How is Direct Primary Care (DPC) differ from traditional primary care?
Under this model, patients pay a low monthly fee in exchange for services. DPC does not bill insurance, which decreases overhead costs and translates into savings for patients. Patients have access to labs, tests, and procedures at extremely reduced prices (50-90% discount). The opportunity to spend more time interacting with patients and providing ongoing follow-up services is at the core of the patient-centered care provided in DPC practice settings. Additionally, many DPC physicians provide a larger array of non-face-to- face services, such as tele-visits or e-visits, for their patients, to ensure primary care services can be accessed in a manner most convenient for patients and their families.
Why would I become a patient of DPC if I already have insurance?
Each copay and office visit adds up. With four visits a year you have paid the same amount as a year of our membership!
It is estimated that patients will pay an average of $2,487 in out-of-pocket costs, such as copayments, coinsurance and deductibles this year. Infact, you may be paying more when you use your insurance and deductibles. Check this out! So, you may SAVE money if you have insurance and join our DPC model!
Will DPC membership fees count as health insurance?
No. DPC membership is not insurance, so you will still need to enroll in an insurance plan for major medical events. We recommends either a catastrophic plan, or a plan with a high deductible.
Do you accept members with existing medical problems?
Yes. Our memberships are not based upon any existing medical issues or conditions.
What if I am healthy and rarely go to the doctor?
Great! As a primary care practice we focus on keeping members well and avoiding lots of "medical" care. Therefore, we can dedicate more time to prevention and lifestyle changes to continue to keep you away from the expensive, cumbersome health care system. However, when you do need care, we are available to help get you back on track; and avoid trips to ER or urgent care.
What if I require a referral or specialist services?
Patients will be referred to specialists as needed for issues that are outside of our scope of practice. We have contacts with specialist who will offer discount fees to our patients. If additional diagnostic studies like radiology are required, patients will be referred to outside facilities which offer discounted prices to our members. We can provide many urgent care and minor emergency services during regular or after-hours (nebulizer treatments, simple sutures, foreign body removal, simple splinting etc.) that can help people avoid a trip to the ER.
Are there any contracts or commitments? What if I decide to cancel?
We do not require members to sign any long term contracts. However, in order to receive all the benefits, active membership is required. If you decide to cancel and have a balance of prepaid membership fees remaining, a pro-rated refund will be given to you based upon date of cancellation.
This plan is not a Health Insurance Plan. You can utilize all the benefits offered at our office under the DPC plan. We recommend that you enroll in a high deductible catastrophic plan for any major events, hospitalizations, surgeries, and specialist visits. Under the DPC plan we cover the primary care needs of our patients which is typically 80% of all health care needs.
Are there any hidden fees?
No. We provide our services to members without any fees at all! We do charge for medications and supplies at wholesale discount rates. We always list prices upfront. If we recommend outside services, we try very hard to find you providers who will also give you upfront discount pricing.
What about lab work and other testing?
All members have access to many basic lab and diagnostic testing (cholesterol, diabetes testing, strep, EKG, urine dipstick, etc.) at wholesale discount pricing (50-90% less than insurance based prices). See some of our prices here. If you require labs not listed, you can contact us for pricing.
When do I pay my fees for medications, labs, etc.?
For any non-covered services such as medications, labs, procedures, etc. full payment is expected at the time of service.
Are you a walk-in clinic? Do I need an appointment?
While we do offer same or next-day appointments to our members, we recommend you schedule all visits.
What type of visits can I do by phone or webcam?
We think of "virtual visits" as a supplement to good primary care - not a replacement for in-person care. Generally if the issue does NOT require a physical exam, a virtual visit is fine. Many chronic issues (e.g. diabetes, hypertension, etc.) can be largely managed by email and virtual visits. However, any issue requiring a physical exam (e.g. coughs, sinus infections, ear infection, new pain, etc.) we will recommend a traditional clinic visit.
Can you do women’s care? pap smears?
Yes. We can provide standard women’s and gynecologic services, including pelvic exams, pap smears, birth control and menopause management. We currently do not offer colposcopy or IUD insertion, but hope to to do so in the future.
Do you give vaccines?
Currently we only stock Td, MMR,TDaP and influenza vaccines. We hope to offer other vaccines in the near future.
How long are doctor visits?
As long as you need! Taking into the consideration the number and complexity of medical issues, most of our clinic visits are scheduled for 20-60 minutes.
Can I really have UNLIMITED visits without co-pays?
What are your regular clinic hours?
Regular clinic hours are 8:30am - 4:30pm, Monday-Friday. However, we can accommodate you by appointment outside of these regular hours.
We are here to provide personalized, affordable, quality care in a timely manner and unhurried setting. All the pricing is transparent, you know upfront what and howmuch your fees are. There are no longterm contracts. We will try our best and go out of our way to help our patients and meet their medical needs.