Frequently Asked Questions

Q:  Are there any copays or other visit charges under direct primary care?


A:  Nope! The initial registration and membership fee covers all services that Dr. Silakoski and Dr. Samuel provide, including any supplies and medication used at the time of the visit.


Q:  What happens if I need medical care after office hours or on the weekend?


A:  Members have Dr. Silakoski and Dr. Samuel's cell number and email address to contact them for any urgent care needs that cannot wait for a regular office visit.

Q:  What if I never go to the doctor?


A: The doctor’s office has been thought of as a place to go only when sick. While we are on call (and your speed dial) 24/7 for your acute needs, we also provide truly personalized healthcare aimed to maintain good health and prevent disease. 



Q:  Does METSI CARE take Insurance?


A: Vida Family Medicine does not accept insurance because our goal is to save you time and money by skipping the middleman. We provide a high- level of service that is not covered by insurance. We provide transparent pricing instead of submitting claims to insurance companies and spend our time getting to know you better.  

No.  Under the Idaho Direct Primary Care Act, effective July 1, 2015, neither the physician nor the patient may submit a bill for payment of services provided by a Direct Primary Care practice.  However, there is active lobbying for allowance of payment through a Health Savings Account (HSA).

Thankfully, no.  Insurance has a place in managing serious health issues, but not in everyday health care.  We forgo insurance reimbursements in order to save our patients from the arbitrary and intrusive decisions that inevitably occur with third-party payers and enable us to spend the time needed to provide a superior care experience.  Declining insurance also frees us from the typical contractual agreements that would prevent us from offering wholesale prices on laboratory tests, imaging, and medications to our patients.


Q: Does Vida Family Medicine accept Medicare?


A: We do not bill Medicare in this practice and unfortunately, due to federal regulations patients who are eligible for Medicare are not able to join as members. We expect that this will change within the next year. If you have Medicare and would like to become a patient, please send us an email to be added to our waiting list.

Q: What happens if I need a specialist?


A: If you need to see a specialist, we will support you and help refer you to the right medical professional. We will also help coordinate your care to make sure nothing is lost in translation. You will still be able to use your insurance to pay for specialist visits.

Q: What happens if I go to the hospital?


A: Ideally, our preventative care model and close patient relationships help to prevent hospital visits whenever possible. While Dr. Berens does not admit patients to the hospital, in the event of an acute illness or injury, she will communicate with your hospital care team to ensure they are familiar with your health history and that you receive top-notch care while admitted. We recommend that all patients maintain a health insurance plan that will cover them in the event of hospitalization or surgery.

Q: Do you work with small businesses?

A: We certainly do.  Direct primary care can save small businesses money while providing their employees with great benefits.  Please visit our employer page for more information.

Q:  What if I have a medical need after hours?

A: In all situations, if it is an immediate emergency please call 911 or visit the closest ER.  Otherwise, Dr. Cardon is available for urgent situations that cannot wait until business hours the following day.  If you have an immediate after hours need please call, do not text or email for urgent needs.  In order for Dr. Cardon to provide the best care for patients please only call after hours if it is urgent.

Q:  What happens when Dr. Silakoski is on vacation?


A:  While Dr. Silakoski is on vacation medical care will need to be obtained at another facility.  During vacation weekdays, the office will be staffed to help assist patients with their medical questions and prescription refills.  On these days, Dr. Silakoski will be in touch with the office staff, so any question will be answered within one business day.


We will notify you in advance of any office closures in order to take care of any planned or chronic need. While Dr. Cardon is out, we work with other DPC practices in Northern Colorado who can address your acute needs. All of these visits are included in your standard membership.


Q:  Does Dr. Silakoski offer a “Family Plan”?


A:  Yes we do! Please contact us for the details!


Q. Is there a limit to the number of patients enrolled in the practice?


A:  Yes.  To provide superior service and care, the practice, at least initially, is limited to 600 patients.  A waiting list for interested patients will be set up once the practice is full, and these patients will be contacted once an opening is available.


Q:  Does Dr. Silakoski's program cover the requirement to obtain insurance under the Affordable Care Act?


A:  No.  It is important to understand that direct primary care is not a substitute for medical insurance.  It will not exempt you from any monetary fine if you do not carry health insurance.  However, you may still sign a direct primary care contract with Dr. Silakoski even if you choose not to purchase insurance.