Primary care membership
Plus
Understand the Bigger Picture
One doctor. Your history. Your medications. Your results. The bigger picture.
Who is watching the whole picture throughout the year?
Comprehensive preventive care for older adults living with several conditions, treatments or risks.
$225/month · main member
$190 /month per additional member
Your visits for the year
Visits per person per benefit year, the same for the main member and each additional member.
8
home visits
14
video visits
Initial assessment and action plan
Your first home visit is a full preventive assessment. With your annual panel results, Dr. Karla Cornejo interprets your situation and gives you a bilingual summary with your preventive priorities for the next 12 months.
That action plan guides the rest of your year: what to watch, which studies apply and when to check in again.
Plus benefits
Assessment and prevention plan
- Initial preventive medical assessment
- Review of medical history and chronic conditions
- Medication and supplement reconciliation
- Allergy review
- Blood pressure, weight and BMI
- Identifying cardiovascular, metabolic and kidney risks
- Review of pending vaccines and screenings
- Medical interpretation of your results
- Bilingual summary
- Personalized preventive priorities for the next 12 months
Comprehensive follow-up during the year
- Up to two targeted check-ups: the first between months 4 and 6, the second between months 8 and 10
- Personalized screening benefit
- Longitudinal review of results and medications
- Comprehensive medication reconciliation
- Personalized fall-prevention plan
- Priority care coordination
- Comprehensive report for an authorized family member
- New-to-Panama health review: records, overdue studies, vaccines and medications
Comprehensive older adult assessment
- Memory and cognition
- Mood
- Mobility
- Fall risk
- Activities of daily living
- Nutrition and unintended weight loss
- Continence
- Hearing and vision
- Use of multiple medications
- Family and social support
- Home safety
- Personal goals and independence
Your year with Plus
Months are counted from each person's activation date.
- Start
Initial preventive home assessment, comprehensive older adult assessment and annual lab panel. You receive your bilingual summary and personalized plan.
- Months 4 to 6
First targeted check-up, with tests your doctor selects.
- Months 8 to 10
Second targeted check-up, according to your action plan.
- Month 12
Prevention plan renewal and a new annual panel as the next benefit year begins.
Lab tests
Beyond the annual panel, Plus includes up to two targeted check-ups during the year. Dr. Karla Cornejo selects their tests based on your assessment and builds them into your personalized action plan.
1. Annual panel
Once per benefit year, at enrollment and at each renewal. These 19 tests make up the panel for every membership.
Blood and metabolism
- Complete blood count (CBC)
- Glucose
- Hemoglobin A1c (glycated hemoglobin)
Lipids
- Total cholesterol
- HDL cholesterol
- LDL cholesterol
- Triglycerides
Kidney and electrolytes
- BUN (blood urea nitrogen)
- Creatinine with eGFR (estimated glomerular filtration rate)
- Sodium
- Potassium
- Calcium
Liver and proteins
- AST (aspartate aminotransferase)
- ALT (alanine aminotransferase)
- Alkaline phosphatase
- Total bilirubin
- Total protein
- Albumin
Urine
- Urinalysis
2. Targeted check-ups
Plus includes up to two targeted check-ups a year: the first between months 4 and 6 and the second between months 8 and 10. Dr. Karla Cornejo decides their tests based on your assessment and records them in your prevention plan. Not every possible test is performed for every person.
3. Screenings and options
In Plus, screening is personalized by age, sex, history and expected benefit. The options are alternatives: for cervical screening, one is chosen, not all three. Studies coordinated with outside providers, such as mammography or colonoscopy, are not included.
- FIT (fecal immunochemical test) for colorectal screening
- PSA (prostate-specific antigen), after shared decision-making
- Pap test, high-risk HPV test or co-test: one option, not all three
- Hepatitis C, if no previous screening has been documented
Dr. Karla Cornejo determines laboratory tests according to each patient's needs. Tests require a medical order issued by Dr. Karla Cornejo in the patient's name.
What your membership includes
Included
- 8 home visits and 14 video visits per person per year
- Annual lab panel, with a medical order
- Medical interpretation and bilingual summary
- Routine results review without using a visit
- Up to two targeted check-ups a year
- Comprehensive older adult assessment
We guide and support you
- Priority coordination with specialists or outside services
- Coordination of bone density scans, dilated eye exams, mammography, colonoscopy or other indicated studies
- Guidance on laboratories, specialists and services in Panama
This support does not include paying for the outside study or visit.
Not part of the membership
- Studies, tests or services outside plan coverage: quoted and approved by you first
- Specialist visits, imaging and outside procedures
- Ambulance, emergency care and 24/7 availability
Good to know
- $225 a month for the main member and $190 a month for each additional member at the same level.
- Each person can use their benefits for twelve months from activation, while the membership is active. Unused benefits do not roll over.
- An additional member who joins later starts their own twelve months, and their billing is combined with the main member's.
- The initial assessment uses one of your home visits.
- Scheduled care from 8:00 a.m. to 6:00 p.m. Visits outside those hours, on weekends or outside our standard area carry a fee shared with you before booking.
- You can reschedule at no charge with 24 hours' notice.
- You can move up a level whenever you need to; moving down takes effect at renewal.
- Reports for family members require your authorization.
- Your membership starts once the first payment and availability are confirmed. Before that, you receive the payment and cancellation rules in writing.
NexoCare Health Services, S.A. · Scheduled primary care at home and by video visit in Panama.
NexoCare does not provide emergency care or 24/7 availability. In an emergency, contact emergency services.
Monthly prices in US dollars per person.