Frequently Asked Questions

What is Direct Primary Care?

Direct primary care (DPC) is a healthcare model that prioritizes the doctor-patient relationship. This is a return to the way that medical care used to be where a patient receives personalized care and attention from a trusted physician who knows them. DPC practices do not bill insurance and therefore can offer more affordable (no insurance price inflation) and transparent pricing for services, as well as greater flexibility in scheduling appointments and accessing care. The direct primary care model can help reduce overall healthcare costs by focusing on preventive care and avoiding unnecessary visits to specialists or emergency rooms. DPC allows for comprehensive, personalized care and services for a low monthly membership fee.

Why Pay for a Membership Model?

This model gives direct access to your child’s pediatrician and allows for personalized care that will help your child thrive and reach their healthiest potential. The transparent, fixed pricing allows members to budget their healthcare finances without worrying about unexpected copays, surprise bills or hidden fees. You will receive the highest quality pediatric care for all of your needs, both anticipated and unexpected needs.

What is included with my membership?

Well Child Visits (Check-ups)
Unlimited Acute Care Visits (Sick Visits)-same day, next-day, texts, video visits
Home Visits for newborns
Direct Access to your pediatrician- you will have your pediatrician’s cell phone number and email for access when you need them
In-office testing and screening- strep tests, flu tests, COVID tests, urine analysis, hemoglobin testing, vision & hearing screens; routine screening for development, anxiety, depression
Vaccine administration (our partner Vaxcare bills insurance for vaccines); parents and family members are also able to receive vaccinations
Common Prescription Medications are provided in the office, no need to take your child to the pharmacy (additional discounted medication fee may apply)
School/Sports/Camp/Drivers Forms completed whenever you need them
Management of minor trauma and injuries (glue, staples, stitches, splinting)
Management of chronic conditions: asthma, ADHD, anxiety, depression
Care Coordination with specialists, hospital systems, emergency care (discounted direct remote consults with specialists that saves time and reduces the cost of in-person consults)

How do I pay for my membership? Can I use a Health Savings Account( HSA) or Flexible Spending Account (FSA)?

Membership fees are charged monthly to a checking account or credit card. You may be able to use your Health Savings Account or Flexible Spending Account to pay for your monthly membership. However, every HSA and FSA plan has different rules, so we suggest you contact your plan to confirm this.

Do you take insurance?

The Direct Primary Care model does not bill insurance. This allows for us to provide comprehensive, personalized care without being subject to insurance company regulations that can limit the ability to provide your child the care that they deserve. We can provide the highest level of care without limitations.

We do recommend that patients maintain health insurance for catastrophic life events, hospitalizations, vaccinations, diagnostic testing, and other expensive unexpected health needs. Many patients with high deductible plans have coverage for the larger expenses, but are still paying out-of-pocket for the vast majority of their annual healthcare. Our monthly membership allows you to receive many more services, direct access, and personalized care for one transparent monthly fee.

What is not included in my membership?

Anything not listed in the member benefits which may include medications, payment for vaccine from our partner Vaxcare, diagnostic testing (lab and imaging tests), ear piercing, specialist visits, emergency room visits, and hospitalizations.

How do you handle vaccines?

We partner with Vaxcare to provide your child with recommended vaccines. Vaxcare supplies the vaccines, we administer the vaccines, and then Vaxcare will submit a bill to the health insurance company for you. We practice evidence based medicine and recommend vaccinations as per the American Academy of Pediatrics and CDC vaccine schedule. We do not recommend a modified, delayed, or no-vaccination schedule. If you have any questions about the vaccine schedule or the safety of vaccines, we would be happy to meet with you to answer all of your questions.