Frequently Asked Questions
ABOUT PRIMARY CARE SERVICES
What's included in my membership?
Most services performed in the clinic are included. Examples of covered items include physical evaluations, EKGs, sutures, foreign body removal, skin tag removal, biopsies, etc. See our Services/Benefits page within the About section for more detail.
What about prescriptions?
This is a huge benefit for members of Direct Primary Care. We are able to offer at-cost medications from whole-sale suppliers, which is often 80-90% cheaper than retail pricing! See the table below for examples of prescription savings.
What about labs?
Labs performed in-house are included (i.e. strep swab, urinalysis, glucose, etc.) We negotiate cash pay prices for labs not done in-clinic which typically make them 75+% cheaper than insurance-billed pricing! See the table below detailing cash-priced labs versus insurance-priced labs.
What about imaging?
We negotiate cash pay prices for imaging which is much cheaper than insurance-based pricing - oftentimes more than 50% cheaper! See the table below detailing cash pricing versus insurance pricing.
What about specialists?
We will refer you to a specialist if the need arises and usually after performing consultation services to prevent any unnecessary visits. Specialty care is currently outside the scope of Direct Primary Care, but there are still times we can help you find more affordable cash pay prices for surgeries and procedures.
Does Direct Primary Care bill health insurance?
No, we do not. This frees us up from cumbersome insurance regulations and allows us to focus on our member's health care, not on insurance reimbursement.
I like your model, but I'm worried about major medical coverage. What would you recommend?
Direct Primary Care pairs well with medical sharing networks like Zion Health, Medishare, Christian Healthcare Ministries, among many others, which typically have much cheaper premiums while having great coverage for major medical claims. However, medical sharing networks don't usually cover primary care services (70-90% of the care you will ever need). Pairing cost-sharing networks with Direct Primary Care can get you an excellent healthcare solution (major medical AND primary care) and still be 20-50% cheaper than most health insurances!
TABLE of savings
A sample of typical savings for those with a DPC membership.
PROCEDURES
INCLUDED
IN – OFFICE
PROCEDURE
CASH PRICE*
------DPC------
LABS
75%+
DISCOUNT
LAB
INSURANCE PRICE
------DPC------
CBC W/ Differential
$38
--------$3.59--------
Comprehensive Metabolic Panel
$49
--------$3.54--------
Thyroid Stimulating Hormone
$109
--------$4.20--------
Prostate Specific Antigen
$114
--------$4.95--------
Vitamin D
$292
---------$15---------
Lipid Panel
$292
--------$4.50--------
Strep A Swab
$40
---------$0---------
Urinalysis
$30
---------$0---------
Acute MEDS
50%+
DISCOUNT
MED
CASH PRICE
------DPC------
Pyridium 200mg, #12
$16.00
----------$3.00----------
Acyclovir 800mg, #100
$51.42
----------$22.00----------
Meloxicam 15mg, #100
$20.00
---------$3.00---------
Amoxicillin/Clav Pot 875/125mg, #20
$14.00
----------$6.00----------
Doxycycline 100mg, #50
$25.00
----------$9.00----------
Budesonide 0.5mg/2ml, #60
$116.00
----------$56.00----------
Prednisone 20mg, #100
$60.00
----------$11.00----------
Z-pack 500mg, #3
$67.99
----------$7.00----------
IMAGING
35%+
DISCOUNT
IMAGING
CASH PRICE
-----DPC-----
Lumbar X-ray
$150
---------$95---------
Cervical X-ray
$150
---------$95---------
Knee X-ray
$150
---------$95---------
Ribs w/Chest X-ray
$150
---------$95---------
Shoulder X-ray
$110
---------$95---------
Wrist X-ray
$110
---------$95---------
Ankle X-ray
$110
---------$95---------
Foot X-ray
$110
---------$95--------