DPC is a new approach to pay for basic healthcare services
How We Work
How Insurance Works
How Insurance Works
It is estimated that 40% of dollars spent on primary care are lost to the system (insurance administration). For predictable care, Simply Direct Health just makes sense.
How Insurance Works
How Insurance Works
How Insurance Works
Option 1
Option 1
Option 1
By Itself
As an individual, you don’t have to go without care because of the lack of insurance. 90% of medical needs for 90% of the people can be managed through primary care. We recommend that all members have some type of insurance coverage for the unexpected; however, it is not required.
As an Employer, offering Direct Primary Care as a
By Itself
As an individual, you don’t have to go without care because of the lack of insurance. 90% of medical needs for 90% of the people can be managed through primary care. We recommend that all members have some type of insurance coverage for the unexpected; however, it is not required.
As an Employer, offering Direct Primary Care as a stand alone benefit will help reduce out-of-pocket costs for employees who have purchased their own plans.
Option 2
Option 1
Option 1
Paired with High Deductible Health Plan (+HSA)
Pairing Simply Direct Health with a high deductible health plan allows for coverage for catastrophic events while also providing concierge level quality and access to primary care services. Switching from a “Silver” or “Gold” level plan to a “Bronze” plan will typically save more than the cost
Paired with High Deductible Health Plan (+HSA)
Pairing Simply Direct Health with a high deductible health plan allows for coverage for catastrophic events while also providing concierge level quality and access to primary care services. Switching from a “Silver” or “Gold” level plan to a “Bronze” plan will typically save more than the cost of membership at Simply Direct Health and will significantly reduce out-of-pocket expenses incurred over the year.
Adding an HSA account will allow for tax deferred payment for incidental medical expenses like labs, prescriptions, supplements, imaging, and payment toward the high deductible if necessary.
Option 3
Option 1
Option 3
Paired with Medical Cost-Sharing Plan
Medical cost-sharing is an ACA-compliant alternative to health insurance. In this option, the medical cost-sharing organization would help pay for medical expenses incurred outside of Simply Direct Health.
A national medical cost-sharing organization sees the value of direct primary practices like SDH.
Paired with Medical Cost-Sharing Plan
Medical cost-sharing is an ACA-compliant alternative to health insurance. In this option, the medical cost-sharing organization would help pay for medical expenses incurred outside of Simply Direct Health.
A national medical cost-sharing organization sees the value of direct primary practices like SDH. Membership fees incurred at SDH may be submitted for partial reimbursement as a participant in a medical cost-sharing program.
See below for more details about these plans.