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HOW DO DPC & HEALTH SHARE PLANS WORK TOGETHER?

TIme for You Direct Primary Care (DPC) follows a healthcare model where patients pay their primary care provider a flat monthly fee for a defined set of services. This model removes the need for traditional insurance billing for most primary care services.

Key Features of DPC:

• Membership-Based: Patients pay a monthly or annual fee directly to the us.

• Comprehensive Primary Care: Includes routine check-ups, preventive care, chronic disease management, and basic office procedures.

• No Insurance Billing: Most services are covered by the membership fee, reducing paperwork and administrative costs.

• Enhanced Access: Patients  benefit from same-day or next-day appointments, longer visits, and direct communication with their provider.

What’s  Included?

• Annual physicals and Preventative Care

• Sick visits

• Chronic disease management (e.g., diabetes, hypertension)

• Basic labs at discounted case pay prices and procedures

• Coordination of care with specialists

What’s Not Included?

• Hospitalizations

• Specialist care

• Major surgeries

• Emergency care

• Advanced imaging (e.g., MRI, CT scans)

What is a Health Share Plan?

Health Share Plans (also called health care sharing ministries or medical cost-sharing programs) are organizations where members share healthcare costs. These are not insurance plans, but rather a community-based approach to covering medical expenses.

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We are an affiliate of Zion because we trust and recommend this Health Share.  Find out more information HERE. 

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Key Features of Health Share Plans:

• Membership-Based: Members pay a monthly “share” amount.

• Cost Sharing: Eligible medical expenses are shared among members.

• Not Insurance: Health share plans are not regulated as insurance and may have limitations on coverage.

• Faith or Community-Based: Many are organized around religious or ethical beliefs.

What’s Typically Covered?

• Hospitalizations

• Surgeries

• Emergency care

• Some specialist visits

What’s Not Typically Covered?

• Preventive care (often not included)

• Pre-existing conditions (may have waiting periods or exclusions)

• Routine primary care (unless specified)

• Certain medications or treatments (varies by plan)

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How Do DPC and Health Share Plans Work Together?

Many patients combine DPC for their primary care needs with a health share plan for larger, unexpected medical expenses. This combination can provide comprehensive coverage at a lower overall cost compared to traditional insurance.

Example:

• DPC: Covers all your primary care needs for a flat monthly fee.

• Health Share Plan: Helps with costs from hospitalizations, surgeries, or emergencies.

Is This Right for You?

• DPC is ideal for those who want personalized, accessible primary care and are looking to avoid insurance hassles for routine care.

• Health Share Plans may be an option for those seeking an alternative to traditional insurance for major medical expenses, but it’s important to review each plan’s guidelines and limitations.

Questions?

Schedule a Complimentary Consult with our office HERE

Find out more information about Zion Health share HERE

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