Frequently Asked Questions

What is the APCM program?

  • The APCM (Advanced Primary Care Management) program is a Medicare-covered program. The Sunflower Medical Group physicians are participating in this program.
  • It helps cover the costs of services for your care.
  • Who is my care team? It is your doctor, nurse, and whole care coordination and behavioral health team.
  • Our practice provides this service to all patients to improve quality.

Why is Sunflower participating in this program?

  • The workload upon primary care physicians and health systems has been intense and ever increasing for several years. This program hopes to refocus the importance of primary care and more closely monitor our patients with chronic health conditions.
  • More practices are refusing to accept Medicare. We wish to remain a physician-owned practice that can accept a wide range of insurances despite the administrative work required to participate in varying programs.

What does “Medicare covered” mean?

  • Any costs will be covered (aka no cost to the patient) once the patient MEETS THEIR DEDUCTIBLE FOR THE CALENDAR YEAR.
  • Patients WILL see charges for this program if they:
    • Do NOT not have a Medicare Advantage/Replacement plan (e.g. Humana Gold, AARP, etc.)
    • Have ONLY Traditional Medicare coverage (red, white & blue card)
    • Have Traditional Medicare coverage and a supplemental Medicare plan (e.g. part D or F, whether it be a federal program or not)

I’ve never had to pay anything for my medical care with Medicare, why is it costing me money now if this program is covered by Medicare?

  • Many supplemental plans did away with deductible coverage for part B Medicare in 2025. This means that patients are now financially responsible for their part of the deductible when they may not have been in the past.