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Patient questions, answered

Quick answers about appointments, insurance, telehealth, tests, and office policies.

A patient asking questions at a clinic front desk
In short

This page answers common patient questions about our adult primary care offices in Hudson and Trinity, FL. It covers becoming a new patient, insurance and Medicare visits, telehealth and the patient portal, in office tests and procedures, care in hospitals and facilities, and our prescription refill and appointment policies.

This page collects the questions patients ask most about our adult internal medicine and primary care offices in Hudson and Trinity. Each answer links to a page with more detail. If you do not see your question here, call either office and the team will be glad to help.

New patients and appointments

Are you accepting new patients?

Yes. We welcome new patients 18 and older at both the Hudson office and our Trinity office on Little Road. Appointment availability is determined by the office. You can request an appointment or call either office.

Do you see children?

We care for adults 18 and older. Our providers focus on adult primary care and internal medicine.

What should I bring to my first visit?

Bring a photo ID, your insurance card, a list of your current medications, and any medical records you have. See before your first visit for more tips.

Which office should I choose?

Choose whichever office is more convenient. Dr. Hanna alternates weeks between the Hudson office and the Trinity office. Amanda Durrett, APRN, FNP-BC, sees patients in Trinity, and Miranda McWhirter, APRN, AGACNP-BC, sees patients in Hudson. All three providers share one chart.

What are your office hours?

Both offices are open Monday to Thursday from 8:00 AM to 5:00 PM and Friday from 8:00 AM to 12:00 PM. They are closed Saturday and Sunday. Office details are on our contact page.

See Trinity office hours and directions or Hudson office hours and directions.

Do you have providers who speak Spanish or Arabic?

Yes. Our team speaks English, Spanish, and Arabic. You can meet our providers and let us know your preferred language when you schedule.

Insurance and Medicare

Which insurance do you accept?

We accept Original Medicare and selected Medicare Advantage plans. Coverage depends on your plan. Contact the office to verify participation. We also accept Medicaid and selected plans from Aetna, Blue Cross Blue Shield, Cigna, Humana, UnitedHealthcare, and other payers. Our insurance page lists every plan on file.

Can I be seen if I do not have insurance?

Yes. Internal Medicine MD offers $125 self-pay office visits for adults 18 and older at both our Trinity and Hudson locations. The $125 price is for the office visit. Labs, testing, procedures or other services may have separate charges. You do not need an insurance plan to request a self-pay office visit. If you have insurance, coverage may apply depending on your plan and circumstances. Coverage depends on your plan. Contact the office to verify participation and discuss your payment options. Medicare, Medicaid and other government programs may have different rules regarding self-pay arrangements. Contact the office with questions about your situation. See self-pay details for our Trinity office or our Hudson office.

Should I call the office before changing Medicare plans?

Yes, it is a good idea. Plan participation varies by insurer and individual plan, so call the Trinity or Hudson office with the exact plan name and confirm network participation with your insurance carrier before enrolling. Our Medicare plan review guide covers enrollment dates and what to check.

Do I need a referral?

Some insurance plans require referrals for certain services. If yours does, please allow 1 to 3 business days for processing, as described in our office policies.

What is a Medicare Annual Wellness Visit?

It is a yearly prevention planning visit for people with Medicare Part B. It is not a head to toe physical exam. With Original Medicare, Medicare.gov (opens in a new tab) states that you pay nothing for the visit itself when your provider accepts assignment; additional tests or services during the same visit may have separate costs, and Medicare Advantage plan rules and costs can differ. Coverage depends on your plan. Contact the office to verify participation. Learn more about the Annual Wellness Visit.

What is the Welcome to Medicare visit?

It is a preventive visit available once within the first 12 months of having Medicare Part B, as described by Medicare.gov (opens in a new tab). See our page on the Welcome to Medicare visit. You can also compare the Welcome to Medicare visit and the Annual Wellness Visit.

What is Chronic Care Management?

Chronic Care Management is a Medicare service for people with two or more chronic conditions expected to last at least 12 months. It includes a care plan and care coordination between visits, requires your consent, and costs depend on your plan, so call the office to verify your coverage. Read more about Chronic Care Management.

Visits, telehealth, and the patient portal

Do you offer telehealth visits?

Yes. We offer secure video visits through the Healow app, which connects to the patient portal. Telehealth is available when you are located in Florida at the time of the visit. Learn how it works on our telehealth page.

What can the patient portal do?

Through the eClinicalWorks patient portal you can message your care team, view results, manage refills, and join video visits through Healow. Our telehealth page explains how to connect the app.

Can every visit be done by telehealth?

No. Physicals, procedures, in office tests, and anything that needs a hands on exam take place in the office. The team will help you choose the right visit type when you book.

Tests and procedures

Can I get blood work done at your office?

Yes. Blood draws and lab work are done in the office when your provider orders them. Learn more about in office blood draws.

Do you do EKGs in the office?

Yes. EKG testing is done in the office, and results are reviewed the same visit. See our EKG testing page.

What other tests are available in the office?

We offer ultrasound and office breathing checks, such as peak flow and walking oxygen tests, along with lab work and EKG. Read about ultrasound and COPD and asthma care. Contact the office to confirm the appropriate location for your appointment.

Do you treat wounds that are slow to heal?

Yes. Dr. Hanna has completed wound care certification (WCS-C), and the team treats a range of wounds, from diabetic ulcers to grafting. Visit our wound care page.

Can you remove ear wax or stitches?

Yes. We offer ear wax removal by ear lavage, and we place and remove sutures and staples in the office.

Annual physicals, wellness visits, and procedure visits

What is the difference between an annual physical and a procedure visit?

An annual physical, or preventive visit, focuses on prevention: reviewing your history, checking vital signs, updating screenings and vaccines, and planning for the year ahead. A procedure visit is scheduled to evaluate or treat a specific problem, such as a painful joint, an ingrown toenail, a skin growth, or a wound. Read what to expect at an annual physical and see our office procedures.

Can I have a procedure done during my annual physical?

Sometimes. A preventive visit has a set purpose and length, so a procedure or a new concern is often scheduled as a separate visit. If you have a problem you want addressed, mention it when you schedule so the team can plan the right appointment type.

If I bring up a new problem at my physical, can that change what I owe?

It can. When a new or ongoing problem is evaluated or treated during a preventive visit, it may be billed as a separate service, and your plan may apply a copay, coinsurance, or deductible. Coverage depends on your plan. Contact the office to verify participation.

Is the Medicare Annual Wellness Visit the same as a physical?

No. The Medicare Annual Wellness Visit focuses on a personalized prevention plan and a health risk review, and it is not a head to toe physical exam. Your provider can explain which visit fits your needs. Read Welcome to Medicare vs. Annual Wellness Visit.

Should I schedule a procedure like a joint injection or toenail removal separately?

Usually, yes. Call the office and describe the concern. Many procedures start with an evaluation, and some can be done at that visit while others are scheduled for a separate appointment. Internal Medicine MD offers a wide range of procedures and services across its Trinity and Hudson offices. Availability can vary by procedure, provider and scheduling. Contact the office to confirm the appropriate location and appointment availability for a specific service.

Can I have a Pap smear at my preventive visit?

Women's preventive care, including Pap smears and HPV testing, can often be planned as part of your preventive care with Amanda Durrett, APRN, FNP-BC, at the Trinity office or Miranda McWhirter, APRN, AGACNP-BC, at the Hudson office. Mention it when you schedule. See women's preventive care.

Do I need lab work before my physical?

Some patients have blood drawn at or before their preventive visit so results can be reviewed together. The team will tell you whether to fast. See blood draws and lab work.

Care for loved ones

Do your providers see patients in nursing homes or assisted living?

Yes. Our providers visit patients at skilled nursing, assisted living, and independent living communities. Learn more about facility care.

Will you follow my care if I am in the hospital?

Our providers offer hospital rounding, so your care team can stay involved during a hospital stay. See our hospital rounding page.

Can you help coordinate home health care?

Yes. The team works with home health agencies to coordinate care at home. Read about home health coordination.

Can a family member come to appointments?

Yes. Family members and caregivers are welcome to join visits to help with questions and planning. Call the office if you would like to discuss how to share information with a caregiver.

Prescriptions and policies

How do I request a prescription refill?

Refills are best handled during scheduled appointments. If you need a refill before your next visit, contact the office at least 4 to 5 business days before your medication runs out. Details are in our office policies.

What is your missed appointment policy?

Please call at least 24 hours ahead to cancel or reschedule. Missed appointments and cancellations with less than 24 hours' notice are charged a $25.00 fee, which may be waived for emergencies or illness at the provider's discretion. Read the full missed appointment policy.

What happens if I do not confirm my appointment?

An appointment that is not confirmed will be cancelled, and a $25.00 fee is applied to the account and must be paid before another appointment can be scheduled. Repeated no shows or late cancellations may lead to discharge from the practice at the provider's discretion, as stated in our policies.

How are controlled substance prescriptions handled?

Patients prescribed controlled substances are evaluated individually. When a controlled substance is medically appropriate, a signed Controlled Substance Agreement is required, renewed each year, along with regular follow up visits. See our prescription policy.

Aesthetics and wellness

Do you still offer injectables, fillers, or IV hydration?

Those services are now offered at Synergy Health (opens in a new tab), our physician led sister practice for medical aesthetics and wellness in Trinity and Ocala. Book through the Synergy Health website. Internal Medicine MD focuses on internal medicine and primary care for adults.

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