Direct Primary Care Frequently Asked Questions
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Direct Primary Care, or DPC, is a model of healthcare that puts patients first by getting rid of the red tape that constrains traditional practices. How? It's simple: we don't accept insurance, and – believe it or not – this actually saves you money in the long run.
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You won't have to pay a co-pay for office visits or routine physicals. Also you'll be able to avoid many visits altogether by sending your questions directly to us via email and text – something you won't get from a traditional practice. We've negotiated amazing deals for blood tests, X-rays, and MRI/CT scans on your behalf. If we had contracts with insurance companies, we would be legally obligated to charge higher prices.
More importantly, since you are getting all this amazing care from us, you can cut way back on your insurance premiums. Most DPC patients find a high-deductible, low-premium insurance plan so they're covered in the case of a major health issue. But leave the rest of your healthcare to us.
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Of course. Everyone benefits from a service tailored directly to them. That’s why we offer truly custom healthcare. We’re here for you if you're sick or hurt, but we also help you proactively maintain good overall health. Every visit with us will be thorough, relaxed, and as long as you need to address your health concerns. The longer you're our patient, the more we learn about your health and lifestyle, and the better we can help you maintain that health.
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The fee covers excellent primary care through office visits with no copay. This includes the following: annual wellness exams, sports physicals, school physicals, chronic care office visits, follow-up visits, basic office procedures and treatment of acute illness or minor injuries, all with minimal wait times in the office. The fee also covers direct communications with your doctor: phone, text, video chat or email.
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We treat all kinds of common everyday problems like colds, flu, strep, rashes and injuries. We also treat more complicated long term medical problems like adult diabetes, high blood pressure, high cholesterol and thyroid disorder.
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Having direct access to your doctor will prevent hospitalizations and specialty referrals in many cases. However, when those types of care are required, we will certainly continue to work with your hospitalist, and will work closely with specalists when their expertise is needed to manage your health.
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Yes, for emergent issues. Emergencies include sudden changes in health status for which you need immediate advice. These issues include sudden headache, fever, or non-cardiac pain, or adverse medication effect. In the case of chest pain or stroke-like symptoms, seeking immediate care through the emergency medical system is absolutely imperative. Routine matters, like emergent prescription refills, will not be honored after hours.
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In many cases, matters can be handled with a quick phone or video visit, and medicines can be called into a local pharmacy.
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No, we do not accept insurance reimbursement. Your monthly fee covers the price of the care you will receive. In some cases, you can request a superbill for insurance reimbursement, if necessary.
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Yes. We are happy to see you, and your care with us is not impacted since we don’t bill insurance. However, we do recommend that everyone have insurance for high expense items like hospitalizations, surgeries, and radiologic procedures.
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Yes, it is recommended that you have health insurance for high cost expenses like hospitalizations, surgeries, and complex procedures.
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Yes! We are accepting Medicare patients! Your monthly fee covers all the necessary charges, so we don’t bill Medicare (and we don’t provide superbills for reimbursement, as that is considered “fraud”)
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DPC practices are a legal option under the Affordable Care Act. The best option for many patients may be a high deductible plan coupled with a DPC membership.