Everything You Need to Know About the New Covid-19 Virus Strain

Just like life in general, the Coronavirus pandemic seems to have its ups and downs. While on one hand, vaccine programs are being rolled out the world over, on the other, new COVID-19 strains have been emerging. In December 2020, it was reported that a new variant of the coronavirus that causes COVID-19, was identified in the United Kingdom. Since then, other variants have been identified elsewhere and are under investigation as well. The new UK strain, which was rumoured to be deadlier and more transmissible began to raise a lot of questions and rightfully so. It is vital to know and be aware of the dangers you may face. Will you be at a greater risk of catching the virus? Will the COVID-19 vaccines work? Is there anything new or different you can do to keep you and your family safe? 

Here is everything you need to know about the new virus. 

How do variants emerge?

Coronaviruses have their genetic material in something called RNA (ribonucleic acid). When it infects us, they attach themselves to our cells, get inside them and make copies of their RNA to help them spread. Sometimes, copying mistakes occur and the RNA gets changed. These random accidents are called mutations, and it is a normal part of what happens to multiplying viruses. 

What is Different About the UK Virus Strain?

The mutation found in the UK virus strain is hardly “new”, as it was discovered in September 2020. The coronavirus mutations were first found in both a South African variant (B.1.351) and a Brazilian variant (P.1). It was later found in a UK variant as well (B.1.1.7), which has accounted for about 70% of COVID-19 cases in the UK since December 2020. This newly discovered variant saw a huge spike in cases in south-east England and London. 

The variant is said to spread about 70% faster and easier than COVID-19 (SARS-CoV-2). In January 2021, experts reported that this variant may be associated with an increased risk of death compared to other variant viruses, but more studies are needed to confirm this finding. Scientists have put all of their efforts into studying the various mutations occurring. One such mutation that requires concern is the E484K mutation in the spike protein. This mutation occurs specifically in the Receptor Binding Domain (RBD) section of the coronavirus. This section helps the virus latch onto our cells and infect us. Mutations in the RBD can make the virus more infectious by helping it to bind more tightly to our cells. 

How Does This Strain Affect the COVID-19 Vaccine?

One of the key factors in taking the COVID-19 vaccine is that we develop immunity to the coronavirus. This is also true for patients who have got the virus already. This immunity is mainly due to the development of antibodies that bind to the Receptor Binding Domain. A mutation of COVID-19 affecting this domain would make the new vaccine ineffectual by evading these antibodies. E484K is one such mutation. There has been growing speculation that this mutation may affect the vaccine as it continues to mutate, however, this has yet to be confirmed by experts. The vaccine may need to be reworked and several booster shots may be required. 

As of February 2021, there have been 11 cases of this mutation. Studies are still underway, therefore there is very limited information available. But the minimal cases that are being seen in the UK with the E484K mutation could be an indication that the increased immunity that the COVID-19 vaccine provides, is working. The World Health Organization (WHO) says laboratory studies are ongoing to determine whether the new virus has different biological properties or could alter vaccine efficacy. Read our blog for an insight into the mRNA COVID-19 vaccine.

How are Officials Tracking the New Strain?

Officials in the UK continue to conduct various epidemiological and virological investigations to determine whether the variant causes people to become sicker, whether it can re-infect people who previously had Covid-19 and what kind of antibody response it prompts. They are also conducting genomic surveillance to understand the scope of spread of the new variant across the country and have placed affected areas under tier 4 restrictions, the strongest Covid rules in the country.

In the United States, the CDC states that the new strain could already be among the country. The CDC launched a new program in November, the National SARS-CoV-2 Strain Surveillance program, to sequence more virus samples. Each state in the US is expected to send the CDC at least 10 samples every other week for sequencing and further study.

What Can You Do To Keep Yourself Safe?

According to the CDC, the new strains of the virus can still be detected by the original COVID-19 tests. It would therefore be advised to get tested for the COVID-19 virus if you have any of the following symptoms; cough, cold, fever, breathlessness, etc. We at Buckhead Medicine provide the required COVID-19 testing in Georgia, Atlanta. Getting tested before and after travelling to and from the US is also vital. Read our blog on which COVID-19 tests are required for international travel (Will attach the link when the blog is live) to know more. 

Studies are yet to show whether the new variants render the vaccine ineffective. Studies have shown, however, that the new variants still respond to the COVID-19 medication that is being used to treat infected people. After you get tested for the virus, ensure that you get in touch with your healthcare provider to follow up on your condition and administer the right medications. 

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What services are provided as a part of my annual fee?
  • Same-day or next business day appointments
  • Direct access to Dr. Espinosa via his personal cell phone after hours, weekends, and holidays
  • Minimal office wait times
  • Longer, more comprehensive appointments
  • House Calls (requires additional trip fee)
  • A strong focus on preventive medicine, long-term health and wellness
  • A personal professional relationship with your physician
What is the mission of Buckhead Medicine?

We strive to provide the highest quality medical care, emphasizing a comprehensive approach to prevention and disease management. We want patients to be completely satisfied with every aspect of their care.

Where is your office and are you on the medical staff of a local hospital?

Yes, Dr. Espinosa’s office is in Buckhead, a suburb of Atlanta. He is on the medical staff of Piedmont Hospital in Atlanta, Georgia and Northside Hospital in Atlanta, Georgia. If you require hospitalization, Dr. Espinosa will coordinate your patient care by working with the hospital based physicians. He will also make periodic hospital visits during your hospitalization.

Who will cover for you when you are not available?

On infrequent occasions when Dr. Espinosa is out of town or otherwise unavailable, he will have another qualified physician cover for him. Even while out of town, Dr. Espinosa will generally be available by phone to his patients and to his covering physicians. For practical reasons, we reserve the right to designate another qualified physician to perform any and all services should the need arise.

Do you accept insurance?

Commercial Insurance and Medicare:
Buckhead Medicine is an In-Network provider for Blue Cross Blue Shield PPO, Aetna, Coventry, Humana, Cigna, Tricare and United Healthcare. Our practice fully participates in the Medicare program. Buckhead Medicine accepts all other insurance as an Out-of-Network provider. We, however, do not participate in the Medicaid program. Regardless of your plan, we will bill your insurance for all covered services. It is our intention that no insurance-covered medical services are included in your annual fee.

HMO and Medicare HMO:
We do not participate in HMO programs. As such, HMO patients will not be able to join the practice until they transition to either a PPO or traditional Medicare plan.

Do I still need insurance if I enroll with you?

Yes. Personalized medical practices do not take the place of general health insurance coverage. Buckhead Medicine is a primary care medical practice, not a health insurance program. You are advised to continue your PPO, Medicare or other insurance program. If you are an uninsured individual and desire to enroll in the practice, we will provide you with a discounted fee schedule for office visits, tests and procedures.

What if I don't have health insurance?

For uninsured patients, Buckhead Medicine offers an uninsured patient plan. Although this plan is not insurance, it does cover for all clinic visits and any labs or tests that are performed in our office. In many cases this plan provides for significant cost savings to uninsured individuals. Please contact our office for additional details on this plan.

Will my insurance still be billed for my office visits?

Yes, we will bill your insurance company directly. The annual fee does not cover costs for regular exams or testing conducted inside or outside of the clinic. These costs are billed to your insurance provider in the same manner that traditional practices bill insurers.

Is there a co-payment?

If you have commercial insurance, we will collect the co-payment at the time of service. Medicare patients usually do not require a co-payment.

Do you bill Medicare for the annual fee?

No. The annual fee is not covered by Medicare. The fee only includes services that are not covered by Medicare and, as such, cannot be paid for or reimbursed by Medicare. We will bill Medicare for your sick visits and for any additional services performed at this practice that are covered by Medicare.

Will my commercial insurance reimburse my annual fee?

No, commercial insurance does not typically reimburse for the annual fee. However, some Flexible Spending Account and Health Savings Account plans may pay for all or part of the annual fee. In addition, some insurance plans allow the concierge fee to apply towards the annual deductible. Members are advised to consult their human resources representative at their place of employment.

Is the annual fee tax deductible?

In many cases the annual fee is a tax deductible healthcare expense. Patients are advised to consult with their tax consultant to clarify qualification in their particular circumstance.

Does the annual fee cover lab, x-ray, specialist fees and hospitalization?

Services such as labs, x-ray, specialty visits or hospitalizations are covered based on coverage determined by your insurance plan.

Are there age limits?

Dr. Espinosa is an Internal Medicine physician. His specialty is Adult medicine. Dr. Espinosa is trained to manage acute and chronic medical illnesses among adults. As such, the practice is limited to patients 17 years of age and older.

What if I have an emergency?

If you have a life threatening emergency, call 911 immediately. After you call 911, please call Dr. Espinosa. He will contact the hospital and notify the emergency room of your tentative arrival. In addition, Dr. Espinosa will provide the emergency room with pertinent medical history information

How far in advance do I need to book an appointment?

Dr. Espinosa is committed to providing his patients with easy access to care. All urgent visits will be accommodated either same day or next day, placing the greatest priority on the sickest patients. Annual physical exams will be booked 1 to 2 weeks in advance.

What do I do if I become ill while traveling or away on an extended vacation?

Call 911 if you have a life threatening emergency. Then call Dr. Espinosa. Call Dr. Espinosa first if the problem is minor. With the exception of a few controlled substances, most prescriptions can be ordered anywhere in the country. If necessary, it may be possible for Dr. Espinosa to find you a resource in your area. If you seek care at an emergency room or urgent care center out of our area, we request that you have the doctor seeing you call Dr. Espinosa for coordination. Dr. Espinosa will be readily available by phone for consultation with you and/or other health care personnel. If you should require hospitalization while away, at your request, Dr. Espinosa will establish phone communication with you and your attending physician(s) to ensure continuity of care.

Do you make house calls?

House calls will be available to Buckhead Medicine members, within a limited radius from the clinic. These will be done as deemed appropriate by Dr. Espinosa on a case-by-case basis. Home visits will be billed to your insurance provider similar to an office visit. A separate trip fee is required for house calls.

What if I need to see a specialist or a surgeon?

Of course, Buckhead Medicine patients are free to see any specialist they wish. We are available to help you decide what specialists to see and to coordinate such consultations. Patients may frequently request for “doctors in my area”, and we can accommodate this. We will ensure that the most appropriate resources are used, the earliest arrangements are made, and your applicable medical information is sent in advance of your specialist visit.

What about the cost of prescription medications?

The cost of prescription medications are the patient’s responsibility and in most cases should be covered by their insurance plans. We have expertise in assisting patients in purchasing medications in the most cost effective manner.

Will I be required to pay my annual fee even if I do not use your services?

Yes. Paying your annual fee allows you to be a member of the practice whether you are sick or well. We encourage our patients to utilize the amenities offered such as wellness consultations and emails for appropriate non-urgent health related questions, regardless of your state of health.

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