Direct Primary Care

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Affordable and accessible care when you need it

For members looking for a simpler, more affordable way to manage their health - Direct Primary Care (DPC) programs offer an innovative alternative to traditional healthcare by focusing on providing enhanced access to their doctor. With low monthly fees, easy access to care and a greater focus on prevention, DPC empowers you to take control of your health with less hassle and more peace of mind.

Premier Health Solutions remains committed to staying on the forefront of progressive solutions to today's health care challenges. Although not insurance, DPC programs are designed to complement traditional plans or function as a stand-alone option for everyday care.

Direct Primary Care programs can help members who:

  • Have a high-deductible health plan
  • Are uninsured or between jobs
  • Are small business owners or employees
  • Are seeking more personal, proactive care
  • Need additional access to doctor office visits
  • Travel with work and need virtual care options

Direct Primary Care programs include features like:

  • Concierge-style appointment setting
  • Unlimited primary care and urgent care visits
  • Flat fees for visits
  • No insurance paperwork or hassle
  • Virtual care options available for convenience
  • Chronic disease management for a flat fee for select diseases

Premier Health Solutions specializes in creating and managing Direct Primary Care (DPC) programs that prioritize quality, access, and simplicity.

With industry-leading partners in the DPC space, expertise in benefit integration, and member engagement, we deliver turnkey DPC solutions that meet the needs of small businesses, associations, and individuals alike. Our programs are built for impact—offering members personalized, accessible care while helping partners reduce costs and improve overall health outcomes.

Frequently Asked Questions About Direct Primary Care

Confused about how DPC programs can help members? Here are some of the most commonly asked questions.

Is Direct Primary Care an Insurance Product?

No, Direct Primary Care programs are not insurance. DPC uses a membership payment model – an innovative alternative payment model that consists of a flat and affordable membership fee.

This membership provides unlimited access to health care services provided by a DPC provider's Physician Network but does not include coverages such as hospitalization or critical illness.

Does Direct Primary Care cover hospital care or specialty care?

Direct Primary Care memberships do not include inpatient or outpatient hospital services. While some accept disease states within manageable ranges, they do not provide specialty care outside of partner-physician clinics. If a member currently sees a specialist for an advanced disease state, it is not recommended to leave that specialist.

How do you use a DPC program?

The first step is always to call the dedicated concierge phone line. Based on symptoms and urgency, the team will provide direct primary care options of either a virtual consult or an in-office appointment within the network of providers through the Direct Primary Care program.

The concierge team will schedule the appointment and let the member know about the details. Members are responsible for the visit fees associated with their care at the time of the appointment.

The network physician will treat the member during the appointment and prescribe generic medication if needed.

Does a DPC program work with traditional health insurance?

Direct Primary Care is a great complement to traditional insurance healthcare plans. Through Direct Primary Care’s alternative payment model, all services offered by the membership are deflected from the insurance plan.

With virtual care services and unlimited physician visits, this can help reduce the out-of-pocket costs associated with a traditional health plan. And if you have a high deductible associated with a traditional health plan, no need to wait to satisfy that deductible before visiting a doctor when you have a DPC plan.

Do Direct Primary Care Programs Provide 1095 Forms?

No, Direct Primary Care (DPC) programs generally do not provide 1095 tax forms because they are not considered insurance or Minimum Essential Coverage (MEC) under the Affordable Care Act. DPC is a medical service contract, not a health insurance plan. 

Find Out More About Direct Primary Care Programs

At Premier Health Solutions, we believe in doing things the right way - for our customers and for your members.

Our leadership team brings decades of real-world experience, having spent their careers helping people navigate the complexities of health care solutions. That experience, along with our commitment to honest, dependable service, is what’s helped us build strong relationships and a reputation we’re proud of.

From day-to-day administration and billing to full agency support, we’re with you every step of the way. If you’d like to learn more about our Direct Primary Care options at Premier Health Solutions, give us a call at (214) 436-8000 - we’d love to talk.