Frequently Asked Questions
WHAT IS DIRECT PRIMARY CARE?
DPC is a physician driven movement to bring back “real” medicine…the way it used to be…and needs to be. It is a membership-based model of care that allows for more personalized, accessible, affordable care. By removing insurance processing from Primary Care, the overhead is lowered, allowing Drs. Downey and Tiwari the time to focus on what matters…the patient.
WHY A DPC DOCTOR?
If you are tired of long waits to see your Physician, and then have limited time to discuss your health concerns…then you will love and value the DPC model. The DPC works well with all situations…including those with high deductible insurance policies, businesses, Health Shares, uninsured as well as Medicare/Medicaid. DPC works with you to keep out of pocket costs low by providing comprehensive medical care, low cost medications, low cost lab tests…thus reducing the need for outside specialists, unnecessary testing, However, when needed, you can always use your insurance for labs, imaging, specialists, etc.
WHAT IS INCLUDED WITH MEMBERSHIP?
-DPC membership includes as many visits as needed with your physician to manage your medical issues, as well as annual wellness visits, well child visits, physicals and GYN services.
-Direct access to your personal physician by phone, email, text or tele-med during and after hours (*for urgent issues).
-Same day or next day appointments for urgent issues, and minimal wait for routine issues,
-In house Pharmacy for select medications/supplements, available at significantly reduced prices,.
-In house lab services at markedly reduced labs costs. (typically >75% less than the cost of insurance paid labs)
-Assistance in finding the lowest discounted rates for imaging, procedures and specialists.
IS THIS HEALTH INSURANCE?
No. CDPC recommends that all patients continue to have insurance to provide financial help in case of hospitalization, accident or referral to a specialist. However, pairing a higher deductible health insurance plan or Health Share with the DPC model, can offer significant cost savings while providing excellent primary care services, that works to keep you out of the ER/Urgent Care and Hospital.
CAN I STILL USE MY INSURANCE?
YES…for any labs, imaging, specialist, ER or hospital visit.
CAN I USE DPC FOR MY EMPLOYEES?
DPC is a great lower cost way to offer a fantastic benefit to your employees. Please email Dr. Downey directly for business rates based on number of employees. The cost of employees’ memberships, if paid by an employer, may be tax-deductible (please consult your accountant). .
I HAVE MEDICARE/MEDICAID/PRIVATE INSURANCE…HOW DOES THAT WORK?
You can absolutely continue to use your insurance/Medicare/Medicaid for any eligible labs, prescriptions, imaging, specialist consults that the Doctors refers/orders for you. You can also use it for any ER visits and hospitalizations that are eligible.
WHAT ARE YOUR TERMS AND CONDITIONS?
CDPC does not hold anyone to a contract, and you can cancel at any time after a 4 month initial membership.
ARE THERE ANY ADDITIONAL FEES?
1. There is a one time $95 dollar sign on fee.
2. In house lab draws have a collection processing fee of $5.00 per draw
3. In house rapid lab testing for Flu/Covid/Strep have an add on charge of $5 to $25 dollars
4. Lacerations/suturing: There is a $15 Suture kit fee
5. In house medications to manage acute Asthma/infections/lacerations: From $5 to $25
6. EKG’s: Flat rate of $25
7. Skin Biopsies: $50 fee per lesion
8. OMT services: OMT services are not included in the Membership except at the discretion of Dr. Downey. Members are charged $60/30 minutes.