Frequently asked questions
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Direct Primary Care (DPC) is a return to what many would call "old fashioned" medicine. It is a direct financial arrangement between patients and their physician...no insurance companies! By becoming a member, patients receive all the professional services offered by the physician for a monthly (or yearly) subscription fee. As an added bonus, patients receive wholesale prices on lab tests and medications.
As one of the first practices in Maine to adopt the DPC model, we have helped many other practices throughout Maine, New England and the US convert to or adopt the DPC model. Additionally, we have had the privilege of serving as a Founding Member of the New England Direct Primary Care Alliance (and it’s precursor, the Maine Direct Care Network) as well as the Direct Primary Care Alliance. -
Simply put, no. It was not and is not intended to be "insurance" but rather affordable care for the masses.
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None. Membership in a Direct Primary Care (DPC) practice has no impact on the benefits you receive through your insurance plan
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At this time, in and of itself, no. Although the requirements of the Affordable Care Act seem to change daily, Direct Primary Care does not fulfill the requirements currently set forth by the Affordable Care Act. It does, however, reduce out-of- pocket expenses for the most common types of care, such as yearly physicals, routine office visits for illnesses and injuries, lab testing and medications.
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As we strongly recommend that all patients have some sort of catastrophic coverage and we actively recommend the cooperative plans such as as those from Sedera Health, Medi-Share or Samaritan Ministries (to name just a few) which provide catastrophic coverage and are exempt from the penalties associated with the Affordable Care Act.
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The benefits you receive from your insurance company are determined by... well, the insurance company, whose sole purpose is to be profitable. They should honor any lab or diagnostic testing, prescriptions and referrals ordered; however, that doesn't mean that they make it easy for patients and physicians. We encourage all patients to familiarize themselves with their coverage benefits as insurance companies routinely require "prior approval" or "prior authorizations" for routine diagnostic testing and services.
As an alternative, we have partnered with like-minded companies to offer affordable lab testing and medications. We are also building collaborative relationships with multiple specialty physicians to ensure that you can receive the care you require, regardless of the changing insurance company rules.
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Only if your insurance company demands it.
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We are currently adding folks to our waiting list, so please feel free to complete this form to add your name.
The New England Direct Primary Care Alliance as well as the national Direct Primary Care Alliance are great resources for you, your family, friends and other physicians who are interested in learning more
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Annual physical and wellness examination, including a thorough review of dietary and lifestyle, detailed review of preventive healthcare recommendations based on current medical research, and a written, comprehensive plan designed to help you achieve the healthiest state possible
Flat rate $35 charge for office visits (per patient). It doesn't matter if you're scheduling a visit for chronic disease management (e.g., diabetes, hypertension, chronic lung disease, heart disease, obesity, high cholesterol), seeking treatment for an acute illness or injury, undergoing a minor surgical procedure, Osteopathic Manipulative Treatment or all of the above...the rate remains the same $35 per office visit.
Discounts on most medication (as much as 75-90% off pharmacy prices)
Discounts on lab testing (e.g., cholesterol panels, thyroid testing, metabolic panels). For your convenience, lab tests can be drawn in our office and results are typically communicated to you within 48-72 hours either by phone call, email or through our secure texting application
Access to your physician...the same physician, at every visit
Access to your physician after hours and on weekends through a secure texting application.
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Services provided by another physician or healthcare institution, such as hospitalizations, consultations with specialists and imaging studies such as CT scans, X-rays and MRIs.
Legal proceedings. In the rare instances where a service such as a deposition is needed, we are happy to negotiate a special rate with your attorney.
Pregnancy care. We have a devoted package for pregnancy care which, by recent estimation, is 50-75% less than the cost at other offices.
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Individual
Single payment of $1,500 per year or
2 payments of $900 (at 6 month intervals) or
Monthly payment of $175 per month
Family (spouse or significant other and children up to the age of 22
Single payment of $2,000 per year
2 payments of $1,175 (at 6 month intervals)
Monthly payment of $225 per month
Office visit charge of $35
One-time enrollment fee of $99