What is direct primary care?

Direct primary care is a way to see a regular doctor for a flat monthly fee. You pay the practice directly, usually $50 to $200 a month. In return, you can see your doctor for most everyday care without a bill for each visit.

What the fee usually covers

Every practice sets its own terms, so always check. In general, the monthly fee covers routine visits with your primary care doctor. That includes checkups, care for common illnesses, and help managing long-term conditions such as high blood pressure or diabetes. Many practices also let you reach your doctor by phone, text or video. Some offer lower prices on lab tests and common medicines.

What it does not cover

Direct primary care is not health insurance. It does not pay for emergency room visits, hospital stays, surgery or most specialist care. If you can get coverage for those big costs, it is worth looking into. Our guide on going without insurance explains where to check.

How it differs from concierge medicine

Concierge practices also charge a membership fee. Their fees are often higher, and many of them still bill your insurance for visits. Our directory lists both kinds of practices, so ask each one how it charges.

Who it can help

Direct primary care can help people with no insurance, people whose deductible is too high to use, and people who are self-employed. It can also help anyone who wants a doctor who knows them and is easy to reach. When you can see the same doctor whenever you need to, small problems get treated early. That helps you stay healthy and can lead to better health outcomes over time.

If a monthly fee is more than you can manage, a federally qualified health center (FQHC) may help. These are also called community health centers, and they charge less to people with lower incomes. Our guide on going without insurance explains how to find one.