How does DPC work with Insurance?

Monica McKitterick • November 26, 2022

 

Regular health insurance can be more of a hassle than a benefit. Sometimes it doesn't cover everything you need and you may not get the attention and care that you deserve. Additionally, billing and authorizations can get complicated and the network of doctors available is low. This can cause patients to question their healthcare coverage and how they go about receiving care.


DPC is another option that can be utilized for your healthcare needs. DPC, or direct primary care, is a relatively new type of healthcare model that is gaining in popularity across the United States. DPC has many benefits over traditional insurance models, and more and more people are choosing DPC as their preferred way to receive healthcare services. Here are a few pieces of information to note when it comes to DPC and insurance:


  • DPC is a type of healthcare in which patients pay a monthly or annual fee to their primary care provider. In exchange for this fee, patients receive unlimited primary care services, including office visits, lab tests, and x-rays.


  • DPC is often much cheaper than insurance, as there are no insurance premiums, deductibles, or copays. DPC also provides patients with direct access to their primary care providers, which can save time and hassle when trying to schedule appointments. As a patient, you cut out third-party companies and get to connect directly with your provider.


  • When going through insurance, many doctors need to meet a set number of patients per day to make a living. Insurance also makes doctors work on a fee-for-service model, which can incentivize them to order more tests and procedures, even if they aren't necessary. DPC providers don't have to meet these quotas or follow this type of billing model, so they can focus on providing high-quality, individualized care to their patients.


Can I Have Insurance with DPC?


You may be thinking, "What if I already have Insurance? How can DPC help me?" Well, DPC works with your insurance! It provides an opportunity for you to receive unlimited services from your primary care while having backup insurance for anything they may not cover such as specialists or hospitalizations. It's the best of both worlds when it comes to having medical coverage.


You can receive all the benefits of DPC like affordability, attentive care, flexible scheduling, direct and frequent communication, and unlimited services while also knowing that any emergencies that occur are covered too.


How DPC Works with Medicare?


DPC can also work if you have Medicare. DPC practices can choose whether or not they want to opt out of Medicare. If a DPC practice does accept Medicare patients, they will still need to follow all the standard Medicare rules and regulations. This means that DPC practices that accept Medicare will not be able to charge their patients any fees for services that are covered by Medicare.


DPC is a great option for those who are looking for an affordable and direct way to receive healthcare services. DPC works with insurance companies to provide patients with the best possible care. DPC is the future of healthcare, and more and more people are choosing DPC as their preferred way to receive care. If you are thinking about using DPC and wondering more about DPC benefits in Cedar Park TX, reach out to us at Impact Family Wellness. We are a local community-driven Direct Primary Practice that is here to support you through any barriers to affordable health. We treat you how we would want our family treated!

 

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