What Insurance Plans do we Accept?
We honor most insurance plans including the following: PPOs, HMOs, Medicare, Secure Horizons and other Medicare Advantage plans and Tricare. We also accept Covered California plans and CenCal. Please call the office for more information.
To make an appointment, you can call any office. We ask that you arrive at least 15 minutes early for your appointment to allow adequate time for registration. If you have a problem that requires prompt attention, please call as early in the day as possible and we will make every effort to schedule an appointment that same day. To facilitate this need, we begin answering our phones at 8 a.m. If you are unable to keep a scheduled appointment, please notify us of ahead of time.
Help by Telephone
If you have questions regarding your medical condition or treatment, call us during office hours. At times, one of our non-provider staff will be able to assist you; at other times your message will be referred to the appropriate clinician and your call will be returned as soon as possible. For any but simple inquiries, we will ask you to schedule an appointment with the provider of your choice.
Our clinical staff customarily prescribes enough medication to last through an acute condition or until you are due for another visit. When you find yourself running low on a prescription, it is an indication that you should schedule an appointment. If an interim prescription is needed, please call the pharmacy that fills your prescriptions and ask them to fax a refill request to the office at which you are usually seen. Most often, we will evaluate the request and authorize an interim refill. If the medical staff feels that an interim prescription is not in your best medical interest, we will contact you to schedule an appointment. Certain drugs like antibiotics, pain relievers and tranquilizers will not ordinarily be refilled by phone.
Our Opiod Policy
General information regarding the prescribing of controlled medications:
- We do not recommend nor do we prescribe long-term opioids for chronic non-cancer pain. Long term potential side effects of these medications include:
- Immune system suppression
- Sexual dysfunction
- Opioid hyperalgesia
There is scant evidence in the medical literature to support long-term opioid medication utilization.
- Based on guidelines for the rational use of benzodiazepines (Xanax/alprazolam, Ativan/lorazepam, Valium/diazepam and many others), we do not recommend nor do we prescribe long-term benzodiazepines.
- Long-term treatment with medication alone (Ambien and many others) is not the optimal treatment strategy for patients with insomnia.
The most common adverse effects associated with benzodiazepines and non-benzodiazepines are residual daytime sedation, drowsiness, dizziness, lightheadedness, cognitive impairment, motor incoordination and dependence. In addition, most sleeping medications suppress respiration which can worsen obstructive sleep apnea.
- The FDA has not approved marijuana as a safe and effective drug for any specific medical indication. Due to Federal laws prohibiting the prescribing of marijuana, our group does not provide prescriptions. For those individuals who choose to use marijuana preparations, the risk of drug interactions between marijuana and benzodiazepines should be kept in mind.
When in the opinion of our medical staff your condition warrants the consultation of a specialist, we will make the necessary referral and help arrange that appointment.
We are committed to providing the best service available, including helping you receive the maximum allowable benefits from your health plan. For patients with insurance, co-pays are due at the time of service. As a courtesy, we will bill the balance to your insurance carrier. Please keep in mind that you, not the insurance carrier, are responsible for any bills you incur.
If you have a question regarding payment or your bill, let us know. We will speak only to you about payment information, unless we have written permission to discuss your bill with someone besides yourself.
JMG no longer performs Workers’ Compensation exams or evaluations. If you have a work-related injury or illness, please arrange to be seen by a physician acceptable to you and your employer, who will bill Workers’ Compensation. If you have a personal injury claim, we will need all pertinent contact and billing information, including that of your auto insurance carrier if applicable.
We accept VISA, MasterCard and American Express.
JACKSON MEDICAL GROUP, INC.
disciplinary action including termination of employment and possible referral for criminal prosecution.
Effective Date: This policy is in effect as of APRIL 1, 2012.It is the policy of this Physician Practice that we will adopt, maintain and comply with our Notice of Privacy Practices, which shall be consistent with HIPAA and California law.
Notice of Privacy Practices
It is the policy of this Physician Practice that a notice of privacy practices must be published, that this notice be provided to all subject individuals at the first patient encounter if possible, and that all uses and disclosures of protected health information be done in accord with this organization’s notice of privacy practices. It is the policy of this Physician Practice to post the most current notice of privacy practices in our “waiting room” area, and to have copies available for distribution at our reception desk.
Assigning Privacy and Security Responsibilities
It is the policy of this Physician Practice that specific individuals within our workforce are assigned the responsibility of implementing and maintaining the HIPAA Privacy and Security Rules’ requirements. Furthermore, it is the policy of this Physician Practice that these individuals will be provided sufficient resources and authority to fulfill their responsibilities. At a minimum it is the policy of this Physician Practice that there will be one individual or job description designated as the Privacy Official.
It is the policy of this Physician Practice that privacy protections extend to information concerning deceased individuals.
Minimum Necessary Use and Disclosure of Protected Health Information
It is the policy of this Physician Practice that for all routine and recurring uses and disclosures of protected health information (PHI) (except for uses or disclosures made 1) for treatment purposes, 2) to or as authorized by the patient or 3) as required by law for HIPAA compliance) such uses and disclosures of PHI must be limited to the minimum amount of information needed to accomplish the purpose of the use or disclosure. It is also the policy of this Physician Practice that non-routine uses and disclosures will be handled pursuant to established criteria. It is also the policy of this organization that all requests for PHI (except as specified above) must be limited to the minimum amount of information needed to accomplish the purpose of the request, and where practicable, to the limited data set.
It is the policy of this Physician Practice that any uses or disclosures of protected health information for marketing activities will be done only after a valid authorization is in effect except as permitted by law. It is the policy of this organization to consider any communication intended to induce the purchase or use of a product or service where an arrangement exists with a third party for such inducement in exchange for direct or indirect remuneration, or where this organization encourages purchase or use of a product or service directly to patients to constitute “marketing”. This organization does not consider the communication of alternate forms of treatment, or the use of products and services in treatment, or a face- to-face communication made by us to the patient, or a promotional gift of nominal value given to the patient to be marketing, unless direct or indirect remuneration is received from a third party. Similarly, this organization does not consider communication to our patients who are health plan enrollees in conjunction with our provision, coordination, or management of their health care and related services, including our coordination or management of their health care with a third party, our consultation with other health care providers relating to their care, or if we refer them for health care to be marketing, but only to the extent these communications describe: 1) a provider’s participation in the health plan’s network, 2) the extent of their covered benefits, or 3) concerning the availability of more cost-effective pharmaceuticals. This organization may make remunerated communications tailored to individual patients with chronic and seriously debilitating or life-threatening conditions provided we are making the communication in conjunction with our provision, coordination, or management of their health care and related services, including our coordination or management of their health care with a third party, our consultation with other health care providers relating to their care, or if we refer them for health care. If we makes these types of communications to patients who have a chronic and seriously debilitating or life-threatening condition, we will disclose in at least 14-point type the fact that the communication is remunerated, the name of the party remunerating us, and the fact the patient may opt out of future remunerated communications by calling a toll-free number. This organization will stop any further remunerated communications within 30 days of receiving an opt-out request.
Mental Health Records
It is the policy of this Physician Practice to require an authorization for any use or disclosure of psychotherapy notes, as defined in the HIPAA regulations, except for treatment, payment or health care
operations as follows:
A. Use by originator for treatment;
B. Use for training physicians or other mental health professionals as authorized by the regulations;
C. Use or disclosure in defense of a legal action brought by the individual whose records are at issue; and
D. Use or disclosures as required by law, or as authorized by law to enable health oversight agencies to oversee the originator of the psychotherapy notes.
It is the policy of this Physician Practice that all complaints relating to the protection of health information be investigated and resolved in a timely fashion. Furthermore, it is the policy of this Physician Practice that all complaints will be addressed to Dr. Karen Engberg, who is duly authorized to investigate complaints and implement resolutions if the complaint stems from a valid area of non-compliance with the HIPAA Privacy or Security Rule.
Prohibited Activities-No Retaliation or Intimidation
It is the policy of this Physician Practice that no employee or contractor may engage in any intimidating or retaliatory acts against persons who file complaints or otherwise exercise their rights under HIPAA regulations. It is also the policy of this organization that no employee or contractor may condition treatment, payment, enrollment or eligibility for benefits on the provision of an authorization to disclose protected health information except as expressly authorized under the regulations.
It is the policy of this Physician Practice that the responsibility for designing and implementing procedures to implement this policy lies with the Privacy Official.
Verification of Identity
It is the policy of this Physician Practice that the identity of all persons who request access to protected health information be verified before such access is granted.
It is the policy of this Physician Practice that the effects of any unauthorized use or disclosure of protected health information be mitigated to the extent possible.
It is the policy of this Physician Practice that appropriate safeguards will be in place to reasonably safeguard protected health information from any intentional or unintentional use or disclosure that is in violation of the HIPAA Privacy Rule. These safeguards will include physical protection of premises and PHI, technical protection of PHI maintained electronically and administrative protection of PHI. These safeguards will extend to the oral communication of PHI. These safeguards will extend to PHI that is removed from this organization.
It is the policy of this Physician Practice that business associates must comply with the HIPAA Privacy and Security Rules to the same extent as this Physician Practice, and that they be contractually bound to protect health information to the same degree as set forth in this policy pursuant to a written business associate agreement. It is also the policy of this organization that business associates who violate their agreement will be dealt with first by an attempt to correct the problem, and if that fails by termination of the agreement and discontinuation of services by the business associate, or if that is not feasible, by notification of the HHS Secretary. Finally, it is the policy of this organization that organizations that transmit PHI to this Physician Practice or any of its business associates and require access on a routine basis to such PHI, including a Health Information Exchange Organization, a Regional Health Information Organization, or an E-prescribing Gateway, and Personal Health Record vendors, shall be business associates of this Physician Practice.
Training and Awareness
It is the policy of this Physician Practice that all members of our workforce have been trained by the compliance date on the policies and procedures governing protected health information and how this Physician Practice complies with the HIPAA Privacy and Security Rules. It is also the policy of this Physician Practice that new members of our workforce receive training on these matters within a reasonable time (you may elect to enter the exact time frame) after they have joined the workforce. It is the policy of this Physician Practice to provide training should any policy or procedure related to the HIPAA Privacy and Security Rule materially change. This training will be provided within a reasonable time (you may elect to enter the exact time frame) after the policy or procedure materially changes. Furthermore, it is the policy of this Physician Practice that training will be documented indicating participants, date and subject matter.
It is the policy of this Physician Practice that the term “material change” for the purposes of these policies is any change in our HIPAA compliance activities.
It is the policy of this Physician Practice that sanctions will be in effect for any member of the workforce who intentionally or unintentionally violates any of these policies or any procedures related to the fulfillment of these policies. Such sanctions will be recorded in the individual’s personnel file.
Retention of Records
It is the policy of this Physician Practice that the HIPAA Privacy and Security Rules’ records retention requirement of six years will be strictly adhered to. All records designated by HIPAA in this retention requirement will be maintained in a manner that allows for access within a reasonable period of time. This records retention time requirement may be extended at this organization’s discretion to meet with other governmental regulations or those requirements imposed by our professional liability carrier.
It is the policy of this Physician Practice to remain current in our compliance program with HIPAA regulations.
Cooperation with Privacy Oversight Authorities
It is the policy of this Physician Practice that oversight agencies such as the Office for Civil Rights of the Department of Health and Human Services be given full support and cooperation in their efforts to ensure the protection of health information within this organization. It is also the policy of this organization that all personnel must cooperate fully with all privacy and security compliance reviews and investigations.
Investigation and Enforcement
It is the policy of this Physician Practice that in addition to cooperation with Privacy Oversight Authorities, this Physician Practice will follow procedures to ensure that investigations are supported internally and that members of our workforce will not be retaliated against for cooperation with any authority. It is our policy to attempt to resolve all investigations and avoid any penalty phase if at all possible.
Did you know that we have four office locations?
We have worked diligently to assemble a talented team of providers who are readily available for appointments six days a week at our four offices. You can call any office to schedule an appointment with the provider of your choice.
Have you heard about the JMG Pet Policy?
Jackson Medical Group does not allow pets in our offices. If you have a service animal, please fill out the “Service Animal Questionnaire” on the Forms page of our web site and bring it with you when you come for an appointment.
For the Best of Health
For more than 30 years, our goal at Jackson Medical Group has been to provide the best Santa Barbara doctors, family practice, internal medicine, and primary health care available in this area. To this end, we are committed to rendering exemplary, compassionate, and efficient family medicine to individuals in need of this service in Santa Barbara County.