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 significantly lowered, allowing Dr. Downey the time to focus on you.  

​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 you need with your physician to manage your medical issues, as well as annual wellness 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 markedly reduced labs costs. 
-Assistance in finding the lowest discounted rates for imaging, procedures and specialists. 
 


IS THIS HEALTH INSURANCE?

No.  I recommend 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 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 or hospital visit.  However Dr. Downey is only paid by the monthly membership fee, and is not reimbursed by insurance.  This allows her her to focus on YOU and not insurance paperwork.  However if you belong to an HMO, DPC may not work for your situation. 

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 Dr. Downey refers/orders for you.  You can also use it for any ER visits and hospitalizations that are eligible.