Frequently Asked Questions

Clear answers about Direct Primary Care.

Learn how 24Sculpt Health works for employers, employees, families, benefits brokers and organizations considering a physician-led primary care membership.

DPC

General Questions

Understanding the Direct Primary Care model.

What is Direct Primary Care?

Direct Primary Care is a membership-based primary care model. An employer or individual pays a recurring membership fee for access to specified primary care services without traditional insurance billing for those included services.

Is Direct Primary Care the same as concierge medicine?

The models are similar because both emphasize access and an ongoing physician relationship. Direct Primary Care generally uses a defined membership fee for covered primary care services and does not bill insurance for those included services.

Is 24Sculpt Health an insurance company?

No. 24Sculpt Health provides membership-based primary care. The membership is not health insurance and does not replace coverage for emergencies, hospitalization, surgery, specialists or other services outside the membership.

Who provides the medical care?

Medical care is physician-led and provided by Tara M. Henagan, MD, PhD, CSCS, a board-certified Family Medicine physician.

Where is 24Sculpt Health located?

24Sculpt Health serves employers and employees in the Baton Rouge and St. George area. Specific appointment location and scheduling instructions are provided when a visit is arranged.

HR

Employer Questions

Membership design, pricing and implementation.

How can an employer offer 24Sculpt Health to employees?

The employer enters into a membership agreement with 24Sculpt Health, selects an eligibility and coverage structure, and enrolls eligible employees and dependents according to the agreed terms.

How much does employer-sponsored membership cost?

Pricing is customized based on factors such as group size, employee eligibility, dependent coverage, selected services and implementation requirements. Employers receive a written proposal before enrollment.

Does the employer pay monthly or annually?

Payment frequency and billing terms are established in the employer agreement. Monthly billing is commonly used, while other arrangements may be discussed for specific groups.

Can the employer cover employees but not dependents?

Yes. Employers may choose an employee-only structure or may offer spouse and family options. The selected structure will be outlined in the proposal and employer agreement.

Can employees pay to add their spouse or children?

Employee-paid dependent coverage may be available when included in the employer's benefit design. Eligibility and payroll or payment arrangements must be established before enrollment.

Is there a minimum number of employees required?

Minimum participation requirements may depend on the proposed group structure and implementation needs. The organization can contact 24Sculpt Health for a group-specific review.

How long does implementation take?

Timing depends on the size of the group, eligibility data, employee communication and the selected start date. A clear implementation timeline will be established during the proposal process.

Can the membership be offered to part-time employees?

The employer may define eligible employee classes, subject to the membership agreement and applicable legal or benefits guidance.

Will the employer receive employee medical information?

No identifiable medical information is shared with the employer without appropriate authorization or another legally permitted basis. Medical records remain confidential.

MD

Employee Questions

Using the membership and accessing care.

How do I know whether I am enrolled?

Contact your employer or benefits administrator to confirm eligibility, enrollment status and the date your membership begins.

How do I schedule an appointment?

Enrolled employees can call 225-577-6898 or use the website contact page to request an appointment. Scheduling instructions may also be provided during employer enrollment.

Do I pay a copay for included visits?

No separate copay is charged for primary care services included in your membership. Services outside the membership may involve additional charges.

How many times can I be seen?

The membership may include unlimited medically appropriate primary care visits. Visit frequency remains subject to clinical appropriateness, scheduling availability and the terms of the employer agreement.

Can I use telehealth?

Yes. Telehealth is available for eligible non-emergent concerns, follow-up care and medication management. Some symptoms require an in-person examination or a higher level of care.

What are the telehealth hours?

Telehealth availability is generally offered daily from 8 AM–10 PM Central Time for eligible concerns, subject to scheduling and clinical appropriateness.

Can my family use my membership?

Only enrolled members may use the benefit. Spouse and dependent access depends on the coverage structure selected by your employer.

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Coverage Questions

Understanding what is and is not included.

What primary care services are included?

Included services may cover preventive care, annual wellness evaluations, common acute illnesses, chronic disease management, medication management, routine follow-up, telehealth and care coordination. Final coverage is defined by the employer agreement.

Are laboratory tests included?

The physician evaluation, ordering and review may be included, but outside laboratory fees are generally separate unless specifically listed as part of the employer agreement.

Are medications included?

Medication evaluation and prescribing may be included when clinically appropriate. The cost of prescription medications is generally separate.

Are imaging studies included?

Ordering, coordination and review may be included, but outside imaging charges are generally not part of the primary care membership unless specifically stated.

Are specialist visits included?

Specialist services and specialist fees are not generally included. 24Sculpt Health may assist with determining when specialist evaluation is appropriate and coordinating the referral.

Does the membership cover emergency care?

No. Emergency department care, ambulance services and hospitalization are outside the membership. Call 911 or go to the nearest emergency department for a medical emergency.

Does the membership cover workers' compensation injuries?

Workers' compensation services are not automatically included. Occupational medicine or workplace injury services would require a separate agreement and appropriate administrative structure.

Can the membership be paired with health insurance?

Yes. Employers commonly pair Direct Primary Care with broader insurance or benefit coverage for services outside primary care. Employers should consult licensed benefits professionals regarding plan design and regulatory requirements.

B

Broker and Partner Questions

Working with benefits professionals and plan partners.

Does 24Sculpt Health work with benefits brokers?

Yes. 24Sculpt Health welcomes collaboration with licensed employee benefits brokers, consultants and employer advisors.

Can Direct Primary Care be incorporated into an existing benefits strategy?

Yes. The membership may be positioned alongside an employer's broader health plan, high-deductible plan, self-funded strategy or other benefits arrangement, subject to appropriate legal, tax and benefits guidance.

Will 24Sculpt Health participate in employer presentations?

Employer and employee education may be included in the implementation process. Presentation format and support can be discussed as part of the proposal.

Can 24Sculpt Health work with a TPA or plan administrator?

Yes. Coordination with third-party administrators, benefit administrators and other plan partners may be considered based on the employer's benefit structure and administrative needs.

Are customized proposals available?

Yes. Proposals may be tailored to group size, employee classes, dependent coverage, implementation requirements and selected services.

Rx

Clinical Access Questions

Visits, prescriptions and appropriate levels of care.

Can every medical concern be treated through telehealth?

No. Telehealth is appropriate only when the medical concern can be safely evaluated without a hands-on examination or immediate testing. Some concerns require an office visit, urgent care, emergency care or specialist evaluation.

Can controlled medications be prescribed?

Prescribing decisions are made individually and must comply with clinical standards, federal law, state law, monitoring requirements and practice policy. Membership does not guarantee that any specific medication will be prescribed.

Can I receive routine medication refills?

Routine refills may be provided when clinically appropriate. An appointment, laboratory testing, vital signs or other monitoring may be required before a prescription is renewed.

What happens if I need emergency care?

Call 911 or go to the nearest emergency department. Do not delay emergency care while waiting for a response from the practice.

What happens if I need a specialist?

Dr. Henagan can evaluate the concern, help determine whether a referral is appropriate and provide relevant clinical information to support continuity of care.

Does membership guarantee same-day treatment?

The membership is designed to improve access, but appointment timing depends on clinical urgency, scheduling availability and whether the concern is appropriate for the practice setting.

Important Medical Information

24Sculpt Health is not an emergency service.

Call 911 or go to the nearest emergency department for symptoms that may be life-threatening or require immediate evaluation.

Chest pain
Severe breathing difficulty
Symptoms of stroke
Severe allergic reaction
Uncontrolled bleeding
Loss of consciousness
Major trauma
Immediate safety concerns
Still Have Questions?

Speak directly with 24Sculpt Health.

Contact the practice to discuss employer membership, employee enrollment, covered services, broker partnerships or appointment access.