Questions about Direct Primary Care

Direct Primary Care (DPC) is a simple way to receive comprehensive primary care through one flat monthly fee. In return you get longer appointments, easy access to your care team, and no per-visit insurance billing. It's a return to relationship-based care, with time to get to know you and your health goals.

In a traditional office, the practice bills your insurance for each visit and often cares for a very large number of patients, which is why appointments can be short and hard to book. By keeping our patient panel small, we're able to offer longer appointment times, same-day or next-day access, and direct communication between visits.

No. Both emphasize personalized care and better access to your provider. The difference is how care is delivered: concierge practices generally bill insurance in addition to charging a recurring fee. In Direct Primary Care, one flat monthly fee covers your routine primary care and eliminates insurance billing for office visits, which lets the practice prioritize accessible, relationship-based care. See the full comparison →

No — this is important. DPC is a healthcare model for primary care services; it is not health insurance and does not replace it. It covers your everyday care, not hospital stays, surgeries, specialists, or emergencies. The most common approach is to pair DPC with a catastrophic or high-deductible health plan: your primary care is handled here, while insurance helps cover unexpected major medical expenses.

It can be. Even with excellent coverage, it may still take weeks to get a routine appointment, and visits can feel rushed. DPC complements your health plan with convenient access to your care team, same-day or next-day appointments whenever possible, longer visits, a provider who gets to know you, and easy communication between visits. You continue using your insurance for services outside our practice — specialists, imaging, hospital, and emergency care.

As of January 1, 2026, federal rules allow many people to use HSA funds toward qualifying DPC fees. Because FSA reimbursement rules can vary by employer plan and administrator, we recommend checking with your benefits administrator or tax advisor before using FSA funds.

Yes. When you need care outside our office, you can use your health plan just as you normally would. We can send prescriptions to the pharmacy of your choice and orders to the lab or imaging center you prefer; those third-party providers will bill your insurance for their services. [PLACEHOLDER — confirm whether discounted/wholesale in-house labs & medications are offered, and we'll add member cash-price savings here.]

DPC is a great fit for a wide range of people: those who are self-employed, freelance, or run a small business; anyone without insurance who wants affordable, predictable access to a provider; people who want more time with a provider who will get to know them; and students who want quality care on a semester timeline. If you value easy access and time with your provider, DPC is worth a look.

Currently, we care for adults 18 and older. Pediatric care is something we're excited to offer in the future. If you're interested, join our pediatric interest list and we'll let you know as soon as it's available.

Yes. Medicare patients at Pacora are cared for by Derek Rogoz, PA-C. You'd sign a simple private agreement that neither you nor the practice will bill Medicare for your DPC care, and you keep your Medicare for everything else — specialists, hospital care, labs, and imaging outside our office. If this applies to you, reach out and we'll walk you through exactly how it works. [PLACEHOLDER — confirm Medicare opt-out stance before publishing.]