What is Direct Physician Care?
Direct Physician Care is a health care delivery model, approved by the American Medical Association, which emphasizes patient care. DPC gets rid of the time limitations that insurance companies place on physician-patient contact (usually 15 minutes), single subject visits ( only one health concern may be discussed per visit) , unnecessary and redundant forms and other ” red tape” that negatively impacts your patient care. In short DPC puts the patient first in patient care.
The Direct Physician Care model provides freedom for the patient and the physician by allowing the physician to provide personal, patient-centered medical care. DPC allows the physician to treat fewer patients by reducing the costs to the physician required by insurance companies’ many, varied, and unnecessary compliance rules. The reduction in the number of patients results in individualized, comprehensive care, and reliable, timely access to that care.
How does DPC work?
The physicians offering DPC do not accept insurance payments for services. In the case of Partner in Health AZ, this does not apply to Medicare insured patients (excluding all Medicare Advantage Plans). Instead, DPC practices charge a monthly fee which allows the physician to deliver personalized comprehensive medical care.
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DPC Fee Structure
How much does membership cost?
There are two main costs for membership: the one-time enrollment fee, and the monthly membership fee. This membership fee is paid in either one or two payments.
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If you choose to pay the entire amount at once, it is due on January 1st annually.
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If you choose to pay in 2 installments, payments are due on January 1 and on July 1st annually. The membership fee is based on your age at time of enrollment.
The one-time enrollment fee
$125 per individual
$250 per family (2+ people)
Membership Fees:
Individuals:
12-24 years old ($30 per month) $360/year
25 – 49 years old ($55 per month) $660/year
50 years and older ($80 per month) $960/year
Family rates:
Includes two adults 25 years or older, plus one or more family member from 12-24 years: ($160 per month) $1,920/year
Do you accept Medicare?
No, our Medicare patient panel is full and we are no longer accepting patients with Medicare Insurance. Additionally, if you are enrolled in a Medicare plan, you are not eligible to join the DPC membership.
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Direct Physician Care Cost Comparison
Service | Pay Per Service | DPC Member |
---|---|---|
One-time Enrollment Fee | 0 | $125/Patient or $250/Family (2+) |
(plus monthly membership fee) | ||
Sick/Routine Office Visit | 175 | 5 Visits/year no copay |
Annual Wellness Exam | 175 | Included once annually** |
Osteopathic Manipulation | 175 | Included |
Medication Refills | Appointment Required | Included |
Forms – FMLA/Disability/Letters | 50+ Appointment Required | Included |
Email/Cell Phone/Text Dr. T | Not Available | Included |
Patient Communication Portal | Not Available | Included |
Laceration Repairs | 175 | Included |
Minor Skin Procedures | 175 | Included |
Skin Biopsy/Mole Removal** | 175 | Included |
Skin Tag Removal | 175 | Included |
Blood Draw Fee* | 10 | Included |
Urinalysis/Pregnancy Test* | 10 | Included |
Rapid Strep Test | 10 | Included |
EKG* | 50 | Included |
Ear Wax Removal* | 30 | Included |
Albuterol Breathing Treatment* | 20 | Included |
Injections (Kenalog/Toradol)* | 20 | Included |
After Hours Urgent Care Visit | 200 | 50 |
HSA/FSA Payment Accepted | YES | YES |
*An office visit is required for all procedures | ||
**May require additional pathology fee. |