How Does Direct Primary Care Work?

How Does Direct Primary Care Work?

Direct Primary Care (DPC) gives patients direct access to their family care physician, discounted medication and out-patient services, and many other benefits for a monthly subscription. This article was written in 2021 and describes that time, so please check current public health guidance for anything about COVID-19.

Does Direct Primary Care work?

If you're interested to know how direct primary care works and how different it is from the traditional, insurance-based health care system, here is essential information to keep in mind:

1. Affordable Payment Options:

A Direct Primary Care subscription costs different amounts at different practices. In comparison to concierge medicine, DPC subscriptions tend to be on the more affordable side.

2. Transparent Payment Terms:

Your subscription fee can be settled on a monthly, quarterly, or annual basis, depending on what works best for you. Many patients appreciate direct primary care because they can avail themselves of the services immediately upon subscribing, and they are free to drop out of their subscription anytime.

Direct Primary Care is a refreshing alternative to traditional health insurance. With traditional health insurance, you must pay your deductibles first before you can avail of any services and are required to settle copay fees even after that.

3. Subscription Inclusions:

Any DPC subscription's universal benefit entitles you to is direct, unabridged access to your primary care physician. You are welcome to get in touch with your DPC physician 24/7 via their personal line. DPC subscription includes calls about urgent but non-emergency questions, teleconsultations via call, text messaging, video call, and even same-day or next-day appointments. For emergencies such as chest pain, trouble breathing, signs of stroke, fainting, a severe allergic reaction, or a seizure that does not stop, call 911.

Clinic visits are also unlimited with no copay fees and are more sincere and comprehensive, given that DPC physicians often allot extra time for each patient they see.

4. Added Perks:

Other exclusive perks included in a DPC subscription are heavily discounted lab procedures and out-patient services, as well as medication at wholesale cost.

Some DPC clinics offer routine labs at much lower cash prices than hospital billing, though prices vary by clinic.

5. Long-term Savings:

When it comes to maintenance medication, direct primary care offers so much value in the form of long-term savings, especially for those who have chronic conditions.

Some DPC clinics dispense common generic medicines at wholesale cost, which can be far below typical retail prices.

Direct Primary Care Model

6. Health Insurance Comparison:

Time to settle the myth once and for all: No, your DPC subscription does not replace your health insurance as it only covers primary care/routine care services and not hospitalization services.

The good news? Having a direct primary care subscription enables you to reduce your health insurance to a more affordable plan, one that covers catastrophic expenses, subspecialty services, and hospitalization services only.

7. Third-Party Billers:

True to its name, services incurred within a DPC subscription are to be settled directly between doctor and patient, without any intervention from third-party billers, such as insurance companies and corporate hospitals.

Many patients find relief because direct primary care minimizes interaction between you and your insurance provider. That means no more headaches over rising deductibles, copay fees, and outrageous out-of-pocket expenses that are not covered by your insurance plan.

8. Hassle-Free Appointments:

Unrestricted access to a primary care physician can help an individual's health. The whole idea of contacting your physician is just a phone call away has immensely benefited patients all over America.

Many patients find that easy access to their doctor helps them handle health problems early.

9. Long-Term Health Benefits:

Even more so now, the concept of Direct Primary Care has been a huge help for doctors and patients alike when navigating through the COVID-19 pandemic.

Whether it's explaining to a person with diabetes how much higher their risk of severe COVID-19 is or helping an obese patient through their weight management journey, there is a compassionate doctor-patient relationship nurtured.

The compassionate doctor-patient relationship fostered by Direct Primary Care can support patient satisfaction, medical outcomes, and health care costs.

Our clients have been tremendously appreciative of the service that we provide throughout this pandemic. For instance, our robust data analytics engine helps us identify who the high-risk patients are and allow us to proactively reach out to them. - Dr. Chris Miller, MBA, CEO of Paladina Health, One of the country’s largest Direct Primary Care providers.

10. Patient Satisfaction Survey Results:

A survey reported that patients with a Direct Primary Care subscription were more satisfied with their care than patients in traditional family practice.

Why Direct Primary Care Is Better?

The survey also reported that Direct Primary Care patients were more likely to believe that their doctors take a personal interest in their health care than patients in insurance-based traditional family practice.

More and more subscriptions are also becoming DPC-concierge medicine hybrids. DPC subscription could offer high-value services ordinarily present in a concierge medicine subscription, such as home visits, comprehensive physical exams, and the like. Make sure to check and compare inclusions and perks before finally committing to a subscription that best fits your needs.

Published on: January 28, 2021