of charge for those patients who need a certain medication and who financially qualify.

Women’s health includes but is not limited to: PAP smears, mammogram referrals, limited hormone management, breast diseases including some breast feeding issues, birth control, sexually transmitted infections, and more.

Pediatric and newborn care includes but is not limited to: well child visits, sports physicals, urgent care matters including ear infections, strep throat, rashes, etc.

Urgent care needs are addressed during business hours and include everything from Acne to Zoster (shingles), Acute ear infections to Zoonotic diseases, and everything in between.”