“DIRECT PRIMARY CARE (DPC) IS A PRACTICE AND PAYMENT MODEL WHERE PATIENTS/CONSUMERS PAY THEIR PHYSICIAN OR PRACTICE DIRECTLY IN THE FORM OF PERIODIC PAYMENTS FOR A DEFINED SET OF PRIMARY CARE SERVICES.”
Direct Primary care is health care between a patient and his/her provider, without insurance in the middle of the relationship. Monthly payments replace fee-for-service billing to third party insurance plans.
For providers, this revenue model can stabilize practice finances, allowing the provider and staff to focus on the needs of the patient instead of focusing on coding and billing for insurance companies.
Ideally, the DPC model is structured to emphasize and prioritize the intrinsic power of the relationship between a patient and his/her provider. This can improve individuals' health and lower overall health care costs.
The DPC contract fee structure can enable providers to spend more time with their patients, both in face-to-face visits/video, and through telephonic or electronic communications since they are not bound by insurance reimbursement restrictions.
*We are not able to offer Direct Primary Care to individuals residing in West Virginia, Arkansas and Oregon
TRADITIONAL PRIMARY CARE DELIVERY
Bill insurance for every visit, procedure, test, lab, medication, etc.
Co-pays, deductibles, co-insurance
Short visits
Frequently experience prolonged wait times for visits
Often have slow communication response tie
Busy provider, patient can be shuffled between multiple providers
Insurance and government dictated services
Expensive
Average provider panel size 2,300 patients
DIRECT PRIMARY CARE DELIVERY
Monthly predictable defined payment regardless the number of visits
No- copay
Extended visits
Often same or next day appointments
Access to provider through visits, phone, email and often text
Continuous relationship with one provider of your choice
Provider directed services with patient input
Affordable and cost effective
Average provider panel size 345 patients
DIRECT PRIMARY CARE IS NOT INSURANCE, IT IS A METHOD FOR DELIVERING PRIMARY CARE DELIVERY.
*Direct Primary Care Members do not pay for visits, all services are included in monthly cost
One time enrollment fee: $100
$35/month
Kids 17 and younger
$65/month
Young adults (18-30 years)
$75/month
Adults (31-64 years)
$85/month
Older adults (65 and older)
$300/month
Family (max. for 2 generation household)
Benefits
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