Frequently Asked Questions

Have questions about how Direct Primary Care works? We’ve compiled answers to help you understand our membership model, services, and what to expect with Lakes Region Internal Medicine.

The most commonly asked question, Direct Primary Care is medical practice as it should be.  The simplest explanation is that it is a different financial model that essentially eliminates time constraints and communication issues between physician and patient.  This subscription, model offers easy access by enabling a physician to carry a dramatically reduced number of patients in the practice.  Extended and unlimited office visits, rapid access for acute problems and development of a close, medical relationship are several of the many benefits.

Due to medicare requirements, Direct care providers must ‘opt out’ of medicare reimbursement and cannot bill medicare for any medical services provided to you.  Most direct care providers choose to opt out of all insurance reimbursement.  Please note that Direct Care is not an insurance and it is recommended that you do maintain insurance coverage.  You will need this for lab testing, imaging, specialist referral or and direct hospital encounters.  For those with a high deductible, we will have the ability to order discounted lab testing at Quest Labs.

No.  While the terms are sometimes used interchangeably, they are different.  While Direct care helps eliminate the impediments to access and communication, it is not a 24 hour service model embraced by concierge practices. Unlike concierge medicine, your visits and care are included in the subscription.


No.  Everyone benefits form this type of relationship.  “I’m healthy” describes a moment in time and is subject to change.  All are at risk of seasonal illness, accidents and the development of age related or chronic illness.  Everyone benefits from a proactive, mutually agreed upon and holistic healthcare plan.  Similarly, someone with multiple medical issues benefits from a physician intimately involved in their day to day health, a ‘quarterback’ to help navigate complex issues.  Someone who has the the time to discuss the pros and cons of recommended medications and treatments is invaluable to reducing the stress that can be involved in these situations.


The resounding answer to this question is ‘YES!’.  The overwhelming response by patients of DPC practices is their enthusiastic praise and support of this model.  What is even more surprising is the job satisfaction and happiness of those physicians practicing this model.  Contrasting this are physicians in traditional, insurance based practices who are leaving primary care in dramatic numbers for a combination of reasons that include frustration, dissatisfaction and burnout. This suggests that there is stability in Direct Primary Care, both in the practice and in the Doctor patient relationship.