Direct Primary Care, or DPC, is an innovative alternative to insurance-driven healthcare that prioritizes the doctor-patient relationship. A simple monthly membership fee paid directly to your doctor covers your primary care needs and gives you direct access to your doctor. In the traditional fee-for-service model, a physician is often stuck essentially working for a patient’s health insurance company or third party payor while the patient is often saddled with high copays or unpredictable charges. In direct care, your doctor works directly for you, the patient.
Not quite. While the idea behind both models is to increase access to your physician, there are some differences. Most concierge practices will still bill insurance for each visit, but members of that practice still pay a “retainer” fee for access to the doctor. These fees tend to be much higher than DPC prices. DPC practices do not bill insurance at all – instead patients pay an affordable monthly fee directly to their doctor’s office. In exchange, they receive direct access to their physician.
No, this is not a replacement for health insurance. Although we can meet most of your primary care needs, we do recommend that you maintain either health insurance or a membership with a health share for costs that may be incurred for things like specialist care, imaging, emergency room visits, and hospitalizations.
Nope. There is no health insurance requirement to be a member; though, we do recommend maintaining some level of catastrophic coverage for things like hospitalization.
No. By eliminating the third party payors and middlemen, we can reduce overhead expenses and offer affordable, transparent pricing in exchange for direct access to your doctor. Patients with insurance may use their insurance for things like specialist care, urgent care and ER visits, hospitalizations, labs, imaging, and medications. However, we have negotiated many of these things for an affordable cash pay price anyway, so some patients may prefer to not use insurance and pay directly instead, as it is often cheaper.
No. While we love to take care of families long-term, we understand that things change. We do ask for 30 days’ notice for membership cancellation, to ensure any outstanding issues in your care can be taken care of.
Minimal, if any. The monthly fee covers visits, phone calls, portal messages, some point of care lab testing, and most procedures. There may be a select few procedures that require special supplies for which you may be charged simply to cover the cost of those supplies – these costs will be discussed up front. Labs and imaging are not included in the membership fee; however, we have negotiated affordable cash pay rates with select partners to get you the best deal on these things. There is no enrollment fee; however, if you were to cancel your membership and then re-enroll, there is a $300 re-enrollment fee, per patient.