Frequently Asked Questions
Direct primary care is an innovative way of managing healthcare. Patients get access to quality, comprehensive care for a low monthly fee. No insurance means no middleman making arbitrary decisions about patients’ care, and instead, doctors can focus patients.
With direct primary care, many issues patients face can be handled via a phone call, text, or email instead of an office visit. With PrimeMD, members have access to their physician after hours via phone and text for any urgent matters that may arise. For example, Dr. Cain will meet her patients at the office, after hours if necessary, to deal with urgent care, such as broken bones or cuts that need stitches.
Having a Direct Primary Care physician is knowing your doctor is there when you need her. By cutting out administrative costs and tasks that inevitably come along with insurance and large healthcare systems, Direct Primary Care doctors have more time to focus on patient care while extending the savings onto you.
Patients with Direct Primary Care providers achieve superior health outcomes , as they have better access to their physicians and comprehensive patient care. They have doctors who know them, their family, and their medical history. A Direct Primary Care doctor is a doctor who can see you when you need to be seen, keeping you healthy and out of urgent care and the emergency department.
At PrimeMD, we have chosen not to accept insurance. We want to focus our time on what is needed by our patients, not on what is required by the insurance companies. Also, forgoing insurance payments allows full physician autonomy in our medical decision making. We can do what is best for your health and wellbeing, not what the insurance company tells us we have to do.
We recommend that one obtains health insurance, if you are able, as a PrimeMD membership is not health insurance. It does not cover hospitalizations, imaging, surgery, emergency department visits, specialty care, and other necessities that may arise.
Prescription medication services are available through PrimeMD. Medications are sold to PrimeMD members at approximately 10% over wholesale cost, to cover the expense of packaging. Many times, it is much cheaper for patients to purchase medications through us than to use their insurance, or they can obtain medications otherwise unobtainable because insurance will not cover them.
For example, even with insurance, the generic version of Zetia, a cholesterol medication, can cost $175 for a 90 day supply. PrimeMD members are able to purchase this for $15 for a 90 day supply, a savings of $160 per 90 days or $640 a year. This savings alone will cover over half of a PrimeMD yearly membership.
In addition to saving them money, obtaining medication through PrimeMD also saves our members time. No more waiting at the pharmacy for medications or refills. No more showing up and having the medication not be ready. When you are sick, you can just go home with your medication from the doctor’s office without having to make an extra stop at the pharmacy.
Having a Direct Primary Care physician helps you stay healthy. Instead of focusing on an illness-based mindset where you wait for something to go wrong before seeking treatment, a Direct Primary Care physician works proactively to help you live a healthy lifestyle. Dr. Cain will help you with preventive care, screening testing, and encourage all-around good health for years to come.