Annual Fee Amount
- $100 per adult (19–79 years of age) per calendar year
- $50 per minor (under 19 years of age) per calendar year
- No fee will be charged for patients aged 80 and older.
Collection Schedule
- The fee is collected once per calendar year and is due at the first appointment of the year.
- If your first visit is scheduled mid-year, the fee will be collected at that visit before services are rendered.
- If you request services (such as prescription refills, medical advice, form completions, or telehealth appointments) before your first visit of the year, the fee will be collected at the time of the request.
- For new patients establishing care in 2026, the annual fee may be prorated.
- For patients establishing care in December 2025, the full 2026 annual fee will be collected at registration.
What the Fee Covers (Non-Covered Services)
This annual administrative fee helps offset the cost of non-covered services not typically included under commercial insurance, including:
- Up to 1 year of maintenance medication refills (when clinically appropriate)
- Uncomplicated urinary tract infection (UTI) treatment with antibiotics (no visit required unless no improvement)
- Laboratory review during annual wellness visits
- Guaranteed same-day telehealth appointments for urgent needs
Frequently Asked Questions (FAQs)
What is the annual fee?
The annual fee is $100 per adult (ages 19–79) and $50 per minor (under 19), collected once per calendar year. Patients aged 80 and above are exempt.
Do you still take private insurance and Medicare?
Yes, AFM Healthcare will continue to accept Medicare and most private insurance plans.
Is this fee mandatory?
Yes, this fee is required to continue as a patient or to establish care with AFM Healthcare.
Why is this fee charged?
The fee covers non-covered services that are not reimbursed by insurance but are part of the care we provide to ensure better access, convenience, and patient support.
Will my private insurance or Medicare reimburse the annual fee?
No. This fee is not covered by insurance or Medicare and will not be billed to your insurer.
What are my payment options for the annual fee?
The fee may be paid at the time of your first visit or at the time of your first service request of the year.
Can I use my flexible spending account (FSA) or health savings account (HSA) to pay this fee?
You should consult your plan administrator, employer, or HR representative to confirm eligibility. If needed, AFM Healthcare will provide a receipt for the fee.
When is the fee due?
The fee is due in full each calendar year at the time of your first engagement with a provider—whether in person or virtually.
Is any portion of the administrative fee refundable?
No. Once paid, the fee is non-refundable for the calendar year, even if you transfer care or move.
If I pay my fee in November for my first visit of that year, will I owe it again in February?
Yes. Because February falls in a new calendar year, the annual fee is collected again at the first visit of that year.
Will I still have to pay co-pays, co-insurance, or deductibles?
Yes. Co-pays, co-insurance, and deductibles are separate from the administrative fee and remain the patient’s responsibility.
Have Questions? We’re Here to Help.
We understand you may have questions about the Annual Administrative Fee and how it applies to you. Please don’t hesitate to reach out — our team is happy to explain and provide any clarification you need.
📞 Call us at (407) 657-2111
✉️ Email us at info@afmhealthcare.com