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Direct Primary Care
Of Boca Raton
Frequently Asked

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Direct Primary Care of Boca Raton uses an innovative model where providers are paid directly by their patients, rather than through governmental payers or insurance companies. Basically, we’re cutting out the middle man, along with the hassles. This model of health care is rapidly growing and we are excited to be the first Family DPC clinic in Palm Beach County.  DPC is reminiscent of the provider-patient relationship from times gone by, when providers didn’t have thousands of patients, had plenty of time to spend with you, and you didn’t have to wait weeks for your appointment.  Cutting out all the middlemen and red tape increases the provider’s and the patient’s satisfaction, and dramatically cuts costs.

You can expect shorter wait times, longer appointments, and 24/7 access to your provider. No more rushed visits or waiting weeks for an appointment. You can contact your provider via phone, social media, e­mail, and text messaging day or night. Members have access to labs, medications, and imaging prices that are 80-90% less than insurance costs.

All patients are encouraged to have at least major medical insurance coverage. The ACA legislation does exempt patients from the underinsured/non­insured tax if you have major medical/catastrophic coverage and a provider on retainer, which is what you will get with Direct Primary Care of Boca Raton.

One way to save money on your healthcare is by getting insurance with low premiums and high deductibles.  DPC Boca strives to eliminate insurance claims.  Let’s say you need some routine lab tests.  Why pay $200 toward a deductible you’re unlikely to meet when you can get the same tests through DPC Boca for $15 in cash?
Medical Cost Sharing groups such as Sedera Health and Zion Health offer substantial discounts for members of Direct Primary Care. Medical cost sharing is typically a fraction of insurance costs.
Karen Torsoe- 845-641-9123 is an Independent healthshare advisor who works with both Sedera and Zion Health and is a resource for us. She offers our patients personal care in evaluating if these options, as well as enrollment.

In some cases, you can submit a receipt for your membership fees or lab/medication costs.  Some insurance companies will apply these payments toward a deductible.

The law currently allows the use of HSA money to pay for medications, imaging tests, labs, etc.  However, it is legally unclear if HSA funds can be used to pay for DPC membership fees.  This is a question for your tax professional. Legislation has been proposed to clear up the question regarding if HSA money can be spent on a provider’s retainer or membership fee.

Our monthy membership fees are based on the patient’s age. In addition to low monthly membership fees, we have an on-­site wholesale pharmacy which saves our patients significantly on prescription costs.  In some cases, our patients have found that their prescription savings are greater than their membership fee.  Patients will be offered wholesale cash prices on lab tests as well, and we currently have contracts for access to discount radiological services such as X­-Rays, CT scans, MRI’s and mammograms. We are always seeking ways to reduce costs for our patients and are continually negotiating bottom dollar cost for high quality labs, imaging, and medication.

Direct Primary Care of Boca Raton will only be accepting a limited panel of patients per provider. Considering that managed care has driven modern era providers to patient panels of 2,000 to 4,000 or more, it’s no wonder you encounter long waits!  We keep our patient panel low so we can spend plenty of time with you and get you in quickly.  This is the kind of attention and accessbility we’d want our family to have, and it’s what we offer our patients.

DPC Boca providers have privileges at Boca Raton Regional Hospital, and she will care for you there as part of your membership. Our provider will not be admitting you, but will stay in close communication with the doctors caring for you, and will be ready to assume post-hospital follow-up care.

As a member, you have access to our entire pharmacy, and you pay only our cost, which is always below pharmacy prices.  We only dispense medications we can save you money on.  Therefore, almost all of the medications in our extensive inventory are generic.  Name-brand prescriptions are generally expensive, and therefore you’ll normally get a better price on name brand drugs using an insurance prescription drug benefit or a prescription drug discount card at your local pharmacy.  We also do not dispense any DEA-controlled medications such as narcotic pain medicine, sedatives, or stimulants.

Direct Primary Care of Boca Raton collaborates with various specialists in our community. Many specialists are willing to provide cash pricing for visits and procedures that are often less than insurance costs. Our providers spend the time to carefully coordinate your care with a specialist team as needed.

We know that illness and injuries don’t always happen during office hours.  If you just need to get in touch with us to order a medication refill or schedule an appointment, you can directly e-mail our provider anytime or leave us a voice mail.  If you have a non-urgent question, but one that probably shouldn’t wait until tomorrow, members can send our provider a text message and expect a prompt reply.  Lastly, if you have an urgent issue after-hours, our provider is only a phone call away!

Our provider is not accepting new patients for pharmaceutical treatment of Chronic Pain.  New Opioid Prescribing Guidelines have recently been released by the CDC to combat the prescription drug abuse epidemic, and those patients who use narcotics for chronic pain are encouraged to seek a pain treatment center.

Our provider does not prescribe controlled sedatives for the treatment of chronic anxiety.

Almost all of the routine procedures our provider performs have no additional charge to members.  There are a few exceptions, for more complicated procedures.  Our pricing page has details.  As a membership benefit, our provider will see sick or injured visiting family of members for a one-time office visit fee based upon the severity and time requirements of the visit. DPC Boca may charge mileage for housecalls.

Yes, but please check our pricing page to see what benefits are available to our members that non-members do not receive.  We offer cash prices on minor emergency surgical procedures (such as sewing up cuts) to non-members.  We are also happy to provide some minor cosmetic surgical procedures for patients who are not members at very affordable prices.  This is because most insurance plans will cover no “cosmetic” procedures.  So if you have a benign, but annoying mole or skin tag for instance, insurance or medicare won’t cover it’s removal.  These simple procedures are very expensive without insurance, traditionally. We also are happy to provide Physicals, New Employment Physicals, and Urine Drug Screens very affordably for local employers, to non-members.

DPC Boca will also provide affordable office visits to visiting family members of DPC Boca members.  We understand that it’s always miserable to get sick or hurt when you’re away from home.

Yes!  There are times when a house call is the best answer, and our model at Direct Primary Care of Boca Raton affords our providers the time to get out of the office when necessary, just like in the good old days. Obviously if we are driving, we can’t be caring for people, so we’ll be limiting housecalls to those absolutely necessary.  For house calls there will be a additional charge.

No, your provider will coordinate with your OB/GYN during your pregnancy and continue routine care for non-pregnancy related health needs.

The Providers at DPC Boca do not manage chronic pain and they do not prescribe controlled or chronic pain medications. They do not have or keep any pain medication at the clinic. This is because these medications are heavily regulated, need substantial monitoring, have a high rate of diversion and for most patients, long term, and are detrimental to their overall health and well-being. We do not do pregnancy care, DOT physicals, and we are not the admitting doctor when our patients need hospitalization but can coordinate care and follow up with you through the process.