Even with insurance, health care can be very costly. With some plans, a couple urgent care visits or a trip to the ER may cost you more than a yearly membership to our office. Imaging and labs are usually cheaper with our negotiated cash prices than with using insurance. Many procedures are included in our membership that would cost money through insurance. But, the biggest reason is so that you can have a doctor with a smaller panel size who is more responsive to your needs and has more time to devote to you specifically with the insurance obstacles removed. This is how primary care was meant to be.
Although there are some similarities, these two models are very different. Concierge practices do involve a monthly membership, but they also charge per visit on top of the monthly membership, often billing insurance. Insurance is not involved with a direct primary care practice and there are no specific fees for communicating with your provider, either through telemedicine or in person. There are no additional fees for each visit like in concierge medicine. Direct primary care is generally much more affordable as well.
Direct Primary Care is not insurance, and it is not a replacement for insuance. It is a membership with a monthly fee that allows access to the benefits of the clinic and your provider. DPC helps solve many of the problems that exist with the traditional fee for service system.
Absolutely! In fact, it is still recommended to have insurance, in case you truly need the emergency room, surgery, hospitalization, cancer care, or some other serious health concern that would require the services outside the scope of the DPC office. .
No, that is not required. However, because life is unpredictable, it is recommended to have at least some form of coverage, even if that is something like a catastrophic policy that would cover big ticket items (eg, surgery, hospitalization, etc). High deductible plans pair very well with DPC.
The answer will depend on the individual insurance. Sometimes they will help pay for things with our order, while other times they won't since we may be an out of network provider. But, most of the time it will be cheaper to pay cash (and not use insurance at all) for these things given the cost savings with our negotiations with the different vendors (labs, imaging, etc).
Please ask your employer benefits manager if they will allow HSA or FSA funds to pay for your membership.
Everyone has the potential to benefit from a DPC membership with Peak Health Primary Care, including:
A lot! Just some examples include: yearly physicals, sick visits and minor injuries, chronic disease management, medical weight loss discussions, lifestyle medicine, and much more!
We are not currently seeing Medicare patients because of certain federal laws, but we plan to in the near future. Medicare patients are welcome to join our Medicare wait list.
The cost of membership is a great value for the access to your doctor that it provides. Check out the pricing section for more details.
Specialists are very valuable, but only when they are truly needed! People are often pleasantly surprised when they find out how many different conditions we can treat in our office and that a specialist is not always required. If you need a specialist, we will gladly work with them to help coordinate your care at no additional cost.
At this time no, but this is something we are looking in to for the future! Most vaccines can be provided for free by your pharmacy.