Last , but not least,  I believe that without  my Heavenly Father and his gifts of  health, family support and the committed love so indispensable in the steadfast giving of myself to you (for which I thank Him daily)  I would not be who I am nor doing what I do. 

I  humbly pray that my patients and all those lives touched through many medical encounters  have experienced the positive,  long lasting meaning and significance of my service.  It is also my  hope you can  share with others  what  we are  warmly bringing  into our community especially to those who are in need of
  "A New Kind of Medicine".


With my deepest gratitude, have a powerful 2017!

​Dr. Maribel Aviles, M.D.
Innova Medical Care
A New Kind of Medicine

    I used to go to the doctor only once a year. I was young then, and  many young and not so young people see the doctor annually these days, especially people without insurance or the under-insured.
But even when our office is one fo the few with a " Pay As You Go" (cash) program increasing accessibility to medical care, our Direct Care Membership might make much more sense to obtain medical care. Let's see why. 1.  This option is only available to people who really need to see the doctor once a year ( as they do not take medications, don't need to have repeat blood tests, and are in optimal health). They just want their physical exam or well woman exam  annually.  2. Chances that something out of the norm will happen to these folks will be "minimal" ,  and won't need to call me at all in the interim.They may risk it and go to the ER or Urgent Care.
But is this indeed the norm? Not really, But if you are one of those, you may think  covering  a monthly membership fee for this is plain crazy,  out of you comfort zone,  or  represents an unnecessary out of pocket expenses. Maybe!   Maybe not!
3. Check this example out:
​Young female  visits Doctor X. She is uninsured , healthy, without risk factors  and just wants an annual exam. Wants to avoid a county clinic (which is always an option) or a non profit organization:

First Office Visit                                               $150 (some gynecologists may charge up to $250)
Blood Work with urine analysis (basics) :       $150 
PAP cytology:                                                       $200 
Chlamydia and Gonorrhea (based on age)     $100 
Total:                                                                $500-$600* (low side of estimate)
(*If no further discussion is needed with the physician (everything is normal)-  this patient will get a call and be advised by the office or medical assistant that 'everything is ok' (what does that really mean, anyways?).

All done!  But, ouch!  Some lab results are off!  She must visit the doctor again.
Follow Up Visit                                              Up to $100 ( or more?)
New testing:                                                  $XX.XX  (repeat test for example)
New total:                                                  $585-$685 plus $XX.XX (if applicable)

Three months later she gets a bladder infection and needs antibiotics. Unless she decides to take a risky chance in self administering the 'leftover" antibiotics from last bronchitis (not advisable), she MUST visit the doctor again.   Follow Up visit: Up to $100   Urinalysis-$20 (or more)   Urine Culture - up to $100   Subtotal:  $220  
New total:     Over $850  (now she has spent $200 more than with her membership at Innova.

​Potential savings: Over $200 by  signing up for Innova's Direct Primary Care 
For only $50/mo ( less than $2/day)  she could have received 'all of the above' plus:
1. Still have unlimited visits if needed later for urgent issues (saving pricey urgent care fees obtained from unfamiliar clinicians)
2. More than basic blood tests 
3. In house tests at no extra charge
4. Full and  detailed discussion of results with treatment options.
5. Have a preventive program in place where the natural and standard remedies meet.
6. Have a  thorough, personal and advocating doc 24/7 without having to miss work unnecessarily. 7. And much more.  Got it?

Happy to have you as Innova's Marketing Ambassador reaching and educating our community about our  medical care through the Direct Primary Care model.
Lots of people do not know of our existence,  yet  there are many who could benefit  from our services as they are an alternative to traditional models of medical practices; and are cash  friendly to both the uninsured and the insured alike! We want the 'world' to know, so here she comes!
Please, greet her and say Hello when you see her out there.  We hope we can serve you in the future,  
​Dr. Aviles                Innova Medical Care,  A new Kind of Medicine!          

Love this quote from Gandhi.
​But may I add that without HOPE this quote would be sort of incomplete?
Despite challenges, we continue fighting the good fight.  We are equipped with will. But , how would our will persevere without the fuel of HOPE?
The HOPE that there is good  on the way, that things will change, that I will change, that my disease will be healed, that the right person will come about, that the solution will show up, or maybe that 'the magic' moment will happen.
       As a physician, HOPE is an important ingredient in my daily prescriptions and conversations with my patients.  I see how glimpses of HOPE change the lives of people I care for.  I witness how HOPE instilled can brighten a darkened face by sadness; and how in that new freedom people's WILL POWER get reignited and converted into a burst of focused and  positive actions.

Direct Primary Care (DPC) practices are distinguished from other retainer-based care models, such as concierge care, by lower (monthly) retainer fees (82% cost less than $99/mo), which cover at least a portion of primary care services provided in the DPC practice; No insurance plan is involved, although patients may have separate insurance coverage for more costly medical services

ACA COMPLIANT PARTNER PROGRAM
​When can I start?  As soon as you'd like . No registration period restrictions apply. 

Want to know more?  Follow our ​Partner Program info page or call us!  407-394-1336

  Investigative reporter Mike Holfeld from Channel 6 CBS local news paid Innova Medical Care a visit to discuss the pressing issue of Florida's nursing and physicians shortage. 
Besides having  a great collegial time, it was enlightening as we exchanged views on the passing of HB 1061 which 'calls for the state to join the Nurse Licensure Compact allowing nurses licensed in other states to practice in Florida via a multi-state license'
I am convinced this will pass and is very much needed to cover the void of nursing staff in our crowded Emergency rooms.  I also understand that the health system must undergo  drastic changes for  Primary Care to be an inviting specialty for graduating doctors therefore increasing the number of  Primary Care Docs; and where doctors and health care providers in the trenches are the backbone in the decision making process impacting our patients.

Is the solution  much simpler than we think?  Meanwhile, Innova Medical Care's mission as a Direct Primary Care is to partner with our patients, and offer a reliable Medical home  where patients can access us when they need us the most and where the insurance middle man is halted from interfering with the doctor-patient relationship. Data is showing that the Direct Primary Care model has a positive impact in relieving the overcrowded Emergency Rooms by reducing unnecessary visits easily  cared in the outpatient setting. This is what we do at our Direct Care practice.

​ As we widen the medical access  to our patients in an affordable way, we foresee the Direct Primary Care model  becoming the 'rule' rather than the exception in bringing services to the underinsured and uninsured.

It is my passion to see every human receive dignified medical attention and preventive care., and you could be the next one benefiting from our innovative and accessible model of medical care.
​
Call us and see if Direct Primary Care is the right choice for you!

Dr. Aviles
407-394-1336

We thank Ms. Vicki Maurer for her contribution in the making of this report,  as well as Mr Mike Holfeld Channel 6  himself for digging into this issue and inviting us in reaching our local community.
​
To read the full Channel 6 News Investigative report click HERE.

​ ​

  Considering our Membership Medicine or Direct Primary Care (DPC) option 2016?
(Then scratch 'Concierge Medicine' in the following article and substitute it for Innova Direct Primary Care ). We are the first DPC in Orlando.
                                                     Excerpt from an article by Paul Hsieh  Forbes/ Opinion / March 2013
                                                                                                                                   For full article click here.

1) Concierge medicine  ("or Innova DPC") can be surprisingly affordable.

Although some of the early concierge services were targeted at the wealthy, nowadays the annual fee amounts to roughly $4-5 per day  ( in our practice, less than $2 daily). This is within the means of most middle class families. Many middle class patients gladly choose to take more frugal vacations or drive less expensive cars in order to enjoy this service. 

2) Choice is good.

We regard it as perfectly acceptable that some people can afford to pay more to drive a nicer car or live in a larger house. Similarly, some parents choose to pay extra to send their kids to private schools over public schools. We should similarly respect the prerogative of those who wish to pay more for a more comprehensive doctor’s appointment. Patients have the right to spend their own money for their own medical benefit according to their best judgment.

3) Concierge medicine ("or Innova DPC") benefits both physicians and patients.

Concierge (Direct Primary Care) physicians routinely report greater job satisfaction, because they can practice the way they were trained — taking the time to really talk to their patients and use their skills to their fullest extent."  

And to me, this is absolutely a win-win situation!  2016 is here!  Be in control of your health!