What Is Direct Primary Care (DPC)?

Direct Primary Care (DPC) is a healthcare model where patients pay a flat monthly fee directly to a primary care provider instead of using traditional insurance. This membership-based approach covers routine visits, preventive care, and some basic medical services without copays or deductibles.

How is DPC different from concierge medicine?

• DPC does not bill insurance, while concierge medicine often charges a membership fee and bills insurance.
• DPC is usually more affordable, but concierge medicine may include extra wellness services.
• Both models prioritize longer visits and direct access to a doctor.

Does Medicare cover Direct Primary Care?

DPC is separate from Medicare, so patients must pay for membership out-of-pocket. However, Medicare still covers specialists, hospital care, and prescriptions, making it essential for major medical expenses.

Pros and cons of DPC

• Predictable costs: Flat fees eliminate surprise bills.
• Better access: Easier scheduling and longer visits.
• Doesn’t cover major medical needs: Hospital stays and specialists still require insurance.
• Limited availability: Not all areas have DPC practices.

How Solace can help

A Solace advocate can help you weigh the benefits of Direct Primary Care, understand how it fits with Medicare or private insurance, and explore other care options if DPC isn't available in your area. If you're considering DPC but have ongoing medical needs, an advocate can also help coordinate care between DPC doctors and specialists covered by Medicare.

What to do next

Considering DPC but unsure how it works with your healthcare? Talk to a Solace advocate today.