Benefits & Fees
Our Annual Membership Plan includes the following benefits and services:
• A detailed initial intake, including complex medical and social issues, review of relevant laboratory and various imaging and other medical reports. This process can take up to three or more hours of time. It includes the following:
• Referrals to appropriate specialists or alternative practitioners and help with appointments if needed.
• Review of current medications and supplements for poly pharmacy and toxic interactions.
• Review of recent medical records from US, Canada, or elsewhere, if available, to determine best care options, in the San Miguel de Allende region.
• We work with you to develop an emergency plan tailored to your specific circumstances and create a form with critical information for first responders, for you to post prominently.
• Review of medical insurance status.
• Review of standard health screening actions with recommendations tailored to the client.
• Review of Mexican documents to see if adequate in case of an emergency (i.e. wills, POA, living wills (Medical Directives))
• Entering your personal information into our files electronically, shared by Deborah Bickel and Dr. Emilio Ramirez.
• Rapid response to referral needs or advice. Appointments with one of our team members or urgent referrals can nearly always be scheduled within 24 to 48 hours.
Costs of membership and services
Annual Membership: 8000 pesos or USD equivalent.
Renewal: 7000 pesos.
Quarterly membership: 4000 pesos.
Couple rate: 12000 pesos.
Those on a fixed income are welcome to discuss fee reduction.
Membership services are provided upon payment. We prefer cash payment in pesos, but accept payment through Wise or PayPal with a 10% extra fee to cover exchange rate and processing. PayPal email is deborah@bewellsanmiguel.com.
If you are unable to keep an appointment for reasons other than illness, and do not give a 24 hours advance notice, we reserve the right to charge for your missed appointment. We expect fee-for-services payment at the time of service. A 10% surcharge applies if payment is delayed beyond 5 days.
Additional Services
We charge 800- 1500 pesos an hour or fraction for members depending on the type of services needed. Non-members pay $1,700 an hour for services such as :
* Assistance with documentation necessary for creating a medical directive legal in Mexico.
* Accompanying you to medical appointments and taking notes as needed.
* Consultations on particular medical problems, including plans and referrals.
* Translation in person for medical care or of Spanish-language documents.
* Communication with family members.
* Assistance with medical billing issues.
* Help with decisions regarding insurance and management of care between the US and Mexico.