FREQUENTLY ASKED QUESTIONS
Finding the right care at VECTOR.
Healthcare can be complicated. Getting answers about how to begin shouldn't be.
Below you'll find answers to common questions about receiving care at VECTOR Medical & Concierge, including appointments, memberships, telehealth, payment, and what to expect when getting started.
GETTING STARTED
I'm not sure which service is right for me. Where should I start?
You don't need to know which treatment or service you need before contacting VECTOR. Tell us what you're experiencing, what you'd like to improve, and any goals you have. We'll help determine the most appropriate place to begin.
Do all services require an initial consultation?
The appropriate first visit depends on the service and your individual circumstances. Some services require an evaluation before treatment, while others may follow a different scheduling process. If you're unsure what to schedule, VECTOR can help guide you.
Will I receive treatment at my first appointment?
Not necessarily. Your first visit may focus on understanding your concerns, health history, goals, and whether a particular treatment is appropriate. Some treatments may require additional evaluation, laboratory testing, preparation, or a separate treatment appointment.
What should I bring to my first appointment?
Bring a current list of your medications and supplements, relevant medical information, and any records or recent laboratory results that may be helpful for the concern being evaluated. Depending on the type of visit, you may receive additional instructions before your appointment.
MEMBERSHIP & ACCESS
Do I have to be a member to be seen?
No. Many VECTOR services are available without joining a membership. Concierge Medicine requires membership. Hormone Optimization and Medical Weight Management have separate memberships, required if you decide to begin treatment after your paid initial consultation. Those initial consultations do not require membership. Other services can be accessed separately without joining Concierge Medicine. The appropriate option depends on the type of care you're seeking and whether you want ongoing care or help with a specific concern. Medical aesthetics, regenerative medicine, hair restoration, sexual wellness, IV therapy, acute and sick visits, and other eligible services can be accessed separately from Concierge Medicine — you do not need to become a concierge member simply because you receive another service at VECTOR.
Can I receive more than one type of care at VECTOR?
Yes. VECTOR offers services across medical care, hormone and weight management, regenerative medicine, sexual wellness, hair restoration, IV therapy, and medical aesthetics. When concerns overlap, your provider can consider them within the broader context of your health and recommend an individualized approach.
Does VECTOR offer telehealth appointments?
Yes, telehealth may be available for appropriate visits and concerns. Some appointments require an in-person examination, testing, procedure, or other evaluation that cannot be completed virtually. The appropriate visit type depends on the reason for your appointment and your individual circumstances.
APPOINTMENTS & CARE
How do I book without calling?
You can schedule a consultation or another available appointment type through VECTOR's online scheduling system. If you're unsure which appointment type to choose, contact VECTOR and we'll help guide you to the appropriate next step. You don’t need to be an existing patient to schedule a sick visit.
Can VECTOR order laboratory testing when needed?
Yes. Laboratory testing may be ordered when clinically appropriate to evaluate a concern, guide treatment, or monitor ongoing care. The type and frequency of testing depend on the service, your health history, treatment plan, and individual clinical needs.
Can John prescribe medication when appropriate?
Yes. As a family nurse practitioner, John can prescribe medications within his scope of practice when clinically appropriate. A visit does not guarantee that a particular medication will be prescribed. Recommendations are based on your evaluation, health history, clinical circumstances, and applicable prescribing requirements.
What if it turns out to be something you don’t handle?
If your needs fall outside VECTOR's scope of care, we'll be transparent about that and recommend an appropriate next step when possible. Good care sometimes means recognizing when another clinician, specialist, facility, or level of care is better suited to address a particular concern.
Can I be seen today?
Same-day or next-day appointments are usually available. Online booking shows what’s actually open.
How early can I be seen?
We open at 7:00 AM, Monday through Friday.
Can I come before work?
That’s much of why we open at 7:00 AM — a weekday visit can happen before the workday rather than instead of it.
Do I need a referral?
No. You can book directly.
Do you take walk-ins?
We’d recommend calling first. A procedure may be in progress or scheduled, which could mean a long wait.
PAYMENT & POLICIES
Does VECTOR accept health insurance?
No. VECTOR is a direct-pay practice and does not accept or bill health insurance. Patients pay VECTOR directly for services according to the applicable pricing, membership, or treatment plan.
Can I receive care at VECTOR if I have Medicare?
Yes. Medicare beneficiaries may receive care from John Wier, FNP-C, through a private-pay arrangement. John has opted out of Medicare. Before receiving a service that Medicare would otherwise cover, you must sign the required Medicare private contract, except where emergency or urgent-care rules apply. Neither John nor the patient submits services covered by that private contract to Medicare for payment or reimbursement. Emergency or urgent circumstances are handled according to applicable Medicare rules.
Can I use my HSA card?
Some medical services and expenses may be eligible for payment with HSA or FSA funds, depending on the service and applicable plan and tax requirements. Eligibility can vary, so patients should confirm coverage of a particular expense with their HSA or FSA administrator when needed.
What forms of payment does VECTOR accept?
VECTOR accepts cash and credit cards for patient services. Third-party financing options may also be available for eligible patients and services. Financing approval, terms, and availability are determined by the financing provider.
What is VECTOR's cancellation policy?
We reserve appointment time specifically for you and ask that you provide at least 24 hours' notice when you need to cancel or reschedule. Late cancellations and missed appointments may be subject to a fee according to the policy applicable to your appointment or service. Any booking fee or service-specific cancellation terms will be explained during scheduling when applicable.
How much does a sick visit cost without insurance?
$125. Any testing is priced separately, and we tell you the price before we run it.
What happens if I need labs — is that extra?
Yes. Point-of-care testing is priced separately and quoted before the test is run. Send-out labs are billed separately.
SAFETY & SCOPE OF CARE
Can I come to VECTOR when I'm sick?
Yes. VECTOR offers Acute & Sick Visits for appropriate common illnesses, minor injuries, and other short-term outpatient medical concerns. You do not need to be a Concierge Medicine member to schedule an Acute & Sick Visit.
Is VECTOR an urgent care or emergency clinic?
No. VECTOR is not an urgent care center or emergency department. Some acute concerns can appropriately be evaluated at VECTOR, but conditions requiring emergency care, advanced diagnostic resources, or a higher level of treatment should be evaluated in the appropriate healthcare setting. Potentially life-threatening symptoms should not wait for an appointment at VECTOR.
How does VECTOR decide which treatments to recommend?
Your goals matter, but treatment recommendations are based on your health history, clinical assessment, available evidence, medical appropriateness, potential benefits and risks, and individual circumstances. Having a treatment available does not mean it is the right treatment for every patient. If your provider believes another approach—or no treatment—is more appropriate, that will be discussed with you.
Can you treat strep or do I need urgent care?
Strep throat is one of the concerns an acute visit can cover. Whether a visit is appropriate depends on your symptoms, severity and what testing is needed.
Will I get an antibiotic?
Not automatically. Antibiotics treat bacterial infections and are prescribed when clinically appropriate, not on request.
Can you stitch up a cut?
No. We don’t perform suturing or wound closure. A cut that needs stitches should be seen at an urgent care or emergency department.
STILL HAVE QUESTIONS?
We're happy to help you find the right place to start.
You don't need to have everything figured out before contacting VECTOR.
Whether you're interested in an ongoing medical relationship or have a specific health, wellness, regenerative, or aesthetic concern, we'll help determine an appropriate next step.