Direct Primary Care Pricing
Single Member
Member + Spouse or Child*
*Child must be under 25 years old.
Family*
*Family constitutes member + spouse & children.
Health Savings Account (HSA) and Flexible Spending Account (FSA) are accepted.
There is a $150 enrollment fee per household
Small business and yearly discounts available.
Business discounts: Employers pay a predictable monthly membership fee per enrolled employee of $50 (minimum 5 employees).
For enrolled members who elect to pay yearly, a discount equal to one monthly fee will be applied.
What Does a Beyond Primary Care Membership Include?
Virtually unlimited visits with board-certified physicians
No co-pays or deductibles
Transparent pricing with no surprises
Same or next day appointments routinely available
Attentive appointments without feeling rushed
Access to your physician with extended hours
Direct pricing (as much as 90% savings) for labs, prescriptions and imaging
In-office surgical and diagnostic procedures such as pap smears, EKGs and skin biopsies
Physicals
Insurance Payment
Beyond Primary Care does not participate with any insurance companies or government insurance for payments to the clinic. The insurance model perpetuates the “quick fix” approach, without allocating adequate time to determine the root cause of discomfort or disease and not allowing time to focus on prevention.
It is well known that medical expenses are the number one cause of bankruptcy in the United States. However, what people don’t realize is that 75% of those individuals actually did have some type of health insurance. Health insurance is the ONLY insurance that bankrupts folks when they use it.
Dr. O’Boyle and Dr. Jones have very mindfully chosen the direct primary care payment system because he believes in making healthcare affordable and accessible to everyone. By cutting out the middlemen and remaining out-of-network, the physicians at Beyond Primary Care can collaborate with patients to make health decisions without interference from insurers.
+ What do I do about my existing insurance?
+ Do you accept my insurance?
+ What if I have Medicare?
+ What if I have Medicaid?
+ What if I am uninsured?
What Coverage Pairs Best with Beyond Primary Care?
+ Employer Based Healthcare
+ High Deductible Health Plans
+ Short-Term Limited Duration Policy
+ Healthshares
+ What if I am uninsured?
Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs)
HSAs and FSAs are a type of savings account where individuals or families can set aside money on a pre-tax basis to pay for qualified medical expenses. Like hundreds of other DPC clinics across the nation, Beyond Primary Care allows our members to use HSA or FSA funds to pay for their physician services.
The US Department of Health and Human Services (HHS) under the Affordable Care Act (ACA) defines DPC as a primary care service, not insurance or a health plan.
According to IRS publication 502, medical expenses are the costs of diagnosis, cure, mitigation, treatment or prevention of disease, and for the purpose of affecting any part or function of the body. These expenses include payments for legal medical services rendered by physicians, surgeons, dentists and other medical practitioners.
Qualified or eligible medical expenses are described by IRS code section 213(d). This list is long and includes:
Physician services
Blood tests
Prescription drugs
Note, this is not a substitute for tax advice. If you still have any questions regarding your personal HSA/FSA, please talk to your personal accountant.
Payment
Payments to Beyond Primary Care are preferred to be made by automatic payment through your checking account (ACH). With ACH payments, your bank account is charged directly using your account and routing numbers instead of through a third party such as a debit or credit card. The business cost associated with using your ACH is much lower compared to the transaction fees associated with credit or debit card payments.
Beyond Primary Care does accept credit cards, HSA / FSA debit cards, and non-HSA / FSA debit cards. Because of the higher costs associated with using these cards, a small convenience fee is added to each monthly charge.
