Direct Primary Care

Direct Primary Care is a medical practice model that has transformed healthcare across the country. It is based on the idea that the patient and doctor are a team of equals with the shared focus of helping the patient reach their healthcare goals.

mountain biking man - direct primary care

We want our patients to have a personal relationship with their personal physician.

That’s why at Duke City Health, instead of managing 2,500 or more patients per physician, we limit our practice to only 500. This enables us to spend more quality time with each of our patients and provide a significantly higher level of personalized medical care.

Because we believe that the best medical treatment comes from one-on-one interactions with our patients, we’ve eliminated the intrusive regulations of insurance companies.

As a member of our Direct Primary Care program, you'll enjoy:

Personalized Care Tailored to You

Your physician will know your healthcare story, inside and out.

Same Day Scheduling

Our patients experience little to no wait times to get in to see their doctor.   

Easy Access to Your Physician

We provide you with your doctor’s cell phone number so you can quickly get answers to any healthcare questions you may have.

Inexpensive & Direct Service

We work directly with you instead of hassling with the insurance companies.

Quality Time With Your Doctor

As one of only about 500 patients, you’ll get more time with your physician to have your questions answered and your health concerns addressed. Extended visits of up to an hour are available.   

Monthly Membership Fees

Four membership options are available to our patients. Each option is based on the level of care you would like to receive, and whether you would like to include hormone pellet therapy - also known as bioidentical hormone replacement therapy (BHRT) - as a part of your treatment plan. With no surprise hidden fees or complicated invoices, our fee structure is transparent and easy to understand.

OPTION 1: Monthly Membership with Direct Primary Care and Hormone Pellet Therapy

Individual: $65/month
Couples: $125/month
Family: $130/month (includes parents and dependent children 22 years old and younger)
Single Parent Family: $75/month (includes parents and dependent children 22 years old and younger)

No procedure fee for hormone pelleting. Patients responsible for paying for the pellet cost:
Females – $325
Males – $625/$725

No co-pays, deductibles, or insurance accepted.

Labs: Monthly membership includes one free complete set of labs per year. This lab set includes cholesterol, diabetic screening, hormone labs and basic annual labs.

OPTION 2: Monthly Membership with Direct Primary Care only

Individual: $65/month
Couples: $125/month
Family $135/month (includes parents and 1st child) + $5/month for each additional child (includes dependent children 22 years old and younger)
Single Parent Family $65 + $5/month for each child

No co-pays, No deductibles, No insurance accepted.

Labs: Monthly membership includes one free complete set of labs per year. This lab set includes cholesterol, diabetic screening, hormone labs and basic annual labs.

OPTION 3: Hormone Pellet Therapy Only, No Monthly Membership

1st-time pelleting:
• $100 procedure
• Plus the cost of pelleting (Females – $325, Males – $625/$725)

Repeat pelleting:
•  $75 procedure cost
• Plus the cost of pelleting cost (Females – $325, Males – $625/$725)

No co-pays, deductibles, or insurance accepted.

OPTION 4: No Hormone Pellet Therapy, No Monthly Membership

Single Visit Rate: $200 per visit for non-members.

No co-pays, deductibles, or insurance accepted.

Ready to become a member of our Direct Primary Care program?

Direct Primary Care

Frequently Asked Questions

What is Direct Primary Care?

Direct Primary Care (DPC) is a model of healthcare that puts patients first by getting rid of the red tape that restricts most traditional practices.

Is Concierge Medicine the same as Direct Primary Care?

The terms “Concierge Medicine” and “Direct Primary Care” are often used interchangeably and essentially refer to the same principles.

Direct Primary Care is a healthcare model that focuses on putting the patient first. That means treating them when they need it, not rushing patients through appointments, and being proactive with healthcare treatment plans.

The doctor-patient relationship is just as the name suggests – direct. Direct Primary Care clinics don’t accept insurance; rather they choose to work directly with the patient. Direct Primary Care clinics provide wholesale labs, deeply discounted prescription prices and other costs savings to their patients.

What sets Duke City Health apart from other practices?

In every aspect of family healthcare and custom healthcare, Duke City Health promises accessibility, convenience and affordability. We have returned the Family Medicine practice to the root values of clinical excellence and compassionate care for every patient.

The restrictions that typically leave physicians in traditional healthcare settings buried in paperwork are lifted through the Direct Primary Care model we practice. This allows us to spend our time where it really counts—with patients.

Through our bioidentical hormone therapy program, we are able to treat many of the symptoms of aging with plant-based hormones that act just like the ones your body produced when you were younger.

Will I benefit from Direct Primary Care if I don’t require frequent medical attention?

At Duke City Health, we feel that everyone benefits from a service that is tailored to them. That’s why we offer truly custom healthcare.

Our practice is devoted to the maintenance of your good health, and to the quality of life enhancements that only physical well-being can bring. We’re here to help treat your symptoms, as well as to help you make healthcare choices to maintain your health.

Every visit will be relaxed, thorough, and will address your needs. As your treatment continues, we’ll build a comprehensive, intimate knowledge of your health.

Does Duke City Health accept health insurance?

We do not. Perhaps the most critical distinction in our model of care is that it centers on a direct, personal relationship between you and your doctor. That directness carries over to our business model as well.

While one might need an insurance company to help cover the cost of fixing a damaged fender on your automobile, we see no reason for an insurer to have a voice about the quality or cost of your care.

We forgo insurance payments in order to save our patients from the arbitrary, intrusive decisions that inevitably follow with third-party payors. Furthermore, this direct fee-for-service arrangement frees us from the typical contractual agreements that prevent physicians from offering wholesale prices on laboratory tests, imaging and medications.

As a patient of Duke City Health, will I still need health insurance?

Yes. We recommend our patients continue with a major medical plan with a high deductible and health savings account to ensure financial help should hospitalization or referral to a specialist be necessary.

If I have Medicare, can I still join the Direct Primary Care program?

Yes. You will just need to sign a one-time waiver declaring that neither you or your doctor will directly bill Medicare for our services. Medicare will still cover laboratory testing, imaging, medications, or hospitalizations prescribed by our offices.

Is my membership fee tax deductible?

No. Your retainer is not yet defined as a “medical expense” in most states and as such is not deductible. Please confer with your tax consultant to clarify tax consequences in your particular circumstances.

What happens if I need to go to the hospital or see a specialist?

In providing superb care with unprecedented access, we seek to prevent or reduce hospitalizations and specialty referrals.

In instances where this type of care is required, we will continue to work with your hospitalist, as well as work closely with any specialists during your hospital stay. In some cases, depending on the level of care and expertise required, we may rely on those specialized caregivers to manage your treatment.

Can children become members of Duke City Health?

Yes. We are happy to accept children of our enrolled patients with ages ranging from birth up to 22 years old.

Can I contact my physician after hours? And how?

Yes. Because illness and injury do not respect regular office hours, you may call your physician 24/7. You can also use our secure patient portal to access your medical record and email your physician.

What if I need medical attention while I’m away from home?

We can streamline your care when you’re sick and away from home. Many illnesses can be diagnosed and treated with a simple conversation by phone, email, text or webcam. We’ll also locate the nearest pharmacy and order the medications most appropriate for your circumstances.

Are my medical records ever shared with insurance carriers or pharmaceutical companies?

We maintain scrupulous standards of privacy. We are never obligated to provide any third party with a copy of your records unless you specifically ask that we do so.