‍What Is Direct Primary Care (DPC)?

Direct Primary Care is a membership-based healthcare model where patients pay their primary care provider a flat monthly fee similar to a gym membership for comprehensive primary care services.

Instead of billing insurance for every visit, test, or phone call, DPC practices operate independently of insurance companies, allowing them to focus on what really matters: you and your family’s health.

What the Monthly Membership Usually Covers:

While plans vary by practice, many DPC memberships include:

• Unlimited office visits
• Citas el mismo día o al día siguiente
• Longer, unhurried visits
• Virtual visits, texting, or phone consultations
• Preventive care
• Chronic disease management
• Basic in-office procedures (often at no or very low additional cost)
• Discounted labs and medications

It's a return to relationship-based medicine with no copays, no deductibles, no insurance hassles.

Why Do People Choose DPC?

Firstly, this is a great fit for people who want more time with your doctor. DPC doctors typically keep much smaller patient sets, which means longer appointments, deeper conversations, and personalized care.

Financially, patients see the benefit of predictable billing. There aren’t any surprise bills. No “explanation of benefits” you have to puzzle through later. Just one monthly fee.

With fewer patients and direct communication channels, many clinics offer 24/7 access via phone or text, keeping families out of urgent care for many common issues.

Because doctors can spend more time with each patient, they’re better able to catch issues early and build long-term health plans.

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Does DPC Replace Health Insurance?

DPC is not health insurance nor is it a replacement for it. Think of it as a subscription to your personal primary care team. You still need insurance for:

• Specialist visits
• Emergency care
• Surgery
• Hospitalizations
• Imaging like MRIs or CT scans (some DPC practices offer discounted options, but it's not universal)

The best way to think about it is this:
DPC handles the everyday care. You have insurance for emergencies and it still serves that purpose handling the expensive stuff.

So How Does DPC Work With Insurance?

Even though DPC clinics don’t bill insurance, they work alongside your plan in a complementary way as insurance is used for big, unpredictable costs like hospital visits, specialist referrals, imaging, and surgeries all fall under your insurance plan. Alternatively DPC is for everyday, predictable primary care. All the routine care like checkups, sick visits, and chronic disease management runs through your DPC membership instead of your insurance.

Many DPC patients choose high-deductible or catastrophic insurance plans. Since DPC handles small, day-to-day needs affordably, many families pair DPC with:

• High-deductible health plans (HDHPs)
• Catastrophic plans
• Health-sharing ministries (depending on preferences)

This combination keeps premiums down while maintaining protection for major health events.

Many patients also ask if their Health Savings Accounts (HSAs) can be used for DPS. This is evolving. Regulations have traditionally been restrictive, but recent policy discussions are moving toward allowing DPC memberships to be HSA-eligible. Some services within DPC may qualify, but rules vary so you should always check your specific plan and IRS guidance.

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Is DPC Right for Your Family?

DPC is especially helpful if you want:

• Faster access to a doctor you know
• Transparent costs
• Better chronic care management
• More personalized attention
• Fewer urgent care visits
• A way to supplement a high-deductible insurance plan

Families with children often love it because kids get sick unexpectedly and having direct access to your primary care team makes a world of difference.

Hometown Health is opening in early 2026 in Jefferson City, TN. To learn more about this medical services model or to make an appointment, please visit our website. We are excited to get to know and serve you and your family.