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Pay less Money for Better Healthcare

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Pay less Money for Better Healthcare

Quick view of cost savings, convenience and quality of healthcare using a direct primary care program in addition to health insurance for a typical family of 4; comparing a traditional health insurance verses a traditional health insurance plus direct primary care (DPC)membership. Note. the direct primary care program is available even if there is no health insurance coverage.

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Yearly cost summary highlighting the medical services received by a family of 4 using traditional health insurance

Doctors Visit Type Number of visits/year  Billed to insurance Amount paid by the family
Family Doctor 5 $249/visit $996/year $165/visit* $825/year*
Dermatologist 1 $350/year $280/year*

* adjusted charges based on insurance contracted rates

Lab tests Cost to Family Medications Cost to Family
CBC (blood count) $35 Cozaar/Hctz (blood pressure) $604/year
Kidney/Liver Function $49 Lipitor (cholesterol) $396/year
Cholesterol Panel $55 Benzaclin (acne) $1,170/year
Pap test $250* Flonase (allergies) $135/year

*Pap test is covered under preventative medicine benefit and is no cost to the insured

Quality of Care & Convenience:

  • Wait time for available appointment:  14 days
  • Wait time to be seen by provider: 45 min
  • Types of visits offered: In office only
  • Time directly with the physician:  7 min
  • Emphasis on health education and prevention: Low
  • Convenience of care rating:  Low

Cost Summary:

  • Yearly healthcare costs using traditional health insurance: $3,549/year (does not include monthly insurance premiums)

Notice that deductible is not satisfied due to total cost being shared between family members

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Yearly cost analysis for the same family using Insurance plus Direct Primary Care membership:

Doctors Visit Type Number of visits/year  Billed to insurance Amount paid by the family
Family Doctor As many as needed 0 0
Dermatologist 0 0 0
Allergist 0 0 0

 

Lab tests Cost to Family Medications Cost to Family
CBC (blood count) $4 Cozaar/Hctz $45/year
Kidney/Liver Function $4 Lipitor $30/year
Cholesterol Panel $4 Benzaclin (acne treatment) $180/year
Pap test $25 Flonase (allergy treatment) $36/year

Quality of Care & Convenience:

  • Wait time for available appointment: Same Day for Acute/Same Week for Non-Acute
  • Types of visits offered: Over phone, text, email, video call or in person
  • Wait time to be seen by provider: 5 min
  • Time directly with the physician: 30 min
  • Emphasis on health education and prevention: High
  • Convenience of care rating: Very High

Cost Summary:

  • Yearly cost using a Next Direct DPC membership. $1,348/year