Freqently Asked Questions
Is direct primary care the same as concierge medicine?
No. Although they are often confused or used interchangeably. Direct primary care (DPC) does not take or bill insurance but is a simple monthly membership fee. Concierge also has a membership fee, typically much higher than DPC, and it bills your insurance.
What does the Primary Care Complete membership include?
Primary Care Complete membership provides you and your family personal access to your physician who knows you and your health needs. Your physician will always return your calls, emails and texts and have same or next day appointments available for urgent health needs. We also offer longer appointment times to address all of your concerns and keep you healthy. Primary Care Complete members have access to their personal doctor after hours by phone or text for urgent needs.
All in office visits such as your comprehensive initial wellness visit, acute care visits, school and sports physicals, and well child and well person visits are included in your Primary Care Complete membership. These visits can include many procedures such as mole and wart removals, joint injections, pulmonary function tests, and many contreception procedures. There are no per-visit fees for Primary Care Complete members.
What does the Telehealth+ membership include?
Telehealth+ membership provides you personal access to your physician who knows you and your health needs. Your physician will always return your calls, emails and texts and have same or next day telehealth appointments available. We also offer longer appointment times over phone, text, or video visit to address all of your concerns and keep you healthy. Telehealth+ members have access to their personal doctor after hours by phone or text for urgent needs.
When you need to see your doctor in the office we offer transparent discounted per visit pricing. We require Telehealth+ to complete a comprehensive initial wellness visit in person, which costs $185 for adults and $50 for children.
What does the comprehensive initial wellness visit entail?
The comprehensive initial wellness visit includes a complete health history, evaluation of your cancer screenings, preventative health activites, and vaccinations, and a thorough physical exam and blood panel. Pap smears are included as indicated. Your doctor will also review all of you current medications and their cost and advise how you may be able to save money on prescription costs. The purpose of this visit is for your doctor to have a complete picture of your current health and to work with you to develop a wellness plan.
Plan for this visit to take 45 minutes. Fair market value for this visit is $750. It is included with Primary Care Complete memberships and costs $185 for adults and $50 for children for our Telehealth+ members. We require Telehealth+ members to schedule this visit within 60 days of joining the practice.
Why should I pay for direct primary care membership if I have insurance?
Membership at Mission Direct Primary Care ensures that you will always be able to see or talk to your personal doctor, who knows you and your health history, when you need them, in the office, on the phone, or by text message, even on nights and weekends when it is an urgent need.
Sadly, insurance coverage does not guarantee care. In the fee-for-service insurance based model the only way a clinic gets paid is by moving through as many appointments as possible. This results in very few same day or next day available appointments for when you are sick or injured and long lead time for the next available appointment. long wait times in the office. This lack of availability often leads to having to see someone who isn’t your doctor and doesn’t know your history, frequently in an expensive urgent care or minute clinic. Often times the cost of having a membership is less than what you will pay in co-pays, per-visit fees, and trips to the urgent care or minute clinic during a year.
There is a better way. Why not spend those healthcare dollars on a practice that provides great primary care and the amazing additional value of having a relationship with your personal doctor who will always call you back on the same day? We built our practice on the foundation that a relationship with your personal doctor who has the access available to see or speak with you when you need them provides the best level of care and value and fundamentally will keep you and your family healthier.
If I enroll in a Mission Direct Primary Care membership do I still need insurance?
Yes. A direct primary care membership is not insurance. We highly recommend that all of our patients have either a high deductible traditional insurance plan, catastrophic coverage, or participate in a health share plan to protect you from the financial risk of a major health event, emergency, or diagnosis. Although an average of 80% of an individual’s healthcare needs can be addressed in a primary care setting- bad things do happen and you should take steps to minimize your financial risks.
Do you accept insurance, medicare, or medicaid?
No, Mission Direct Primary Care does not take or bill any insurance, Tri-care, Medicare, or Medicaid. We are happy to enroll everyone regardless of if they have insurance or not, but you are responsible for paying the membership fees, not your insurer.
Beneficiaries of federal programs must sign an agreement stating that they understand that we do not bill or accept payment from their program and that they are fully responsible for payment of their membership fees.
Are my monthly membership fees eligible for HSA or FSA reimbursement?
This issue is currently being addressed at a federal level by the Primary Care Enhancement Act to help clarify the interpretation of current laws regarding direct primary care (DPC) membership fees. You should consult with your health plan administrator or accountant for guidance on these issues.
What if I need a specialist?
We will coordinate your referral to a specialist in your insurance network. They will bill your insurance. If you choose not to bill insurance, we have a network of specialists we work with who are cash friendly.
What if I need to go to the hospital?
Our program does not cover hospital care. This is why we suggest you look into at least a high deductible health plan (HDHP) for catastrophic coverage for health insurance. Should you require admission to the hospital, our physicians will be glad to coordinate that for you.
It is time to take control of your health!
Primary Care Complete memberships are $99 per month for the first adult, $79 for a spouse or partner, and $39 per child with a family max rate of $299 per month.
Telehealth+ memberships are $55 per month for adults and $39 per month for kids.