Software & Soutions FAQ

Patients pay a monthly flat fee for primary medical care, eliminating the coding and billing overhead associated with insurance. This allows easier access and longer appointment times, which empowers physicians to become more involved, and patients to take charge of their own healthcare. Know in advance that everything is covered.
A DPC doctor can afford to provide more personal care, with ongoing follow-up including tele-medicine and email contact outside of office hours. With this more intimate form of care, improved clinical outcomes and better experience of care are common results.
Each practice is independent, so there are slight variations, but all participating practices provide the vast majority of a standard list of primary care services.
Same or next day service is standard.
No, and patients with existing conditions generally benefit the most from DPC practices due to the greater access to their physician and the discounted rates of services.
Patients should have major medical wrap-around insurance for services beyond primary care since they will still be responsible for hospital bills, prescriptions, etc. You may buy lower cost, higher deductible insurance than you currently have. By not accepting or participating in insurance, DPCs can offer wholesale prices on services.
If a patient has insurance (other than an HMO) then the patient's insurance pays the cost of the specialist, hospital, or MRI, etc. just like it normally would. Outside the primary practice, everything works exactly the same for patients.
Specialists are generally not included for free in a DPC membership. However, typically DPC physicians can find local specialists that will offer cash payment discounts for patients without high deductible (or no) insurance. Often the savings are very significant.
The same thing that would happen to someone in a traditional practice model, you can't see your doctor so you usually end up at an urgent care. However, many DPC docs do offer free telemedicine so for something minor they might be able to help long distance.
Yes. Your fees ensure you access to care from the DPC regardless of the insurance plan. However, your managed care company or HMO may refuse to pay for any services or prescriptions not ordered by one of their physicians.
In some cases yes, however we encourage you to talk with your HR department prior to setting aside your funds, due to IRS required documentation that we may not be able to provide, and the clarity of what HSA funds can be applied to.
Yes, you only need to sign a waiver declaring that neither you nor your doctor will directly bill Medicare for our services. Medicare should still pay for any services obtained outside the office according to terms of your Medicare contract.
You can change your doctor whenever you like, however most practices limit changing enrollment in DPC memberships to once per year without facing some penalty.
Second family members (spouses) are at a reduced rate and children are about half as much.
How you pay your primary care doctors does not change your major medical insurance, in fact it improves it since you can see your DPC doctor no matter which insurance plan you have. Your DPC relationship is not influenced by health or illness.
No. Your retainer is not yet defined as a “medical expense” in most states and as such is not deductible. Please discuss with your tax consultant to clarify tax consequences in your particular circumstances.
This has not been a problem for most patients for those who are in medical plans in which out of network providers are allowed to order tests and provide hospital care.

Premium savings can range from 33% to 70% depending on the deductible. Savings on group purchases can further lower the premium based on actual savings after the first year, especially for Employers that self-insure.

Improved access, longer visits and a more personalized doctor relationship lead to fewer hospitalizations, fewer emergency room visits, and less specialty care, all of which are very expensive.

Employers that offer DPC will save on their health care costs. Even the sickest, poorest patients saved Medicaid 25% overall when enrolled in a DPC-like option in Washington State.

If your employer has a DPC plan, select a DPC doctor that is convenient to you.
If your employer does not have a DPC plan, talk to your HR department to contact us about setting one up.
If your employer does not have health insurance, sign up with a DPC doctor located in your area.