Frequently asked questions
Yes, we're accepting new patients! Click here to join us. We also offer a free 15-minute call to answer your questions and make sure we're a good fit for you.
No, Direct Primary Care isn't health insurance. It's a month-to-month membership directly with us, giving you unlimited visits and direct access to your provider. Think of it like Netflix for healthcare!
Not exactly. While Direct Primary Care offers the same personalized and attentive care from your medical provider, the difference is in the payment model. Concierge medicine usually bills your insurance and then charges an additional fee, often called a retainer fee, for this higher level of care. Direct Primary Care practices do not receive payment from any insurers and instead are reimbursed through low cost, monthly memberships that provide our patients with concierge level care. We are a Direct Primary Care practice - keeping billing simple for everyone.
$0. We never charge copays. By not participating with insurance we can keep things simple. The cost of your membership covers your visits.
Yes! Our providers are licensed and board certified in order to provide you excellent care within their fields. For physician assistants, the "C" in PA-C represents certification. All physician assistants across the country provide care in collaboration with a physician.
No. We take care of you whether you have insurance or not!
We do recommend you have health insurance to cover services not included in your membership including hospital, emergency, and specialty care. Many of our patients find our membership pairs well with a high deductible health plan, a health sharing plan, or other catastrophic coverage options.
We want to keep you as the primary person we work for and serve, so we do not bill insurance. As the old saying goes, "He who has the gold, makes the rules." In this model of healthcare you have the gold, not the insurance company. We know it's hard to believe, but by not using your insurance it typically saves you money!
Yes, you can use your HSA/FSA with Direct Primary Care. Lab work, imaging, and medications can be paid with HSA/FSA, cash, or insurance. Many patients use HSA/FSA for membership, but check with your benefits manager or accountant for details.
We appreciate the hospitals and health systems and the services they provide for our patients; however, they are paid when patients are sick and our goal is to keep patients healthy. We are incentivized by our relationship with you, to provide you excellent, responsive medical care that keeps you healthy.
No. If you have to be admitted to the hospital, your medical care will be directed by the medical professionals at the hospital, called hospitalists. We will coordinate with your hospitalist to ensure a smooth transition of care when you leave the hospital.
At Smartypants Medicine we are trained in prevention and medical care to keep you healthy and out of the hospital. No matter where you find yourself, we can assist you to ask better questions so you can make better medical decisions.
Good question. Interestingly, it's likely you are already "paying twice"- your insurance monthly premium plus your out of pocket costs (what you pay before your insurance kicks-in, like co-pays and co-insurance). If you are like most patients in the US and don't meet your deductible, you could likely save more by switching to a more affordable, less comprehensive insurance plan (think bronze tier, not gold) paired with a DPC membership that provides improved primary care for preventative, routine sick, and chronic care. So, all of this means that for less than the cost of the average cell phone bill you could have first class healthcare, with unrestricted access to your medical provider, improved satisfaction, and actually enjoy your healthcare again.
No. The contract is month to month. You can cancel at any time and there is no cancellation fee. There is no refund for fees already paid. If you want to re-register within the same 12 month period that you cancelled, the re-registration fee changes to $200.
Yes, you can join if you have Medicare! We care for everyone 16 and up. You'll just need to fill out a Medicare waiver stating we won't bill Medicare for our services. Medicare will still cover lab tests, imaging, referrals, medications, and equipment as usual.
DPC has been featured in the following publications (below). Click on the logo or video to link to the source.
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