FAQ
What is Direct Primary Care?
Direct Primary Care, or DPC, is a model of healthcare that puts patients first by getting rid of the red tape that constrains traditional practices. How? It’s simple: we don’t accept insurance, and, believe it or not, this actually saves you money in the long run, especially if you have a high deductible. For a more complete description click here.
How will this save me money?
You won’t have to pay a co-pay for any office visits, office procedures or physicals. Also you’ll be able to avoid some visits altogether by sending your questions directly via email and text. We can advise you where to get the least expensive labs, medications, blood tests, X-rays, MRI’s and CT’s. If we had contracts with insurance companies, we would be legally obligated to charge higher prices. Most DPC patients find a high-deductible, low-premium insurance plan so they’re covered in the case of a major health issue. Primary care can do a lot, but certainly not everything and is not equivalent to having insurance.
Will I benefit from direct primary care if I don’t require frequent medical attention?
Of course. Everyone benefits from a service tailored directly to them. That’s why we offer truly custom healthcare. We’re here for you if you’re sick or hurt, but we also help you proactively maintain good overall health. Every visit with us will be thorough, relaxed, with time to address your health concerns. The longer you’re our patient, the more we learn about your health and lifestyle, and the better we can help you maintain that health.
Is DPC insurance or does it replace insurance?
DPC is not insurance. It is still important to have insurance for specialist care, emergencies and care not covered by a DPC membership.
Will my insurance pay for DPC membership?
There are at least two insurance companies available in Maine that cover all or part of your DPC membership and the number is likely to grow as the DPC model grows in popularity. Those insurance carriers that cover DPC membership are:
-Mending Health (formerly Taro Health, through coverme.gov)
-Health Access Solutions (not ACA qualified, but covers more than just
catastrophes – I can help you sign up).
How does DPC work with my insurance?
Western Foothills DPC is not in network with any insurance plans, however we work well with your Insurance. We can still order labs, procedures, imaging, consults and medications to be covered by your insurance. Membership in a DPC practice pairs particularly well with high deductible plans.
Can I pay for my DPC membership with my HSA?
Yes! As of January 1st 2026 health savings accounts can be used to pay for direct primary care memberships.
Is this the same as concierge medicine?
The terms are often mistakenly used interchangeably, but they are not the same. Both DPC and concierge practices charge a periodic fee, however, under the concierge model, this fee is usually higher and only gets you access; that is, it doesn’t actually cover any of your care. Instead, a concierge practice still bills insurance for your visits and your co-pay. Under DPC, your visits and other care are included in your fee.