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"What is that?"
“A DPC practice must be a primary care practice that (1) charges a periodic fee for services, (2) does not bill any third parties on a fee-for-service basis, and (3) any per-visit charges are less than the monthly equivalent of the periodic fee.” -Eskew
"Ohh, like concierge medicine."
"But I have great insurance."
"But I have medicare."
"But I'm healthy."
The “Membership Fee”. In concierge practices, the membership fee is traditionally an annual fee; In DPC, your membership fee is traditionally a fee charged monthly, quarterly, or annually.
Average Membership Cost. Concierge doctors often charge more in annual fees than the average DPC doctor. Although the average fee is around $1,800 a year, some concierge practices charge as much as $25,000 annually! DPC fees typically range from $600 to $1,500 per year.
Insurance. Generally, concierge doctors also accept insurance; in addition to the annual fee, they bill insurance for each patient encounter. This means that patients may get “surprise bills” several months later after insurance pays their portion (of an amount typically not revealed to you until you get your bill). With DPC, insurance is not billed.
Copays. With concierge, because they accept and bill insurance, they are required to collect copays at each visit. DPC clinics do not bill insurance, so there are no required copays for each visit.
Patient panel size. Both concierge and DPC traditionally maintain a patient panel of 600 patients or less. This enables both provider types to have longer, more in-depth appointments with their patients, and a deeper, more satisfying relationship between doctor and patient.
Insurance Regulation. Because concierge doctors typically bill insurance, they are held to several insurance regulations including MACRA/MIPS and other documentation requirements. Since DPC does not bill insurance, they are not required to follow these regulations, enabling the physician to document more efficiently and not waste their time with checkbox documentation.
Office overhead costs. Concierge physicians typically have higher overhead costs, owed in large part to their acceptance of insurance which is required to negotiate insurance contracts, bill insurance, process insurance payments, and then resubmit bills when the insurance fails to pay in a timely fashion (which happens all the time). Since DPC physicians do not bill insurance, they do not require staffing and overhead to manage these revenue cycles, resulting in lower overhead.
20489 State Highway 181, suite A, Fairhope, AL 36532
8249 Gayfer Road Extension,
Fairhope, AL 36532
"How can you do all that by yourself?"
Single:
18-30 y/o : $50/month
31-49 y/o : $75/month
50 + yrs: $120/month
Married:
18-30 y/o : $80/month
31-49 y/o : $125/month
50+yrs : $200/month
Family: Children aged 6-24 can be added for $10/month. A child without a family plan is $50/month
“Health is not valued until sickness comes.” – Thomas Fuller
“Wherever the art of Medicine is loved, there is also a love of Humanity. ”
- Hippocrates
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