Direct Care

Simplified Primary Care

Introducing Direct Care from Primary Partners

Direct Care is a membership model that enables patients to obtain complete Primary Care for one low monthly recurring membership fee. Patients get unlimited access to their personal Primary Care Provider. It is a direct patient – physician relationship with a focus on patients’ health and wellness. Now you can receive all the perks of Direct Care from our integrated group of high performing, independent, and primary care physicians. We are dedicated to providing quality, coordinated care, creating a positive patient experience and improved health outcomes, while reducing growth in healthcare expenditures.

For Patients

Benefits of a Direct Care Model

  • A direct relationship between the patient and their primary care doctor with a common objective of health and wellness
  • A relationship without any insurance transactions or third party in the middle
  • No office visit fees, co-pays or deductibles to pay for primary care
  • A partnership based on a fixed monthly subscription fee paid by the patient in return for unlimited access to their primary care provider
  • Enhanced accessibility through phone visits, and secured messaging via your own Secured Portal Account.
  • Discounted cash prices for Labs and Radiology tests

Frequently Asked Questions

  • What is Direct Primary Care?

    Direct Primary Care is a membership model of healthcare where a monthly fee allows patients to receive unlimited office visits, email, phone or secure messaging contact with your primary care doctor. Its objective is to provide comprehensive medical care for all your primary care needs with minimal barriers to access, while promoting a long standing, trusted relationship between you and your doctor at an affordable, predictable cost!

  • How is Direct Care different from Concierge Care?

    Concierge practices typically charge a high retainer and would also bill insurance for visits that are delivered. Direct Care model typically has a lower monthly fee for unlimited visits, does not require a retainer and will not bill insurance for visits.

  • What are some benefits of a membership?

    You have unlimited office visits at no additional cost. Typically your office visit can be scheduled the same day or next day. You can contact your doctor at anytime by phone or secured messaging.

  • Will I have to pay a copay for my visits?

    Your membership covers all your visits including your office visits. There are no co-pays or deductibles.

  • Are there any exclusions for pre-existing conditions?

    There are no pre-existing condition exclusions and there are no increases in the membership fee based upon prior health history. In fact, patients with chronic medical conditions stand to benefit the most from a direct primary care membership.

  • What services are excluded from the membership fee?

    The membership gives you access to discounted prices for labs, pathology for PAP smears, skin biopsies, vaccines, etc. You will be referred to a cost effective imaging center for x-rays and advanced imaging.

  • How does this help me save money?

    You won't have to pay a co-pay for office visits or routine physicals. You may also be able to reduce office visits by having many of your concerns addressed by sending your questions directly to your doctor via secure messaging or calling the office.

    Many patients carry some traditional form of insurance that has high premium costs. By switching to high deductible plans, patient’s savings on premium are often much more than the cost of membership and premium on high deductible plan that help cover catastrophic and high cost events.

  • What happens if I go to the hospital or need to see a specialist?

    Should you require hospital admission, your physician will be glad to recommend some facilities to you. If you have insurance, the hospital will bill your insurance. Your provider will also coordinate your referral to a specialist that offers direct care services or that accepts your insurance.

  • What if I need medical attention while I’m away from home?

    In the age of technology, many conditions can be diagnosed and treated via a simple conversation by phone or email. If appropriate, your doctor will locate the nearest pharmacy and order medication most suited for your circumstance.

  • Can I add my family to the membership?

    Yes you can add your family members subject to the age of the patients the physician sees. You can also qualify for a discount by adding your family members.

  • Should I keep my health insurance?

    Yes. Direct Primary Care is NOT insurance. While your membership includes access to a discounted cash pricing network of specialists, labs and imaging, you should have an option for reimbursement of expenses due to a catastrophic medical issue.

    It is recommended that patients continue to carry a medical plan or a health savings account. Bills for care provided by specialist or hospital bills for a serious illness or an accident are generally too large for patient to cover on their own. Health insurance ensures financial help should hospitalization or referral to a specialist be necessary.

  • Can a person covered under any insurance join the Direct Care program?

    This program is open to patients covered by any insurance except patients covered under Medicare, Medicaid or other government healthcare programs.

  • How do I become a member?

    Click on "Start Your Enrollment" below and provide the requested information to begin the process. If you have any questions, please contact us at direct.care@primarypartners.org.

Enroll Now for Patients

To start the enrollment process click the button below and provide us the requested information.

For Practices

Why Primary Partners?

Primary Partners is an integrated group of high performing, independent, primary care physicians participating in various value based contracts. We are dedicated to providing quality, coordinated care, creating a positive patient experience and improved health outcomes, while reducing growth in healthcare expenditures. We support physicians in maintaining independent practices.

What is Direct Care?

Direct Care is a membership model where a practice offers patients a full range of primary care services, including routine care, regular checkups, preventive care and care coordination for a flat monthly recurring fee. The services are provided under a membership contract.

Why Direct Care?

The Direct Care model enables a provider to:

  • Increase patient engagement because patient is invested
  • Improve outcomes due to patient engagement
  • Reduce cost with real care coordination
  • Build trusting relationship by providing 24/7 access
  • Reduce overheads by reducing insurance claims submission and rejections
  • Less administrative burden due to reduced insurance compliance for claims approval
  • Increase cash flow with monthly recurring membership fees
  • Receive appropriate compensation for all primary care services provided by you and not just for care provided during office visit

We can help!

  • Complete program roll out and management
  • Membership management that includes:
    • New Member enrollment
    • Management of membership roster
    • Collection of monthly membership dues
  • Minimal management fee

Frequently Asked Questions

  • What will the monthly membership typically cover?
    • Annual wellness evaluation
    • Unlimited office visits, phone, email, text, etc.
    • Most services typically offered in office by a primary care provider
  • What are some other benefits of the Direct Care model?

    One of the best aspects of the Direct Care model is that the monthly membership fee model can greatly simplify the business of operating a medical practice and reduce operating cost due to reduced need for staff to review, file and manage payment claims. Practices that choose to continue participating in insurance carrier contracts have greater freedom to participate in insurance contracts that are economically beneficial for the practice and its patients. Further, the simplification of practice administration and billing processes has resulted in an improved work-life balance for Direct Care providers.

  • How does Direct Care differ from traditional primary care?

    The regular and recurring revenue generated by the monthly membership fees allows Direct Care providers to overcome some of the pressures associated with the traditional FFS payment system, such as the number of patients they need to see per day. Many Direct Care physicians provide a larger array of non-face-to face services, such as tele-visits or e-visits, for their patients, to ensure primary care services can be accessed in a manner most convenient for patients and their families.

    • Ability to remain independent and have greater practice autonomy
    • Enduring and trusting patient relationships
    • No insurance coding or claims for Direct Care patients
    • More time for personal life and less time coding or charting after hours
    • Reduced practice overhead that makes financial viability much better for even solo physicians
  • How is Direct Care different from Concierge Care?

    Concierge practices typically charge a high retainer and would also bill insurance for visits that are delivered. Direct Care model typically has a lower monthly fee for unlimited visits, does not require a retainer and will not bill insurance for visits.

  • How will the Direct Care model affect my current insurance contracts?

    Direct Care practices can choose whether to continue to participate in insurance carrier contracts. Some Direct Care practices, do choose to continue participating in a smaller number of insurance plan contracts. In which case the practice can now choose the insurance plan contracts that are most favorable for them based on payment rates, timeliness of processing claims and number of patients under each insurance carrier.

    This program is NOT to be offered to patients covered under Medicare, Medicaid or other government healthcare programs.

  • How will the Direct Care model affect my patients?

    Patients do not deal with co-pays and deductibles. They pay a recurring monthly membership fee for comprehensive primary care including unlimited visits.

    Direct Care leads to a better relationship with their provider and a higher rate of patient satisfaction. The model empowers patients to access care in a manner that fits their needs. Most providers give patients a means to contact their provider 24/7.

Learn More + Enroll

Interested in participating or learning more about the program?
Click on the button below to provide your practice information for a program specialist to contact you.