doctor visits at home

REcent Updates

Making sense of Medicare isn’t easy. Parts, A, B, C, D; HMOs; PFFS plans; SNPs. Navigating the system can feel like learning to code… blindfolded… with one hand tied behind your back. The point is, it can be overwhelmingly complicated. But at MD at Home one of our goals is to make quality healthcare easier to access and understand, so in this post we’re decoding the ins and outs of Medicare Advantage Plans, from A to Z.

No one wants to think about the likelihood of unfortunate events. Death, accidents, illness - we avoid these topics like the plague (both literally and figuratively). Why? Because they make us sad, because they make us uncomfortable, because sometimes superstition gets the best of us and we don’t want to tempt fate. But as difficult as they may be, these are important conversations to have with your loved ones or potential caregivers now, so that if and when the time comes, your wishes are clear. What we’re talking about is an advance healthcare directive. Here’s everything you need to know.

In 1930, house calls were standard practice for physicians, accounting for approximately 40 percent of patient visits. By 1950, this number had fallen to 10 percent, and by 1980, only about 1 percent of patient visits happened in the home. But as they say, everything old is new again, and with the coming demographic changes, it seems doctors may be making more home visits in the near future.

Diabetes and depression can each be conditions with devastation consequences on their own, let alone when a single individual suffers from both. Often times, the symptoms of one can exaggerate and accelerate the symptoms of the other, but fear not! There are a few simple steps you can follow to alleviate the symptoms and prevent the onset of both.

MD at Home provides home care, home medical doctors, and housecall physicians to patients in need with a focus on p reventing readmissions during the transition from an acute care setting to the home. For over 20 years, we’ve served as the premier healthcare resource for primary care and geriatric medicine for homebound patients in the Chicagoland area. Partnering alongside some of Chicago’s most established and respected institutions, we tailor our programs toward modern guidelines with an unwavering focus on clinical excellence, patient satisfaction, and measured clinical outcomes.   Our continuum of care and individual care plans highlight the importance of readmission reduction and high level transitions from the hospital to the home setting. MD at Home is transforming healthcare through our collaborative, proactive, and preventative approach to patient health.

Our approach reduces unnecessary hospitalizations and focuses on helping patients and caregivers better manage individual health from the comfort of their home.  Through our expertise in primary care and geriatric medicine, our licensed clinicians deliver a comprehensive approach in the management of chronic conditions to homebound patients, and our highly trained physicians and nurses are certified to perform most of the same services offered in a physician's office.  MD at Home is transforming reactive, crisis-oriented care into proactive, preventive medicine, reducing unnecessary emergency room visits, hospitalizations, and 30-day readmissions.

Who Qualifies for a Housecall Visit?

Patients with difficulty leaving home due to a mobility limitation, patients with difficulty leaving the home due to cognitive impairment, patients who require the use of special transportation to leave the home, patients with an inability to leave the home and for whom leaving the home requires taxing effort, patients requiring the assistance of another person to leave the home, patients for whom leaving the home is medically contradictory due to the patient's medical condition, accepted insurance.

MD at Home accepts the following insurance policies:

• Medicare Part B
• Medicare Pametto GBA
• Blue Cross Blue Shield (XOF, R, XOX)
• Blue Cross Blue Shield (XOS - Must have Medicare Part B as primary insurance)
• Aetna (PPO)
• United Health Care (PPO)
• United Medical Resources (PPO)

Physician Careers

MD at Home is hiring Physicians and Nurse Practitioners. Physicians with MD at Home have a luxury many other medical doctors severely lack: time . Unlike a typical seven minute visit, our physicians spend an hour or more with each patient, gaining a holistic view of the patient's health within their native environment. This not only means more insight into the patient's daily life, but also into their care support system, including interacting with family members and caregivers. This not only leads to better care for patients , but better lives for our doctors. Our physicians only work typical workday hours, allowing them to spend more time with their families, avoiding obscure hospital rounds or late nights. Our physicians using cutting-edge EMR technology to maintain up-to-date health records for each and every patient so nothing gets lost in the shuffle.

A Letter to Physicians

More time with patients, more time with your family, move healthcare forward, schedule a home visit, fast. simple. secure..

Our HIPAA-compliant online referral system is secured with 256-bit AES encryption, the same encryption level used by most online banking systems and the same SSL technology that fuels most SecureFax systems already in use by hospitals. Prefer to schedule a visit by phone? Give us a call at (312) 243-2223.  ​If you're a healthcare professional, please send additional medical documentation to our fax at (312) 243-8450.

HIPAA Certification Security Audit

Prefer to submit a referral by fax? Click the button below to download one of our paper referral forms and fax it to (312) 243-8450.

Area of Service

Our address.

Referral Fax: (312) 243-8450 Clinical Fax: (312) 243-2227 2003 W. Fulton Street, Suite 303 Chicago, IL 60612

Office Hours

Patient Portal Phone: (312) 243-2223 Monday – Friday  9:00AM – 5:00PM Closed Saturdays and Sundays

Look out for your health

A UnitedHealthcare® HouseCalls visit is a no-cost, yearly health check-in that can make a big difference. 

Call 1-866-799-5895 ,

TTY 711,  to schedule your visit.

HouseCalls brings yearly check-in care

To you at home.

Connect for up to a full hour of 1-on-1 time with a licensed health care practitioner. Every visit includes a physical, tailored recommendations on health care screenings and plenty of time to ask questions that matter to you.

After your visit, HouseCalls connects with your primary care provider (PCP) to help keep them informed about your health. It's a great way to feel confident knowing an extra set of eyes is looking out for you between regular PCP visits.

What is a HouseCalls visit? 

[Text On Screen – SAY HELLO TO HOUSE CALLS]

Say hello to HouseCalls.

[Text On Screen- PAID ACTOR PORTRAYAL.]

HouseCalls is our way of looking out for your health, so you can focus on your future. Here’s what it’s all about.

[Text On Screen – HERE’S WHAT IT’S ALL ABOUT]

Once a year, a licensed health care practitioner can come to your home to spend up to an hour with you on your health and wellness.

[Text On Screen- EASY, CONVENIENT, INFORMATIVE]

It's designed to be easy, convenient and informative.

[Text On Screen- HEAD-TO-TOE EXAM]

[Text On Screen- IMPORTANT HEALTH SCREENINGS]

[Text On Screen- HEALTH GOALS DISCUSSION]

You'll get a head-to-toe exam, important health screenings and plenty of time to talk about your health goals.

We'll also provide guidance on managing your health and if you need it, give you referrals for other health plan resources and services.

HouseCalls is a great way to stay on top of your health between regular doctor's visits.

At the end of your visit, you'll get a personalized checklist so you can feel more confident in what to discuss with your regular doctor.

[Text On Screen- COST? NO EXTRA COST TO YOU]

[Text On Screen- INCLUDED IN YOUR HEALTH PLAN]

If you're wondering how much all of this is going to cost, the best part is, there is no extra cost to you. It's included in your health plan.

[Text On Screen- HOUSECALLS VIDEO VISITS ARE NOT AVAILABLE WITH ALL PLANS.]

A HouseCalls visit takes place in the comfort of your own home or by video if you prefer.

So, say hello to HouseCalls and invite us in for a visit today.

[Text On Screen – SAY HELLO TO HOUSE CALLS TODAY]

Access one of the most popular UnitedHealthcare offerings, at no cost to you

Schedule your visit

Call 1-866-799-5895 , TTY 711

Monday–Friday, 8 a.m.–8:30 p.m. ET

Your in-home health check-in

• Up to a full hour with a licensed health care practitioner
• Ask the questions that matter to you and get valuable health tips
• No cost — it's included in your health plan

Get rewarded

Meet your friendly housecalls medical staff.

Just like the professionals you see in your regular doctor’s office, our licensed health care practitioners may be nurse practitioners, physician assistants or medical doctors. They’re state licensed and maintain national certification.

We perform background checks on these professionals to provide additional peace of mind for our members. Your loved ones, caregivers or friends are welcome to be present during the visit — it’s up to you.

Ready to open the door to better health?

Getting ready for your housecalls appointment, tips to help you prepare:  .

• Wear shoes that are easily removed to have your feet checked
• Make a list of upcoming appointments with your PCP and specialists
• Make sure all of your medications, both prescription and over-the-counter vitamins and supplements, are in their original bottles for our review
• If you record blood pressure readings, please have your results available for review
• If you have diabetes, please have your blood glucose meter handy
• Make a list of questions and concerns you’d like to discuss

During your appointment

• You'll have up to a full hour of 1-on-1 time with your health care practitioner for a physical, select lab tests, health screenings and more
• A HouseCalls visit can be completed while sitting at your kitchen table or in the living room, and you can use the time to ask any health-related questions
• The visit is tailored to your individual needs, so screenings and conversation topics can vary

After your appointment

Less travel time. more face time..

Think of HouseCalls as an extra layer of care — valuable 1-on-1 time you don't always get in the doctor's office. And it's tailored to your individual needs.

Schedule today

To secure your spot, call us at  1-866-799-5895 , TTY 711

Have a question?

Find answers to frequently asked questions.  

If you have a specific question about your upcoming appointment or need to reschedule, call us at 1-866-799-5895, TTY 711 , Monday–Friday, 8 a.m.–8:30 p.m. ET

We're here to help.  

In Home Medical Senior Care Services | Landmark Health

• Patient or Caregiver
• Community Provider

Are you a new Landmark patient?

Burn-out is real. landmark is different..

Living with chronic health conditions? We can help.

Our providers and care teams come to you, bringing care through house call visits. This in-home medical care is designed around understanding your health needs and goals. We work with you and your regular doctors to help you stay well and stay home.

House calls and video visits in 37 states.

Landmark partners with health plans to bring medical, behavioral health, and palliative care, along with social services, to patients in communities across the U.S. Our mobile providers visit patients in their homes through in-person house calls and telemedicine visits over video and phone.

We are the future of health care.

Landmark is one of the nation’s largest healthcare companies focused on in-home care of complex, chronic patients. Our physician-led provider groups support collaborative ties between community-based organizations, primary care providers, specialists and patients and their families.

patients nationally for which Landmark bears risk

reduction in hospital admissions

reduction in mortality

Discover the benefits.

• For Patients + Caregivers
• For Community Providers
• For Partners

Health care in your home

Old-fashioned house calls by medical doctors, nurse practitioners and physician assistants bring modern medicine to you. Feel better and stay well at home.

Covered by your health plan

The Landmark program works with health plans to improve access to care for patients with multiple chronic conditions. Landmark’s team-based care is available often at no cost to you.

Keep your current doctors

Landmark coordinates its care with your primary care provider, specialists and other community resources. Landmark provides added support to those who need it most.

Available 24 / 7

Our provider-staffed call center answers any time of the day or night. We also provide urgent visits to help you avoid unnecessary trips to the emergency room.

No waiting room

With Landmark house calls, you won’t need transportation to clinics and hospitals, and you avoid waiting rooms and exposure to germs.

Reduced stress

Patients and caregivers enjoy peace of mind with Landmark support. Landmark cares for the whole patient.

Landmark house calls put patients at the center of health care.

Collaborative care for complex patients.

Landmark’s community-based mobile providers bring coordinated care to patients with multiple chronic health conditions. We augment your care in the patient’s home.

Covered by health plans

The Landmark program is included in eligible patients’ health plans to improve care coordination and healthcare access for home-limited patients.

You remain the primary care provider

Landmark care is coordinated directly with you. Our providers reinforce your care plan in the home through physician-led interdisciplinary care teams.

Access our interdisciplinary team

Landmark’s interdisciplinary care team is available to you and your patients, including behavioral health specialists, social workers, palliative care specialists, nurse care managers and pharmacists.

Reduce administrative burden

We can help your highest acuity patients by managing post-acute care, home health orders, face-to-face encounters, and more.

24 / 7 availability

You can reach us any time, including weekends and holidays. We do urgent home visits to intervene if your patient experiences a chronic disease exacerbation.

Landmark supports your patients with complex health and social needs.

Chronic care management.

We’re one of the nations’ leading risk-bearing medical groups. We focus on giving your most complex members care when they need it, right in their home.

Over 250,000 patients across the country

We bear risk for over 250,000 complex, chronic patients, spanning Medicare Advantage, Medicaid, Dual, and Commercial, populations.

Behavioral, social and palliative care

Our team of multidisciplinary clinicians may include behavioral health specialists, palliative care practitioners, social workers, nurse care managers, dietitians and pharmacists.

Urgent in-home visits

One in four of our home visits is urgent. We bring medical care to your members when they need it, to avoid unnecessary emergency room trips and hospitalizations.

Built-for-purpose infrastructure

Our technology platform is designed specifically to support the medically vulnerable, clinically complex population.

Meaningful outcomes

Landmark commonly helps health plans achieve 4- and 5-star performance on Medicare STARS clinical quality of care, while caring for the most complex patients.

Landmark provides care for complex, chronic patients to positively impact access, satisfaction, outcomes and cost.

Landmark has been great! Staff very knowledgeable, very helpful.

The doctor and nurses show they care about you and your health they are really there for you when you need them I love that they come to your house we did a zoom meeting with the nurse practitioner and she gave suggestions I really appreciate them

It was a pleasure to talk and see the doctor, she was very knowledgeable of all my conditions and gave me great advice to improve my health.

Practice health care the way you always wanted — with those who need it most.

Expert insights.

Prioritizing Mental Health as a Universal Human Right

By: Neltada Charlemagne, DNP, APRN, PMHNP-BC, PHN, BHC

Outsmart Unplanned Medical Costs: 10 Steps for Managing the Unexpected

Older adults can safeguard themselves from the physical, mental and emotional toll of unexpected medical costs.

Optum Care Network – Monarch and Landmark Health bring care to you at home.

Optum Care Network – Monarch has teamed up with Landmark to deliver in-home medical care to members with multiple chronic conditions.

Have questions about Landmark? We’d love to hear from you.

House Call Doctor Visits Make Life Easier for Seniors and Caregivers

Important: This is an informational article to explain how house call doctor visits can benefit seniors. DailyCaring isn’t a medical organization, we aren’t medical professionals, and we aren’t affiliated with any healthcare organizations. We aren’t qualified to respond to any medical questions.

House call doctor visits benefit older adults and caregivers

Getting your older adult to the doctor’s office for an appointment can be difficult or sometimes impossible.

Whether they’re frail, can’t walk on their own, or have Alzheimer’s or dementia , getting out of the house is hard on both of you. Going to a doctor’s office can also expose seniors to germs or harsh weather.

We explain what a house call doctor is, what type of insurance they accept, how to find one, and what to look for in terms of services.

What is a house call doctor?

Today, many doctors are bringing back the old practice of visiting patients in their homes. With house calls, older adults don’t have to go through the stress and difficulty of getting to the doctor’s office. And neither do you.

Another bonus is that these doctors usually spend more time with patients. You won’t have to fit all your questions into a 15 minute visit.

Do they accept Medicare?

Yes, many house call doctors accept Medicare , private insurance, and sometimes Medicaid . It usually costs the same as a regular office visit.

But every house call doctor is different, so make sure you understand their fees and accepted insurance plans before making an appointment.

How to find a house call doctor

Some large health care systems like Kaiser Permanente or the VA have programs that include home visits by doctors and nurses. For example, Kaiser’s home-based palliative care program includes house calls.

Even your older adult isn’t part of a large health network, it’s worthwhile to ask your older adult’s doctor if they have home doctor visit programs.

The American Academy of Home Care Medicine’s provider directory is another way to locate a house call doctor in your area.

You can also use Google to search for “house call doctor” + your city or county or “home doctor visit” + your city or county (don’t include the quotation marks).

What to look for in a house call doctor

Before booking an appointment, make sure you understand the doctor’s services, fees, and billing.

Questions to ask:

• Do you specialize in treating seniors, people with Alzheimer’s or dementia , or those with  multiple chronic conditions ?
• Do you accept Medicare , Medicaid , or my older adult’s private insurance plan?
• If we want, can we also keep my older adult’s primary care doctor?
• Will you communicate with my older adult’s existing doctors and specialists so their care is coordinated?

Examples of house call doctor private practices

We want to be clear that we’re not recommending any specific home doctor services or companies and aren’t affiliated with any of these businesses. These are examples to give you an idea of what a house call doctor looks like and the type of services that are typically offered.

Examples of what a house call doctor looks like:

• Visiting Physicians Association (VPA)
• Bay Area House Call Physicians
• Kindred House Calls

Recommended for you:

• 4 Expert Tips for Managing Multiple Chronic Health Conditions in Seniors
• 7 Tips for Helping Seniors at the Doctor: Being a Health Advocate
• Should Seniors See a Geriatrician?

By DailyCaring Editorial Team Image: Now It Counts

This article wasn’t sponsored and doesn’t contain affiliate links. For more information, see How We Make Money .

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4 Tips for Managing Multiple Chronic Health Conditions

18 comments, tony carrancho.

My parent s lives in [redacted for privacy]. How do i get started locating a house call doctor. I am pretty sure there insurance covers this. Thank you. TONY

DailyCaring

We hope the tips and suggestions in the article above will help you find a house call doctor in your parents’ local area.

Susan Quercio

My 95 year old father has a deep cough and he is disoriented. Temp 99 degrees.

Please contact your father’s doctor immediately or the local hospital to find out how to safely get him examined by a doctor (to reduce risk of exposure to Covid-19).

DailyCaring isn’t a medical organization, we aren’t medical professionals, and we aren’t affiliated with any healthcare organizations.

Ruby m VanNostern

I live in [redacted for privacy] and need a doctor visit in home.

This article includes suggestions for how you can find house call doctor services in your area. At DailyCaring, we aren’t doctors and don’t provide any medical services. We hope you’re able to find a great house call doctor in your area.

Stewart Goldman

need Doctor for a home visit Andrews N.C.

Joseph Artusa

I need a doctor

Linda Williams

I was released from the hospital on Thursday after 5 days.I am not able to go to Dr office but most definitely need to be checked.Still having breaking problems and am very week.I have severe asthma and blood pressure was running very high from so much steroids.Could I possibly get help.Thanks so much.

I’m so sorry to hear that you’re not feeling well. Since you’re noticing some issues with your recovery, it’s essential to call your primary doctor immediately. Since they’re the ones who have been treating you and are familiar with your recent hospitalization, they’re the best people to advise you on what you need. If you need help getting to your doctor’s office, you may want to contact your local Area Agency on Aging or a ride sharing service. Or, use the tips in this article to search for a doctor in your area who makes house calls.

Here are some articles that may be helpful: — 8 Ridesharing Services for Seniors https://dailycaring.com/8-ridesharing-services-for-seniors/ — 6 Affordable Senior Transportation Options https://dailycaring.com/6-affordable-senior-transportation-options/ — Local Community Resources for Seniors and Caregivers: Area Agency on Aging (to connect you with local organizations that may be able to help) https://dailycaring.com/local-community-resources-for-seniors-and-caregivers-area-agency-on-aging/ — 4 Ways to Know If Seniors Need to Return to the Hospital https://dailycaring.com/4-ways-to-know-if-seniors-need-to-return-to-the-hospital/

(DailyCaring doesn’t provide any services and isn’t affiliated with any medical providers.)

What areas do you service?

This article explains that house call doctor services are available and could help senior and caregivers. We also share suggestions for finding one in your area, but we do not provide any services ourselves. I hope you’re able to find a great local house call doctor!

What areas do you service

This article includes suggestions for finding house call doctor services in your area. We at DailyCaring aren’t doctors and don’t provide any medical services. I hope you’re able to find a great house call doctor in your area.

need a home care doctor

I hope the information above helps you find a great home care doctor in your area.

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There was a time when doctors treated patients in their own home. This old-fashioned care matched with new medical technology is here again. At HouseCall Primary Care, we serve homebound patients wherever home may be...a patient's house, a nursing home, or assisted living. Our team of providers stay with our patients wherever they go.

HouseCall Primary Care offers these general areas of specialty. Select one of the services below to learn more.

Mobile Physician Services (MPS) is a practice of doctors, nurse practitioners, and physician assistants who make house calls to homebound patients. We specialize in the treatment of patients with complex medical needs.

MPS is one of the only house call practices in the United States that has both primary care and specialist providers on staff. Our team of professionals enables us to deliver convenient, comprehensive services to treat the whole patient.

MPS was established in 2006 to fill an unmet need for medical care among patients who were unable to leave their homes or who had difficulty getting to a physician’s office. Often these patients had complex chronic conditions that required ongoing medical care. Without proper care, their condition would worsen, and the patients eventually would require emergency care or admission to a hospital – at a high cost to both patients and payers.

At MPS our approach centers around providing ongoing primary care with specialty services as needed. This enables us to monitor patients’ conditions and address problems before they become urgent, reducing the need for emergency care and hospital admission and improving patients’ quality of life.

Headquartered in New Port Richey, Florida, our practice continues to grow each year. In addition to providing in-home services, we also work with assisted living facilities and hospitals to provide ongoing or post-procedure care.

National Committee for Quality Assurance

Mobile Physician Services, Recognized Patient Centered Medical Home

Achievement of Recognition for Systematic Use of Patient-Centered, Coordinated Care Management Processes.

The Patient-Centered Medical Home (PCMH) is a model of care that puts patients at the forefront of care. PCMHs build better relationships between people and their clinical care teams. Research shows that they improve quality, the patient experience and staff satisfaction, while reducing health care costs.

Participation in a NCQA Recognition Program demonstrates that Mobile Physician Services values quality health care delivery and the latest clinical protocols to ensure that patients receive the best care at the right time.

“NCQA Patient-Centered Medical Home Recognition raises the bar in defining high-quality care by emphasizing access, health information technology and coordinated care focused on patients,” said NCQA President Margaret E. O’Kane. “Recognition shows that Mobile Physician Services has the tools, systems and resources to provide its patients with the right care, at the right time.”

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa

Mobile Physician Services provides services within these Florida counties:

• Alachua, Broward, Charlotte, Citrus, Collier, Hernando, Hillsborough, Lake, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, Sumter, Volusia, and more! Call for availability where you live.

Mobile Physician Services provides services within the Dayton-Springfield area of Ohio, including  Montgomery, Greene, Warren, Clark, Champaign, Miami, Darke, Preble and Warren counties. Call for availability where you live.

To Become a New Patient

Call (855) 232-0644 or register online

Mobile Physician Services, Inc. Corporate Headquarters 6804 Cecelia Drive New Port Richey, FL 34653

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What to Expect During an At-Home Doctor Visit

In an era where healthcare is evolving to meet the demands of our fast-paced lives, at-home doctor visits have emerged with a focus on patient-centered care. These visits offer the promise of receiving medical attention in the comfort of your own space. But what exactly can you anticipate during an at-home doctor visit? It’s important to understand the process, from the moment your healthcare provider arrives at your doorstep to the conclusion of your appointment.

What Happens During At-Home Doctor Visits?

From the initial evaluation to the formulation of treatment plans, at-home doctor visits promise a comprehensive and patient-centered healthcare experience. The journey begins with an in-depth assessment of your health, mirroring the standards of care delivered in traditional clinical settings, and continues with personalized care strategies tailored to you.

Initial Evaluation and Consultation

The first step in an at-home doctor visit is the initial evaluation and consultation. This is when you’ll get to know your healthcare provider and discuss your medical history, current health concerns, and any questions you may have. During this consultation, your doctor will ask you about your overall health, family medical history, lifestyle, and any specific concerns you have. This information helps them gain a complete understanding of your health and tailor their approach to your needs.

Physical Examination

After the initial consultation, your doctor will perform a physical examination. While this may vary depending on your specific medical conditions and concerns, a standard physical examination may include checking your vital signs (such as blood pressure, heart rate, and temperature), listening to your heart and lungs, and examining your skin, eyes, ears, nose, and throat.

Diagnostic Testing

If necessary, your doctor may order diagnostic tests during the at-home visit. These tests could include blood work, urinalysis, or imaging studies like x-rays or ultrasounds. The convenience of having these tests done at home saves you time and reduces the hassle of visiting a separate lab or imaging center.

Discussion and Diagnostic Information

Once the initial evaluation, consultation, and any necessary tests are completed, your doctor will discuss their findings with you. They will explain your diagnosis, if applicable, and provide information about your condition. This is an excellent time to ask questions and seek clarification on any medical terms or treatment options you may not fully understand. Your doctor will work with you to create a personalized treatment plan that takes your preferences and lifestyle into account

Treatment Plan Implementation

After discussing your treatment options, your doctor will initiate the treatment plan. This may involve prescribing medications, recommending lifestyle changes, or providing immediate medical interventions. The advantage of at-home doctor care is that you can start your treatment plan right away.

Follow-Up Planning

Your doctor visit at home visit isn’t a one-time event; it’s part of an ongoing healthcare relationship. Your doctor will work with you to establish a follow-up plan, which may include additional at-home visits or referrals to specialists if needed. This ensures that your health is continually monitored, and any necessary adjustments to your treatment plan can be made promptly.

LEARN MORE ABOUT HOUSE CALLS

How to Prepare for Your First Doctor Visit at Home

Preparing for your first at-home doctor visit is essential to ensure a smooth and productive appointment. Here are some steps to help you get ready:

• Gather Your Medical Records : Collect your medical records, including past diagnoses, medications, and any relevant medical history. Having this information readily available will help the doctor assess your health more effectively.
• Compile a List of Medications : Make a list of all the medications you are currently taking, including dosage and frequency. Include over-the-counter drugs, supplements, and vitamins. This will help the doctor avoid potential interactions.
• Create a List of Questions : Jot down any questions or concerns you have about your health. It’s easy to forget them at the moment, so having a list ensures you get the answers you need.
• Prepare a Comfortable Space : Clear a comfortable and well-lit area in your home for the doctor’s visit. Ensure good visibility and access to electrical outlets if any equipment or diagnostic tests are needed.
• Have Identification and Insurance Information Ready : Keep your identification (such as a driver’s license) and insurance information nearby for verification purposes.

In-Home Primary Care with Ennoble

Don’t compromise on your health or convenience. Embrace the future of healthcare with Ennoble’s in-home primary care services. Contact us today to schedule your at-home doctor visit with Ennoble and discover the difference that patient-centered care can make in your life. Your health, your home, your choice – Ennoble is here for you. Enroll online today .

CONTACT ENNOBLE

• 24/7 service available 847-543-0045
• see our brochures download now

Home Visiting Physicians

Be seen right at your home and start the care you need..

Your health is our priority! Your course of treatment will never be just about diagnosis, test results, and medications; it will also be about helping you reach the highest quality of life. We do this by actively listening and understanding your personal goals so we can tailor a plan-of-care that will be created with you in mind.

Where can we come?

These services can be utilized wherever the patient resides – whether that be in their home or in a facility.

Contact Us Today

What we offer

A primary care home visit by one of our board certified and caring medical providers. A visit may be for acute concerns, regular follow-up, and annual physicals.

Comprehensive medical exam in the comfort of your home; which may include orders for blood test, urine test, radiological imaging, medication prescription, and/or specialty referral.

The ability to directly reach your medical provider for any questions or concerns over the phone or email.

New prescription and renewals sent electronically to your pharmacy of choice within 24-hours

We are here to help when you need us

Free download resources.

Meridian Health Care is proud to offer the following resources for you.

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• Our Proud History

House Call Medicine Makes a Comeback

Home-based primary care programs, many of which are run by academic medical centers, are bringing comprehensive care to homebound patients with severe chronic conditions..

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Find and Access Preventive Services

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Preventive services include health care like screening tests, checkups, and vaccines. Unlike the care you get when you’re sick or managing a long-term condition, preventive care can help stop you from getting sick in the first place — or it can find health problems before they get worse, even before you have symptoms. 

Why do I need preventive care?

There are lots of great reasons to get preventive care. It can:

• Save your life. Screening tests and checkups can find health problems early, when they may be easier to treat. This includes serious diseases like cancer.
• Prevent disease . Some preventive services can keep health problems from developing. This includes vaccines and screenings for certain cancers, like cervical cancer.
• Help you save money . Finding and treating health problems early can help you avoid costly medical bills down the road. Plus, most insurance plans cover preventive services, and there are free or low-cost options if you don’t have insurance. 
• Offer peace of mind. Regular checkups are a chance for you to share concerns and ask questions about your health — and to get support from a doctor or other health care professional.

How to Get Preventive Care

Make an appointment with your doctor..

Talking with your doctor or nurse is a great first step to getting preventive care. They can tell you which screenings, vaccines, or other services you need — and answer any questions you may have. Together, you can make a plan to protect your health.

Looking for a new doctor or nurse? Use these tips to find the right fit .

Find free or low-cost preventive care.

Most health insurance plans cover preventive services at no cost to you — usually without a copay or deductible. 

But even if you don’t have health insurance, you can still get free or low-cost preventive care. Try these tips:

• Visit a community health center or clinic. Community health centers and clinics can offer affordable — or even free — preventive care. Find a health center near you . 
• Contact your local health department. Many health departments offer free health services, like flu vaccines, to people in the community. Your health department can also give advice on where to find additional free or low-cost health care services in your area. Use this interactive map to find your local health department.
• Look for volunteer clinics. Some communities offer free clinics run by volunteers for people who don’t have health insurance. Find a volunteer clinic near you.  
• Ask your local hospital about free screenings. Many hospitals offer free screening events. Contact your hospital’s customer service or community outreach department to learn what options are available.

If you’re getting health care through the Indian Health Service (IHS), use this tool to find preventive care near you. And if you’re a Veteran, you can get care at a VA location in your area. 

Look for free screening and testing programs for specific diseases.

There are also some free or low-cost programs to help you get screened or tested for specific diseases. For example:

• Screening for breast and cervical cancer: National Breast and Cervical Cancer Early Detection Program (NBCCEDP)
• Testing for HIV, STIs (sexually transmitted infections), and hepatitis: Get Tested search tool

Learn about insurance coverage for preventive services.

If you have private health insurance:.

Private health insurance means you’re getting your insurance through an employer or the Health Insurance Marketplace. Under the Affordable Care Act, private health insurance plans must cover many preventive services. Depending on your insurance plan and other factors like your age, you may be able to get these and other preventive services at no cost to you:

• Blood pressure , diabetes , and cholesterol tests
• Many cancer screenings, including mammograms and colonoscopies
• Counseling on topics like quitting smoking , losing weight , eating healthy , treating depression , and drinking less alcohol
• Vaccines to protect against diseases like the flu, whooping cough, measles, and meningitis
• Counseling, screening, and vaccines to help you have a healthy pregnancy
• Regular well-baby and well-child visits

Keep in mind that you may be charged a portion of the cost if a preventive service isn’t the main reason for your doctor’s visit or if you’re seeing an out-of-network provider. To avoid unexpected medical bills, ask your doctor before your appointment what services will be covered — or check with your insurance company.

To learn more, check out these resources about: 

• Free preventive care covered by the Affordable Care Act
• How the Affordable Care Act protects you  
• Understanding your health insurance and how to use it [PDF - 698 KB]  

If you have Medicaid:

Medicaid covers certain preventive services at no cost, like vaccines and recommended screenings and tests. It also covers counseling to help you manage long-term health conditions and support healthy changes, like quitting smoking. You can:

• Find out more about getting preventive care through Medicaid
• Contact your state’s Medicaid agency for detailed information

If you have Medicare:

Medicare also covers certain preventive services at no cost. To learn about Medicare and preventive care:

• Browse this list of covered services
• Use this tool to see what Medicare covers

If you’re uninsured, explore options for getting health insurance.

There are different options for getting health insurance coverage — and it may be more affordable than you think. To get started, you can:

• Check to see if you’re eligible for Medicaid. The Medicaid program provides health insurance for families with low incomes, pregnant people, people with disabilities, and people in certain other groups. Find Medicaid coverage in your state.   
• Enroll your children in CHIP. The Children’s Health Insurance Program (CHIP) covers children in families that earn too much money to qualify for Medicaid but not enough to afford private health insurance. Learn more about CHIP.
• Explore the Health Insurance Marketplace. The Marketplace offers health insurance plans for anyone who needs it. How much you’ll pay for coverage depends on how much money your family earns. Read this quick guide to Marketplace coverage or find local help.

Content last updated June 7, 2024

Reviewer Information

This information on preventive services was adapted from materials from the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

Reviewed by: U.S. Department of Health and Human Services’ Office of Disease Prevention and Health Promotion Review Team.

You may also be interested in:

Get Screened

Take Charge of Your Health Care

Get Your Medicare Wellness Visit Every Year

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Linking to a non-federal website does not constitute an endorsement by ODPHP or any of its employees of the sponsors or the information and products presented on the website.

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Physician Home Visits

Family & community medicine, family medicine services, appointments, student health, our providers, locations and hours, our home visits team.

Gina Choi, MD Family Medicine

Yvette Kimble, DNP, APRN-FPA, FNP-C Family Medicine

Julie Loza, MD Family Medicine

L. Amanda Perry, MD Family Medicine

Advanced Care in the Comfort of your Home

The UI Health Physician Home Visits Program, staffed by the excellent physicians from the Family Medicine Clinic , brings compassionate, comprehensive medical care to the homes of patients of all ages, enabling them to

• Remain at home
• Avoid costly hospitalizations and emergency room visits
• Stay healthy before a condition or situation gets worse

You may need a Physician Home Visit if you

• Were recently discharged from the hospital, Emergency Room, or Critical Decision Unit
• Are home bound due to a medical condition
• Have a difficult time getting to physician office visits
• Had a major surgery and need post-surgical care at home
• Are seeking palliative care or end of life care services

Our Services

• Physician home visits
• Assisted living home visits
• Wound care, including decubitus ulcer care and debridement
• Blood testing
• Coordination of care with home health and social service agencies
• Other physician services that can be provided in your home

Making an Appointment An initial house call can be scheduled by contacting our office at 312-996-1119 .

New patients must complete registration and have a brief eligibility screening by phone. The physician home visit will be scheduled within a week of contacting our office.

Follow-up Visits Follow-up visits will be scheduled during each home visit as needed. If a problem develops before the next scheduled visit, the patient or caregiver can contact our office and schedule an earlier appointment.

Refills Medications are refilled during regular office hours by calling our office at 312.996.2901 . Leave a message for the nurse if necessary and she will call you back within 24 hours. Please allow 48 hours for all refill requests.

Billing and Insurance The UI Health Home Visits Program accept Medicare, Medicaid, and most major insurance providers.

Home Visit Physicians' Hours Visits are scheduled as needed, and will usually occur between 7 am and 5 pm. Some home visits may occur on Saturday. To schedule a house call, please call 312-996-1119 .

How to Contact us after Business Hours Although our family doctors do not make late evening or night visits, we provide a 24-hour answering service to reach a physician for a consultation or to determine if urgent or emergency care is needed. Call our office at 312.996.2901 , and a physician will return your call, usually within one hour.

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University of Illinois Hospital 1740 West Taylor Street Chicago, IL 60612

Tips For Emergency Room Visits And Summer Safety

N avigating through unexpected illness or pain can be a daunting experience, especially when deciding whether to seek emergency care, wait for a doctor's appointment or opt for self-care at home. How do you know which is best? In an insightful discussion with three medical experts from Baylor Scott & White Health, we delve into the various options available to expedite your recovery process. This exploration aims to provide you with the guidance needed to make the best decision for your health and well-being

Making The Right Choice: Emergency Room vs. Primary Care Or Urgent Care

When considering whether to visit an emergency room, primary care physician or an urgent care facility, it comes down to the severity of your symptoms. Ferran Ros, DO, medical director of emergency at Baylor Scott & White Medical Center - Centennial, says the emergency room is the appropriate destination for potential medical emergencies. "Sudden dizziness or numbness, chest pains, difficulty breathing, suspected broken bones or bleeding that cannot be stopped are all symptoms that should be taken seriously,” says Dr. Ros. “More mild conditions like allergies, coughs, nausea and diarrhea can usually be treated at other facilities." 

What is the Difference Between A Hospital Emergency Room And A Freestanding ER Facility?

Freestanding emergency rooms (ERs) and hospital-based ERs differ in terms of access to wraparound care and related services. Casey Cox, BSN, RN, CEN, NE-BC emergency department nurse manager, on staff at Baylor Scott & White Medical Center - Plano, explained that freestanding ERs are unable to admit patients for extended care or provide certain specialized services like cath labs or GI labs. Consequently, patients requiring these services may face delays when they need transfers to facilities with more robust care. Stephen Blake Baker, MD, medical director of emergency medicine at Baylor Scott & White Medical Center - McKinney, added that hospital-based ERs, which often offer consultant services and trauma designations, offer immediate access to specialized care and 24/7 in-house services.

What Should You Expect in the Emergency Room?

According to Nurse Manager Cox, “In the fast-paced environment of emergency departments, patients are prioritized based on the urgency of their situation and the current workload.” He stresses the importance of efficient patient care by managing wait times and the overall flow of the department. And while providing efficient care is always the goal, Dr. Baker says a patient with an acute life-threatening problem will always be seen before somebody with a less severe complaint. For this reason, Dr. Baker recommends bringing distractions like books or mobile devices with charging cords to help pass the time while awaiting a provider or test results. While it is recommended to limit the number of accompanying visitors to maintain focus on the patient, having a supportive companion can play a crucial role in offering comfort and aiding in the comprehension of treatment plans. Dr. Ros highlights the value of having an extra set of eyes and ears to support patients during their time in the emergency department. Our interviewees all agree it’s important to bring an up-to-date list of medications, health issues and surgical history to facilitate efficient communication with medical staff.

Summer Safety: Preventing Heat-Related Illnesses

When summer temperatures soar, taking precautions to prevent heat-related illnesses is crucial. "Patients need to be wary of activities during extremely high temperatures. Even normal activities that people may not consider as strenuous can be hazardous during extreme temperatures,” says Dr. Baker. He emphasizes the importance of staying out of direct sunlight, hydrating adequately and scheduling outdoor activities during cooler temperatures. Nurse Manager Cox advises against wearing clothing that hinders evaporation, as this can worsen heat-related illnesses. Instead, he says to choose breathable fabrics and loose-fitting clothing to allow sweat to evaporate and help regulate body temperature effectively. By heeding this advice, people can reduce the likelihood of heat-related health issues and have a safer experience when spending time outdoors in the summer. Dr. Ros added that if staying out of the heat is unavoidable, it’s important to recognize the signs of heat-related illness, including dizziness and elevated heart rate. If you experience these symptoms, applying ice packs to the major arteries close to the groin, under the arms, and at the back of the neck can rapidly help reduce your body's core temperature. However, if symptoms are prolonged or dehydration becomes an issue, please seek emergency care.

The Nuances of Emergency Care and Taking Proactive Steps to Safeguard Against Seasonal Hazards

With your expanded knowledge of emergency care, you are now better prepared to be proactive in the event of a medical emergency. Having regular visits with a primary care doctor can help you manage routine or chronic illnesses and be more aware of when your body is experiencing a medical emergency. Ultimately, being proactive about your health and empowered with knowledge can help you navigate your healthcare needs effectively and prioritize your well-being. For more information about emergency care and summer wellness, or to find a physician on the medical staff at a Baylor Scott & White medical center, visit bswhealth.org/find-care or download the free MyBSWHealth app at https://my.bswhealth.com/download .

Physicians provide clinical services as members of the medical staff at one of Baylor Scott & White Health's subsidiary, community or affiliated medical centers and do not provide clinical services as employees or agents of those medical centers or Baylor Scott & White Health

Experienced & Certified Doctor Booking at Home in Kolkata

DiagnoEasy Healthtech is a trusted and leading provider of home care services in Kolkata. We understand the importance of convenient and personalized healthcare, which is why we bring expert doctors directly to your doorstep. Our mission is to deliver high-quality medical care in the comfort and familiarity of your own home, ensuring your well-being and peace of mind.

The benefits of their home visit doctor services include receiving personalized attention from experienced doctors, convenience without the need to travel or wait in queues, and a comfortable environment that promotes relaxation and accurate diagnosis. Their team consists of highly qualified and compassionate doctors who cover a wide range of medical specialties, ensuring comprehensive care for patients of all ages.

When seeking medical care in traditional settings, individuals often face several common challenges:

Long Waiting Times: Clinics and hospitals can have extended waiting periods, causing frustration and inconvenience.

Traveling Hassles: Elderly or immobile individuals may find it difficult to travel to medical facilities, leading to additional stress.

Contagious Illness Exposure: Crowded waiting areas increase the risk of exposure to contagious illnesses, putting patients' health at further risk.

Benefits of Home Visit Doctor Services

When it comes to your health, convenience, and comfort are crucial. Our home visit doctor services offer numerous advantages over traditional clinic visits. By choosing our services, you can:

🧑‍⚕️   Receive Personalized Attention

With DiagnoEasy Healthtech's home visit doctor services, you can expect undivided attention from experienced doctors who dedicate their time solely to you. They take the time to understand your medical history, listen to your concerns, and provide personalized care tailored to your specific needs. This individualized approach ensures comprehensive and effective treatment, giving you the peace of mind that your health is in good hands.

🏠   Convenience at its Best

By choosing home visit doctor services, you can skip the hassle of traveling, waiting rooms, and long queues. DiagnoEasy Healthtech's doctors come to you, saving you valuable time and effort. Whether you have mobility challenges, a busy schedule, or simply prefer the comfort of your own home, their convenient services make accessing healthcare a breeze. You can enjoy professional medical care without the inconvenience and stress associated with traditional clinic visits.

🤝   Comfortable Environment

Being in the familiar surroundings of your home promotes a sense of relaxation and aids in accurate diagnosis and effective treatment. With DiagnoEasy Healthtech's home visit doctor services, you can receive medical care in a comfortable and soothing environment. This can contribute to better patient outcomes as you feel more at ease during consultations, allowing for open communication with the doctor. The comfortable setting of your home helps create a positive and healing atmosphere, enhancing your overall healthcare experience

Exceptional Home Visit Doctor Services in Kolkata

At DiagnoEasy Healthtech, we take pride in our team of highly qualified and compassionate doctors. Our services encompass a wide range of medical specialties, ensuring comprehensive care for patients of all ages. Whether you require routine check-ups, diagnosis, or ongoing treatment, our doctors are experienced to address your specific needs.

⚕️   Comprehensive Medical Care

DiagnoEasy Healthtech offers a wide range of comprehensive medical care services right at your doorstep. Their team of highly qualified doctors is skilled in providing primary care, preventive medicine, chronic disease management, and specialized treatments. Whether you require routine check-ups, diagnostic tests, or ongoing treatment for a specific condition, their experienced doctors are well-equipped to address your specific needs. With their expertise across various medical specialties, you can trust that you will receive comprehensive and holistic care without the need to visit multiple healthcare providers.

🔬   Advanced Diagnostic Equipment

DiagnoEasy Healthtech takes pride in bringing state-of-the-art portable diagnostic equipment to your home. This advanced technology ensures accurate assessments and prompt diagnosis without the need for additional visits to clinics or labs. Their doctors can perform a wide range of diagnostic tests, including blood tests, imaging studies, and vital sign monitoring, all from the comfort of your own home. By utilizing cutting-edge diagnostic equipment, they provide a convenient and efficient healthcare experience, ensuring that you receive timely and accurate diagnoses.

🗒️   Medication Management

DiagnoEasy Healthtech's home visit doctors go beyond prescribing medications. They take a holistic approach to medication management by providing guidance on proper dosage, potential side effects, and drug interactions. This ensures that you receive optimal therapeutic outcomes from your prescribed medications. The doctors will discuss your medications with you, address any concerns or questions you may have, and work with you to create a personalized medication plan that suits your specific needs. This comprehensive approach to medication management helps you understand your medications better and empowers you to take an active role in your own healthcare.

Our Commitment to Patient Safety

At DiagnoEasy Healthtech, your well-being is our top priority. We adhere to the highest standards of patient safety and quality care. Here's what sets us apart:

🏥   Highly Qualified Doctors:

At DiagnoEasy Healthtech, patient safety and satisfaction are paramount. They maintain a team of highly qualified doctors who are experts in their respective fields. These doctors undergo rigorous background checks and adhere to strict ethical standards, ensuring that you receive care from trusted and competent professionals. Their extensive experience and knowledge across various medical specialties guarantee that you are in capable hands.

😷   Stringent Infection Control Measures

DiagnoEasy Healthtech prioritizes your safety by implementing stringent infection control protocols during every home visit. They follow industry best practices to maintain a safe and hygienic environment. Their doctors adhere to strict hygiene standards, including proper hand hygiene, sanitization of equipment, and use of personal protective equipment when necessary. By taking these measures, they minimize the risk of infections and ensure a safe healthcare experience for you and your family.

💬   Seamless Communication

Clear and open communication is a cornerstone of DiagnoEasy Healthtech's commitment to patient satisfaction. Their doctors maintain transparent and seamless communication with patients and their families. They take the time to address your concerns, explain diagnoses, and involve you in the decision-making process. This collaborative approach fosters trust and empowers you to make informed decisions about your healthcare. Their dedication to effective communication ensures that you feel heard, valued, and actively involved in your own care.

🌱   Continuous Improvement

DiagnoEasy Healthtech is committed to continuous improvement in its services. They regularly evaluate patient feedback and strive to enhance their offerings based on the evolving needs of their patients. By actively seeking feedback and implementing improvements, they ensure that they consistently provide the highest standard of care and exceed patient expectations. Your satisfaction and well-being are at the forefront of their commitment to delivering exceptional healthcare experiences.

Schedule an appointment now

Experience the convenience and personalized care of DiagnoEasy Healthtech's home visit doctor services in Kolkata. With their dedicated team of doctors, they bring exceptional medical care to your doorstep. Say goodbye to long waiting hours and hello to hassle-free healthcare. By scheduling an appointment with DiagnoEasy Healthtech, you can enjoy the benefits of receiving high-quality medical attention in the comfort of your own home. Whether you require routine check-ups, diagnosis, or ongoing treatment, their experienced doctors are ready to address your specific needs. With their comprehensive medical care, advanced diagnostic equipment, and commitment to patient safety and satisfaction, you can trust that you are in capable hands. Take the first step towards optimal healthcare by contacting DiagnoEasy Healthtech today. Your well-being is their top priority, and they are here to provide you with exceptional medical care in the most convenient and comfortable manner possible.

Doctors couldn’t help. They turned to a shadow system of DIY medical tests.

Buoyed by regulatory vacuums, Silicon Valley is building a booming online wellness market that aims to leave the doctor’s office behind.

Angelika Sharma was desperate. An array of basic first foods — from bananas to sweet potatoes — caused her 6-month-old Annika to vomit uncontrollably, so many times in one night that she landed in the hospital for dehydration.

Half a dozen pediatric specialists largely dismissed her daughter’s ailments, Sharma said, forcing her to leave her job as a hospitality executive, because “you can’t just have any babysitter looking after a child” with such serious reactions to food.

After a year and a half, an answer came finally in the form of a Facebook ad for Tiny Health, a Silicon Valley start-up that could test her baby’s gut microbiome. Using a bead of stool swabbed from a diaper, the company diagnosed the problem: Annika’s gut was overcrowded with P. vulgatus , a common bacteria. A company nutritionist recommended a probiotic , sauerkraut and exposure to animal microbes through daily visits to the petting zoo.

Within months, Annika’s food reactions were normal. More tests showed a gut transformed.

A new world of DIY testing is changing the relationship between physicians and patients, allowing people like Sharma to bypass the doctor’s office and take medical tests on their own. Buoyed by a growing network of independent labs, Silicon Valley start-ups now offer tests for a battery of conditions including menopause, food sensitivity, thyroid function, testosterone levels, ADHD and sexually transmitted diseases. The growth is fueled by a growing distrust of Big Medicine and confidence in home testing born from the Covid pandemic.

A public eager for answers is swarming this parallel medical ecosystem. The home diagnostics market generates $5 billion annually and is expected to nearly double by 2032, according to the market research firm Precedence Research.

Venture capitalists and entrepreneurs told The Washington Post that they envision a world where frequent at-home testing is a routine part of life, enabling everyone to become “the CEO of their own health,” said Luca Springer, who co-founded a Silicon Valley start-up that aims to make cancer testing as simple as a home pregnancy test.

Patients in remission from cancer, for example, could use urine strips to check if the disease has returned, he said, confirming the results with their doctor. He noted that at one time home pregnancy tests were considered scandalous and that most cancers are still detected way too late.

But the boom angers some doctors, who argue that circumventing their offices can lead to questionable remedies, misdiagnosis or delayed medical care.

While many home tests are standard diagnostics — shifted from a lab to the living room — others straddle the line between medicine and wellness. In this gray zone, incremental scientific innovations can be quickly funded, brought to market and peddled to consumers online before their health benefit has been proved.

Patients said the testing industry offers a rare path to relief, but many see a dangerous Wild West of medical information.

“Home-testing companies and influencers are creating a market preying on people’s very normal concerns about their health,” said Karen Tang, a gynecologist in Pennsylvania who has urged caution around home hormone and fertility tests to her large following on TikTok.

The tests often fall into a regulatory gap. While the U.S. Food and Drug Administration generally reviews all but the lowest-risk medical tests, it doesn’t supervise “wellness” tests marketed directly to consumers. Other start-ups avoid stringent FDA review by having physicians oversee some part of the testing process — creating what experts call a two-track system of standards.

It’s likely that some companies break the rules entirely, evading the agency and betting it won’t police a fast-growing market, said Alberto Gutierrez, a former senior FDA official.

Some professional societies have cautioned against taking certain home tests. The American Gastroenterological Association says data on the health benefit of biome tests is “lacking.” The American Diabetes Association says that no off-the-shelf glucose tests for measuring signs of diabetes meet “nationally standardized criteria for accuracy.”

Yet the draw of these companies is that they offer options to those feeling let down by conventional doctors. Sharma credits Tiny Health’s gut-biome test, which was developed by a Mayo Clinic microbiologist but not approved by the FDA, with providing “a mind-blowing tool you can’t get from the traditional medical establishment.”

The FDA is starting to pay attention: Regulators finalized a contentious rule in April to begin holding lab-made tests to the same standards as conventional ones, phasing out a historically hands-off position in response to the ballooning industry.

Still, businesses are charging ahead. Y Combinator, the prominent start-up incubator, funded Springer’s Cleancard last year. Function Health, a start-up founded by a Cleveland Clinic doctor in 2022, sells a $499 out-of-pocket membership offering more than 100 different lab-drawn tests, including for heart health, immunity and toxins. CVS and Walgreens enlisted San Francisco start-up ixlayer in 2022 to offer home tests for sexually transmitted diseases, kidney function, diabetes and cardiovascular disease. Testing giant LabCorp recently launched a line of basic home test kits called LabCorp OnDemand.

A bevy of lifestyle and wellness influencers help the companies promote their products online. Everlywell, an eight-year-old start-up offering more than two dozen home tests, has a dedicated team to analyze Americans’ Google searches, determining which ailments it should target with tests.

Companies see a major opportunity in the sea change of health habits triggered by the coronavirus pandemic, said health-tech investor Christina Farr. As millions of Americans swabbed their own nostrils and Zoomed with doctors for the first time , mistrust in scientific authorities ballooned. Many sought to fill gaps in medical information and care with independent research, often aided by online communities .

And affluent tech-oriented consumers expect to be hands-on with their health, embracing a fleet of products such as longevity apps, Oura smart rings, full-body MRIs and other sensors to track and optimize the body .

Disha Narang, an endocrinologist and obesity medicine specialist at Endeavor Health, a health system in Chicago, said that in recent years, “more and more” patients are coming into her clinic with “menus” of results from tests that they have taken on their own.

“I say, I’m not a restaurant!” said Narang, who puts “zero stock” in the tests because she cannot verify their accuracy.

Narang said she understands that many who feel neglected by the medical system are driven to take matters into their own hands. But the solution often makes the problems worse, spawning a “vicious cycle” of unnecessary testing, spending and anxiety — adding to burdens on patients and caretakers.

“I get that it’s empowering,” she said. “But it’s a fine line.”

An exploding online market fueled by distrust

On TikTok and Instagram, the shadow ecosystem of self-testing is fueled by algorithms and influencers — and feeds off lost trust in “Big Health.”

Crystal Jung, a natural health and beauty influencer from Nashville, developed chronic “10 out of 10” pain after her daughter was born 13 years ago. While consulting more than a dozen specialists, she was struck by providers’ disinterest in unraveling the cause of her condition.

The 44-year-old switched to holistic medicine seven years ago, and says she has been able to heal herself with diet, supplements, fasting and acupuncture. She’s stopped going to traditional doctors for her autoimmune issues entirely, relying instead on at-home blood tests from the company LetsGetChecked to monitor thyroid stimulating hormones, a metric her doctors refused to check, she said.

“The number one thing I hear from other women is that they’re tired of being gaslit by doctors,” Jung said.

She is also a LetsGetChecked advertising partner. Jung estimates she has earned $20,000 from promoting blood tests from the company for thyroid health, micronutrients and female hormones.

Julia Cheek was motivated to found Everlywell in 2015 after accruing thousands of dollars in out-of-pocket testing costs for unexplained body aches.

Her fledgling start-up got exposure from an appearance on the TV show “Shark Tank” two years later, but its real boost came when Everlywell became the first company to get FDA authorization for a stand-alone coronavirus self-collection kit. Investors such as BlackRock and Lux Capital poured $250 million into the start-up, enabling it to expand its offerings as the public’s comfort with testing swelled.

Everlywell works with 20- and 30-something lifestyle influencers to sell its tests, some of which are marketed as wellness diagnostics that don’t need FDA approval. For its medical tests, which would otherwise require the FDA to weigh in, the start-up has a network of doctors who review results virtually — a practice that appears to help the company avoid the strict FDA approval process known as premarket review.

But social media platforms are also becoming battlegrounds where doctors raise alarms about the testing boom.

Zachary Rubin, an allergy doctor in the Chicago suburbs with 1.2 million TikTok followers, has made TikTok videos warning patients against taking at-home food sensitivity and allergy tests sold by Everlywell and other companies. He says such sensitivity tests — which screen for antibodies the body produces in response to consuming certain foods — merely indicate a tolerance to something someone eats regularly.

“People go for years thinking they have a diagnosis when they don’t have one,” he said. “They end up eliminating certain foods and possibly developing allergies as a result.” In rare cases, he added, patients have become malnourished after radically altering their diets in response to the tests.

Everlywell is facing a class-action lawsuit charging that its claims about food sensitivity tests are misleading marketing. The American Academy of Allergy, Asthma and Immunology also warns people not to use these home tests. Everlywell declined to comment on pending litigation, but said its tests are backed by clinical research.

“Peddling of health-care wares directly to patients [makes it] pretty tough for them to discern the difference between a legitimate test or not,” said Bob Wachter, chair of the department of medicine at the University of California at San Francisco.

Wachter, who is an adviser to health-tech start-ups, says the explosion of self-testing is a promising way to address gaping shortfalls in the medical system, but there’s “a lot of snake oil.”

Regulators vs. innovators

The FDA made a fateful decision in 1976 when it imposed new regulations for medical devices. Tests made by conventional manufacturers would have to undergo an intensive review to demonstrate they work before they can be used on patients. But tests made and analyzed in a single laboratory — a much smaller universe at the time — would be off the hook.

As the market for lab tests has exploded, including for life-threatening conditions, the FDA has started to raise alarms. In a 2015 report, the agency warned that the rising volume and complexity of new tests creates a risk “that patients will be harmed — and, in fact, have been harmed — and highlights the need for appropriate oversight.”

Agency scientists have recently called the current situation outdated and “untenable.” In a memo listing health concerns on lab-developed tests, the FDA cited a company that sought approval for its test diagnosing Alzheimer’s disease. The FDA declined to authorize it, saying it lacked data to support its accuracy. That test is still being offered to patients, said the memo, thanks to the FDA’s hands-off policy.

A new FDA rule will phase in a process that would require certain lab-developed tests to undergo a rigorous review before hitting the market, meet manufacturing standards and report bad patient outcomes. Opponents say the rule would stifle innovation, and Everlywell has argued it could significantly limit access to critical tests to people in medically underserved areas.

Many investors and entrepreneurs endorse self-testing with similar urgency. Tiny Health founder Cheryl Sew Hoy said she raced to develop her baby microbiome testing start-up because of her experience giving birth to a C-section baby with gastrointestinal issues that doctors could not address. Though she and her business partners were aware that the benefits of gut bacteria testing have often been overhyped , they found cutting-edge research showing that the simplicity of a baby’s gut makes it highly responsive to interventions.

To them, it did not seem fair to wait for years — possibly decades — until that research could become standard pediatric advice.

“It will eventually get to the point where you get screened with a stool test every time you go to the hospital, but that’s not going to happen next year or the next couple of years,” said Ruben Mars, a microbiologist at the Gut Microbiome Laboratory at the Mayo Clinic and a scientific adviser to Tiny Health. “But these kids are getting chronic disease now. … They shouldn’t have to wait until it becomes standard of care.”

As long as the medical system remains slow there is going to be a market for people who take matters into their own hands, said Anarghya Vardhana, a Silicon Valley investor. “If you don’t give patients the tools, they will go figure it out themselves,” she added.