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What is Direct Primary Care (DPC)?
Direct Primary Care (DPC) is a healthcare model where patients pay a monthly membership fee directly to their primary care providers, sidestepping traditional insurance. This arrangement covers extensive primary care services such as office visits, preventive care, chronic disease management, and telemedicine without the need for copays or hidden charges.
How does Direct Primary Care differ from traditional primary care?
Direct Primary Care simplifies healthcare by eliminating the involvement of insurance companies. This model allows for a more personal connection between patients and doctors, reduced patient load, and longer, more detailed consultations compared to traditional primary care settings.
What services are included in a Direct Primary Care membership?
A typical DPC membership includes a wide range of primary care services, including but not limited to routine office visits, preventive measures like vaccinations and screenings, chronic illness management, minor medical procedures, and discounted medications and lab tests.
How much does Direct Primary Care cost?
The cost of Direct Primary Care varies based on location, services offered, and provider, typically ranging from $50 to $150 per month for adults. Discounts may be available for children and family memberships.
Do I still need health insurance if I am enrolled in Direct Primary Care?
Direct Primary Care covers primary healthcare needs but not specialty medical services, hospitalizations, or emergency care. It is recommended to maintain health insurance for these situations, often complemented with a high-deductible plan or a health sharing ministry.
Can I use my HSA or FSA to pay for Direct Primary Care?
In many cases, Direct Primary Care membership fees are eligible expenses for Health Savings Accounts (HSAs) or Flexible Spending Accounts (FSAs). Always confirm the eligibility of these expenses with your plan administrator.
What are the limitations of Direct Primary Care?
While Direct Primary Care provides comprehensive primary care, it does not include specialty care, hospital services, or emergency care. Limitations may also arise if care is needed outside of the provider’s regular hours or geographic area.
Is Direct Primary Care available everywhere?
Direct Primary Care is increasingly available, especially in larger metropolitan areas, though it is also accessible in many smaller communities. Researching local options is crucial to find an accessible provider.
Can I switch to a Direct Primary Care provider if I already have a primary care physician?
Yes, switching to a Direct Primary Care provider is possible even if you currently have a primary care physician. Many patients transition to DPC for its personalized and more accessible healthcare model.
Our Patient Plans
Adults 65 & Over
One Adult - $70
Adult Couple - $125
Adults 65 & Under
One Adult - $60
Adult couple - $110
One Adult & One Child
One Adult + One
Child - $90
(each additional child - $25)
Two Adults & One Child
Two Adults & One Child - $130
(each Additional Child - $25)
Child Alone
Each Child - $40
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