Our members are encouraged to maintain a health coverage policy to protect their finances in the event of expensive, unplanned events such as visits to the emergency room or admission to the hospital.

A growing number of insurers and non-insurance health share plans are recognizing the value of access to a DPC physician due to the reduced rates at which their members end up in the ER or hospital. Some of these companies now offer healthcare policy discounts when they are paired with a DPC membership.

DPC clinics do not bill insurance, and our members are not able to submit their membership fees as claims to insurance for reimbursement.

However, members are still able to submit insurance claims for referrals to specialists and for orders such as imaging, labs, and durable medical equipment.

Medicare can provide great coverage for many situations. Unfortunately, coverage for healthcare is not the same thing as access to healthcare.

When you combine a DPC membership with Medicare, you get remarkably fast and easy access to a physician who can take care of a large portion of your medical needs, and your Medicare can still be used to cover specialist referrals and other services that are not covered by your DPC membership.

Additionally, Medicare reimbursement rules change all the time, and this drives clinicians to do things that are not always in the best interest of their patients.

When reimbursement rates are threatened by Medicare rule changes, the trend is for corporate-owned clinics to find more numerous and creative ways to bill Medicare.

This creates a conflict of interest, in that clinics are incentivized to engage in activities that increase revenue from Medicare but might not actually improve patient health.

This can cost patients in both time and in co-pays, and it undermines the doctor-patient relationship. DPC cuts out this conflict of interest so that you only participate in medically appropriate activities instead of profit-maximizing ones.