What is Direct Primary Care (DPC)?

DPC IS NOT Health Insurance.

  • DPC is an alternative payment model for healthcare that focuses on putting the patient first giving him/her a direct interaction with the Medical Provider of their choice.
  • DPC removes many of the barriers that have built up in our current medical system that keep the patient from being in control of their own Medical decisions.

How? with a simple, flat, affordable membership fee, which means:

  • No fee-for-service payments: DPC eliminates undesired fee-for-service(FFS) incentives in primary care. These incentives distort healthcare decision-making by rewarding volume over value. This undermines the trust that supports the patient-provider relationship and rewards expensive and inappropriate testing, referral, and treatment. DPC replaces FFS with a simple flat monthly fee that covers comprehensive primary care services.
  • No third-party billing: No processing fee, no delays.
  • No Co-pays: No extra out of pocket payments, just a flat monthly fee.
  • No Deductibles: You won’t have to reach a threshold to start receiving the healthcare you deserve.
  • No Insurance Required: No hassles!
  • Better Access to your Primary Healthcare provider at a much lower cost: This is the Key Success factor of DPC; adequate time spent between patient and Medical Provider, creating an enduring relationship.

Where Health Insurance Fails,

  • DPC achieves the goal of having freedom by contracting directly with each patient for services and offering unlimited contact and conversation for a month-to-month membership fee.
  • DPC eliminates the Insurance Middle Man and saves you money! It’s a Win Win situation.!!

Legal background: Colorado  HB17-1115 was signed into law on 04/24/17 making Colorado the 20th state to pass DPC legislation. Numerous DPC practices are known to be operating within the state.

Learn more about Direct Primary Care

Insurance is NOT REQUIRED BUT:

We advise all of our patients to Keep Appropriate Insurance coverage in case of a catastrophic event occurs.

Many health Insurance plans require high OUT OF POCKET deductibles before they start to kick in, and in many cases several thousands of dollars.

Heartlight Family Clinic DPC allows patients to save in Healthcare out of pocket costs while having a better relationship with their provider when your Insurance plan doesn’t cover much.

Even if your Insurance plan covers everything, come to our practice and enjoy a longer visit with your provider while working together the best health plan according to your needs.

DPC is reshaping healthcare for better and for good, giving the Patient nearly unlimited for direct access to his/her Primary Care Provider (PCP) for a low monthly membership fee.  No more worrying over the cost of an office visit.  Direct Primary Care offers easy access and good conversation with our providers without any extra costs or hassles.

Age Range Price per month Price per quarter Price per year
01-30 years $40 $120 $480
30-50 years $60 $ 180 $720
51+ years $70 $ 210 $840
One-time enrollment fee $40
Family Membership Discount: 15%
02 adults, 02 children (minimum)
 Will Depend on Age of members
Business Membership discount 15%
For 04 members or more
Will Depend on size of business and age
of employees

In All Cases a minimum of 06 Months Commitment is required

Covered Services

Inclusions

Annual Physical Exam
Annual Exam Bloodwork Lipids, Hemoglobin A1c, Comprehensive
Metabolic Panel
Annual Flu Vaccination
Basic In-Office procedures Splinting, mole removal, wart treatment, skin tag
removal and stitches
Childhood Vaccines As recommended by the Centers for Disease Control (CDC)
Chronic Disease Management Blood Pressure, Diabetes, Asthma, Allergies.
Coordination of Care With Specialists as indicated.
EKGs /Spirometry (in-office)
Follow-up Care For hospital or ER visits
In-office Labs Fingerstick glucose, flu test, HbA1c, pregnancy test, strep test, urinalysis (as required), Stool blood testing, urine  microalbumin
Men’s Health Visits
Pediatric Health Visits (over age 1yr) Pediatric vaccines as recommended by the CDC
Email and phone Access to
Providers
With access via patient portal to labs and x-rays
Pre-operative Physical Exams
Pulse Oximetry
Sports Physicals
Travel Consultation Not including travel vaccines
Wellness Visits Smoking cessation assistance, nutrition counseling, weight management.
Women’s Health Visits Including recommended PAP smear testing (additional fee applies)
Well Child Exams

Services available at a discounted Fee

Service Details
Lab Fees All labs (except those included in annual physical exam) will be billed to patients.
Vaccination Costs May be billed to insurance or referred for discounted rate.
Sleep Study
X-Rays
MRI
PET Scan

Services Not Covered by Fee
Aesthetic Procedures
Emergency Room Visits
Ambulance and/or Other transport costs
Hospitalizations
Radiology Services and Fees
Specialists Visits
Services Rendered Outside of Heartlight Family Clinic, LLC

  • Patients who need or are undergoing specialty care for complex or advanced stage diseases (Cancer, Hepatitis C, Multiple Sclerosis, Rheumatoid Arthritis, etc.) may NOT benefit from Heartlight Family Clinic, LLC DPC. We encourage patients to seek the appropriate level of care that will suit their unique healthcare needs.
  • Number of Visits per year:

Fifteen scheduled in person visits per year are available to you at no additional cost. Each scheduled in person visit over Fifteen will be charged a $30 per visit fee. Your number of virtual visits (e-mail, electronic, phone) are not capped. We prefer that you schedule visits more than 24 hours in advance when possible.

  • After-Hours Visits:

There is no guarantee of after-hours availability. This agreement is for ongoing primary care, not emergency or urgent care.

  • Acceptance of Patients:

We reserve the right to accept or decline patients based upon our capability to appropriately handle the patient’s primary care needs.

  MEMBER NATIONAL AVERAGE* YOU SAVE
Ear Wax Removal Free

$244

$244

Physical Labs Free

$425

$425

Sutures

$75

$635

$560

Drain /Inject Joint

$75

$60

$60

Strep Tests Free

$62

$62

Flu Shot Free

$50

$25

Pregnancy Tests Free

$40

$40

Nebulizer Treatments Free

$70

$70

Blood Draw Free

$57

$57

Annual Physical Free

$353

$353

Physical Labs Free

$425

$425

EKGs Free

$108

$108

Urine Analysis Free

$60

$60

Strep Tests Free

$62

$62

Flu Shot Free

$50

$25

Pregnancy Tests Free

$40

$40

Nebulizer Treatments Free

$70

$70

Blood Draw Free

$57

$57

Sports/School Physicals Free

$165

$165

Sleep Study $250

$300-3000

$$$

*according to healthcare blue book and Mdsave.

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