Frequently Asked Questions

Are you accepting new patients?


Yes! Click here to sign up. Send us a message, or call us to get more information. We are happy to arrange a time to talk by phone, in person, or by video, whatever works for you.




Is Direct Primary Care health insurance?


No. Direct Primary Care is an agreement directly between you and your healthcare provider, via a month-to-month membership, giving you unlimited visits and direct access to your primary care provider. It's like Netflix, but for healthcare.




How much are copays?


$0. We never charge a copay. Your cost of membership covers unlimited monthly visits.




Can a physician assistant really take care of me?


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.




Do I need health insurance to be seen?


No. We take care of you whether you have insurance or not! Although, we do recommend you have a "just in case" health insurance policy in case you need to be hospitalized, have surgery or see a specialist - these are typically called high deductible plans or catastrophic coverage. Many of our patients find our membership pairs well with a high deductible health plan or a health sharing plan.




Will you bill my health insurance?


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, essentially eliminating the middleman, it typically saves you money!




Does direct primary care work with my HSA/FSA?


Anything we order such as: lab work, imaging or medications, can be paid for with your HSA/FSA, cash, or your insurance. Choose whichever makes the most financial sense for you. We have many patients that also use their HSA/FSA for the membership; however, please contact your HSA/FSA vendor or accountant for any questions on allowable reimbursements.




I have Medicare, can I become a member?


Unfortunately, no. At this time we are unable to accept patients who are insured by Medicare. The reasons are complicated and mostly due to Medicare regulations; however, we, along with many other DPC practices, are advocating to see policymakers get this changed. Currently, DPC is one healthcare model that both parties seem to support. For now, please send us a message if you would like to join our Medicare Waiting List.




Why don't you work for a major health system?


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.




Can you take care of me while I'm in the hospital?


Kind of. Your medical care will be directed by the medical providers at the hospital. However, we can absolutely follow along with your care and help you navigate the complex health system. We can help you ask better questions so you can make better decisions.




Does this mean I pay twice for my healthcare?


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 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.




Direct Primary Care sounds too good to be true, is it really legal?


Absolutely! DPC is gaining tremendous momentum and every year more and more patients and providers are choosing Direct Primary Care. Virginia state law now includes provisions for Direct Primary Care and early studies are showing that the DPC model improves patient satisfaction, lowers patient costs, and improves health outcomes. You can learn more about the DPC policy movement here. Send us a message if you're interested in joining the 250,000 patients already enjoying Direct Primary Care.




How do I take the next step?


Become a patient here. Send us a message or give us a call. We want to connect with you, answer your questions, and make sure SMARTYPANTS MEDICINE is a good fit for you.




Where can I learn more about Direct Primary Care?


DPC has been featured in the following publications. Click on the logo or video to link to the source.




Direct Primary Care - isn't it the same as Concierge medicine?


Nope. While Direct Primary Care offers the same personalized and attentive care from your medical provider, the difference is in the payment. Concierge medicine bills your insurance and then charges an additional fee, often called a retainer fee, for this higher level of care. Direct Primary Care services are paid for once by a low monthly fee while giving you unlimited monthly visits and communication.




Is there a long term contract?


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.





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"5 Smart Money Moves for 2019" 
November 27, 2018
"With Direct Primary Care, Health Care Doesn't Have To Be Expensive"
January 31, 2016
"Is Direct Primary Care
a Game Changer?" 
May 22/29, 2018
"Direct primary care can rein in America’s out-of-control healthcare costs" 
December 6, 2018