FAQs

What is direct primary care (DPC)?

In the Direct Primary Care (DPC) model, patients pay their primary care doctor directly instead of going through their insurance company. This means the doctor works for the patient, not the insurance company. Under this arrangement, patients pay a flat monthly or annual fee and receive a full range of services similar to traditional primary care practices. However, DPC practices often provide additional benefits beyond traditional fee-for-service medicine. These may include direct access to their physician through technology, more extended visits, and, in some cases, home-based medical visits. The care provided is highly personalized, coordinated, and comprehensive, with no extra visit charges or involvement from insurance companies. Essentially, DPC eliminates the middleman from the patient-doctor relationship.

How does DPC differ from traditional primary care?

In Direct Primary Care (DPC), the doctor's income isn't tied to the number of patient visits or how many patients they see daily, as in the traditional fee-for-service model. Instead, doctors are paid to keep patients healthy. This means they have fewer patient visits per day, allowing for more available appointment times and more time with each patient, including office visits, phone calls, and email communication.

How is DPC different from concierge medicine?

Direct Primary Care (DPC) and concierge practices require monthly or annual fees. In DPC, the fee covers all visits and care needed throughout the year without additional per-visit charges. On the other hand, concierge practices have an annual retainer fee along with charges for visits.

DPC practices are characterized by their lack of involvement with insurance companies. The doctor provides care directly to the patient without a third party. Conversely, because concierge practices have both annual fees and office visit charges, they usually maintain relationships with insurance companies for the visit charges.

Do I still need insurance?

Most people will still opt for some insurance. It is still necessary for hospitalization, emergency room visits, surgeries or procedures, specialist appointments, or any other medical services beyond what is provided in the primary care office if required. Since most patients' medical needs can likely be addressed through primary care, opting for a higher deductible, lower-cost insurance plan might be a more suitable complement to a Direct Primary Care (DPC) practice.

Do you accept patients with pre-existing medical conditions?

Absolutely! Your eligibility or our membership price won't change if you have a pre-existing medical condition when you come to see us. We are committed to caring for the entire community, including patients with chronic conditions.

What if I need to go to a hospital?

We always recommend going to the hospital if you have a medical emergency. In the past, patients would typically be cared for by their family medicine doctor, even during hospitalization. However, with the increasing complexity and regulations in hospital systems, dedicated "hospitalists" have become common. These doctors exclusively work within the hospital setting and do not maintain an outside clinic. When you require hospitalization, having a physician specializing in hospital medicine makes sense. Nevertheless, this doctor must have all the necessary information to make informed decisions about your care. Therefore, we often communicate with your care team throughout your hospital stay and address any questions or concerns you may have about your treatment. This ensures that we are fully aware of your medical history when you are discharged from the hospital and can seamlessly transition you back to your regular healthcare routine.

What are the benefits of a DPC model?

Direct Primary Care (DPC) or direct primary care models offer several benefits compared to traditional insurance-based models:

• Cost-Effective Care: DPC typically operates flat monthly or annual fees, providing unlimited access to primary care services without copays or additional charges. This predictable pricing structure can save patients money, especially those who require frequent visits or have chronic conditions.
• Transparent Pricing: DPC practices often have transparent pricing for services, allowing patients to know precisely what they're paying for. This eliminates surprise bills and confusion usually associated with traditional insurance-based models.
• More Time with Physicians: DPC practices typically have fewer patients per physician, allowing for longer appointment times and more personalized care. Patients can build stronger relationships with their doctors and have more opportunities to discuss their health concerns.
• Access to Comprehensive Care: DPC physicians provide various services, including preventive care, chronic disease management, acute care, and minor procedures. Patients can receive comprehensive care without requiring referrals to specialists for routine issues.
• Convenience and Accessibility: DPC practices often offer extended office hours, same-day or next-day appointments, and telemedicine services. This makes it easier for patients to access care when needed, reducing reliance on urgent care or emergency rooms for non-emergency issues.
• Focus on Preventive Care: DPC models prioritize preventive care, including regular check-ups, screenings, and lifestyle counseling. By focusing on prevention, patients can maintain their health and avoid more serious health issues in the future.
• Reduced Administrative Hassles: Since DPC practices do not rely on insurance billing, providers and patients have less administrative burden. This means less time spent on paperwork and more focused on patient care.
• Holistic Approach to Health: DPC physicians often take a holistic approach to health, addressing physical, mental, and emotional well-being. They may provide counseling, nutrition advice, and support for lifestyle changes.
• No Insurance Interference: In DPC models, the patient-physician relationship is direct, with no interference from insurance companies. This allows physicians to focus solely on what's best for the patient's health without concerns about insurance reimbursement or restrictions.

DPC or direct primary care models offer patients affordable, accessible, and personalized healthcare that focuses on prevention and holistic well-being.

Can a Direct Primary Care save you money?

Yes, a Direct Primary Care (DPC) or direct primary care model can save you money compared to traditional healthcare based on insurance plans. Here's how:

• Cost Transparency: DPC practices often have transparent pricing, with patients paying a flat monthly or annual fee for comprehensive primary care services. This eliminates surprise bills and copays commonly associated with traditional insurance-based healthcare.
• No Insurance Overhead: Since DPC practices do not involve insurance for primary care services, there's no overhead from dealing with insurance paperwork or processing claims. This reduces administrative costs for both the provider and the patient.
• Fewer Specialist Referrals: DPC physicians typically spend more time with their patients, which can lead to better management of chronic conditions and early detection of health issues. This may reduce the need for specialist referrals and costly procedures.
• Preventive Care: DPC models emphasize preventive care, including regular check-ups, screenings, and lifestyle counseling. By focusing on preventive measures, patients may avoid more serious health issues that could result in expensive treatments or hospitalizations.
• Cost-Effective Lab Tests and Medications: Many DPC practices negotiate discounted rates for laboratory tests, imaging, and medications, passing the savings directly to patients. Additionally, DPC physicians often have more flexibility in prescribing generic medications or finding affordable alternatives.
• Lower Insurance Premiums: Some patients may pair a high-deductible health insurance plan with a DPC model. These plans typically have lower monthly premiums, as the DPC membership fee covers the primary care services. This can result in overall savings, especially for individuals or families who don't require frequent medical care.
• Reduced Emergency Room Visits: Access to timely and comprehensive primary care in a DPC model may reduce emergency room visits for non-emergency issues, resulting in significant cost savings.

While the savings can vary depending on individual circumstances, a DPC model can provide cost-effective, high-quality healthcare for many patients compared to traditional insurance-based healthcare.

Should I join a DPC if I'm healthy?

Yes, opting for a Direct Primary Care (DPC) model, even if you're healthy, can be beneficial. Here's why:

• Cost-Effectiveness: DPC typically offers flat monthly or annual fees for unlimited primary care services. Even if you're healthy and don't anticipate frequent visits to the doctor, the predictable cost structure of DPC can still be advantageous. Knowing that you can access comprehensive primary care without worrying about copays or unexpected medical bills provides peace of mind.
• Preventive Care: Regular check-ups and preventive care are essential for maintaining good health. In a DPC model, you're encouraged to visit your primary care physician for routine screenings, vaccinations, and health assessments, which can help detect potential health issues early on, even if you feel healthy.
• Personalized Attention: DPC practices often have fewer patients per physician, allowing for more time and attention during appointments. This means you can build a stronger relationship with your doctor, discuss any health concerns or lifestyle changes, and receive personalized advice on maintaining your health and well-being.
• Convenience: DPC practices typically offer extended office hours, same-day or next-day appointments, and various communication channels such as email or telemedicine consultations. This convenience makes seeking medical advice or assistance when needed, even for minor issues or questions easier.
• Healthcare Navigation: Even if you're healthy now, navigating the healthcare system can be complex and overwhelming. In a DPC model, your primary care physician can be your advocate and guide, helping you make informed decisions about specialists, tests, or treatments if needed.
• Support for Lifestyle Changes: Whether you're looking to improve your diet, start an exercise routine, or manage stress, a DPC physician can offer guidance and support to help you achieve your health goals. They can work with you to develop personalized plans and provide ongoing encouragement and accountability.

In summary, choosing a Direct Primary Care model, even when you're healthy, can provide cost-effective, preventive-focused, and personalized healthcare that supports your overall well-being and helps you maintain good health for the long term.