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No. 12PLAYBOOK· PRIMARY CARE

Direct Primary Care: $79/mo, Real Math

Unlimited visits, no copays. When it saves money and when it doesn’t.

By Sam Patel·Updated Mar 20·9 min read·Saves $800/yr

irect primary care is a $79–$99 monthly membership that replaces your insurance copay and your thirty-minute wait for a seven-minute appointment. You pay the clinic directly. Insurance is not involved. Unlimited visits, most labs at wholesale, same-day appointments, and the ability to text your doctor. It saves some people $800 a year. It saves other people $0. This guide tells you which camp you're in.

I.

The math, for a frequent user

If you currently have a high-deductible plan with a $40 copay and you see your primary care doctor four times a year, you're paying $160 in copays. If you also do $400 of cash-pay labs (which most insurance plans only partially cover after deductible), you're at $560. A DPC membership at $79/mo is $948/year — which is more. DPC loses for you.

If you have a family of four on the same plan, visits multiply, labs multiply, and the DPC family membership (typically $150–$200/mo for a family) starts winning. If you have a chronic condition that benefits from monthly check-ins — thyroid, hypertension, PCOS, mental health — DPC wins quickly.

OPTION A
2 visits/yr
Traditional insurance + copays
OPTION B
12+ visits/yr worth it
DPC membership
II.

Pair it with catastrophic

DPC replaces routine care, not catastrophic care. If you break a leg, you still need insurance. The pairing most DPC members use: a high-deductible plan or a health share that covers hospitalization, stacked on top of a DPC membership that covers everything else. Total monthly cost for a healthy 35-year-old: $300–$400. Total monthly cost under a traditional bronze plan: $500–$650.

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Written by Sam Patel. MarketCare prices are verified weekly against facility-posted cash rates across the Austin metro. No advertiser influenced this article. If you find an error, email corrections@marketcare.com.