Cogent Family Healthcare

About Cogent Family Healthcare

What is Cogent Family Healthcare?

Cogent Family Healthcare is a family medicine practice at 525 South Drive, Suite #107, in Mountain View, California 94040. The phone number is 650-386-0386. Stephen J Sims, MD, is the only prescriber listed, and he is described as a board-certified family physician. Its main work is primary care for patients and their families. Weight loss is one of its services. It has used Ozempic/Wegovy for weight loss since 2018, and Rezdiffra is also listed for liver fibrosis.

Its five listed services are an Annual Preventive Exam, Heart Attack Risk testing, a Cancer Prevention Test, Liver Fibrosis testing and Women's Metabolic Health. The liver testing includes a Fibroscan liver ultrasound done in the office, and the heart testing includes a carotid IMT ultrasound of the neck. Office hours are Monday through Friday, 8:00 am to 5:00 pm, and the office is closed on weekends. Google lists it as a medical clinic with a 4.4 rating from 33 reviews.

This listing is for its Mountain View office at 525 South Drive, Suite #107.

What does it cost?

It does not publish a price for weight loss medication, and it does not say whether medication is included in any program fee. No consultation fee is published either. Prices are given only for some tests. The carotid IMT ultrasound may cost $200 to $450 out of pocket and is often covered by insurance. The Fibroscan costs under $300 and is usually covered when risk factors are present. The CCTA plaque analysis costs $1,320 to $2,720, depending on which parts are done.

The practice takes Medicare and Medicare secondary plans. In its own words: "We accept Medicare and all Medicare secondary plans (Other than MediCal)." It does not accept MediCal as primary. HSA options, financing and membership terms are not described.

What should you ask before you book?

Ask who writes and manages the weight loss prescription, since Dr. Sims is the only prescriber listed. Ask whether any monthly fee includes the medication, and what the medication costs on its own. Ask whether Ozempic and Wegovy are brand-name products or compounded versions, because only the brand names are given. Ask whether the program includes anything beyond medication, such as diet or coaching, and whether telehealth visits are offered. Ask what follow-up visits and lab work cost, and whether they go through insurance. Ask how billing works and how you would stop care if you wanted to.

Ask about Medicare Advantage before you assume coverage. Its statements conflict. One says the practice will not accept any HMO or Medicare Advantage plan as of January 1, 2023. Another says it accepts PPO Medicare Advantage. To check network status, ask your insurer whether tax ID 56-260-5608 is in network, not Dr. Sims' name, because his name may not give the right answer.

Who is it a good fit for?

This is a good fit if you are between 18 and 69 and want a Mountain View family doctor who offers in-office liver and heart testing along with a weight loss program. You should also be ready to get the medication, price and insurance answers in writing before you book. Primary care is limited to patients aged 18 through 69 when they join, though ultrasound testing is open to patients of any age. If you fall outside that range, call and confirm before you plan around it.

Sources: cogentfamilyhealthcare.com, cogentfamilyhealthcare.com/services

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