What is direct primary care?

A membership model for primary care. You pay the doctor directly, and the doctor takes care of your primary care needs. There is no middle man or insurance company to inflate the cost or delay your care.

I will be able to take care of simple issues without an office visit. In the current encounter based traditional practice model, the only way a physician can get paid by insurance and Medicare/Medicaid is to see patients in the office. This takes up your time and forces the doctor to hurry through many visits to be able to pay their overhead costs. Many times, direct communication with your doctor via text, email, or a phone call results in the doctor knowing what will work best for you, and thus the doctor is able to quickly resolve the issue because there are no insurance hurdles in the way.” Quickly resolving the issue could be you picking up a medicine in the office, swinging by for the nurse to give you a shot, calling in a medicine to a traditional pharmacy, or when a more thorough history and physical exam are needed, scheduling of a same day appointment may be needed. Depending on your needs and preferences, it will be possible to set up a home visit, meaning the doctor comes to you.

The convenience and connectivity with your doctor are unparalleled. You’ll have their cell phone number for texting and calling, and you can contact them through other social media outlets as well. You’ll have peace of mind and trust in knowing that your doctor is available for you.

Price transparency is a benefit. You’ll know before you leave the office exactly what you are paying for, where that money goes, and how much money you saved by using direct primary care instead of a traditional practice.

Family Focus – Our office staff is professional, knowledgeable, friendly, and helpful. Because our practice is small, you will always talk to someone you know.  There is no large, impersonal, production-based office here! Our small size allows us to bring the family back into family practice.

Services provided by other practitioners, such as a sub-specialist to whom the patient is referred.

Outpatient medication purchased at a pharmacy or through our office as well as supplies we cannot provide in the course of treatment during a patient visit.

Hospital care, including inpatient admission, rounds, and discharge.

Imaging studies (i.e. x-rays, CT scans, MRIs, ultrasounds, etc.), although we have negotiated lower prices for these items.

Lab studies done outside the office, although we have negotiated lower prices for labs drawn in our office.

Any services rendered by other facilities or by another provider, in the rare event that Dr. Flowers is unavailable.

Newborn circumcisions.

Certain ancillary services such as home health or hospice orders.

Now, with all that said, it is important to understand that Dr. Flowers has a number of strategies in place designed to help patients save money when he cannot provide a particular service in-house (such as lab work or imaging services).  He and his staff are also able to obtain name-brand prescriptions free of charge for those patients who need a certain medication and who financially qualify.

Yes.  Everyone is welcome in Direct Primary Care.  But you have to understand that DPC is for primary care purposes only.  I strongly recommend you have health insurance in the event that more serious medical or surgical problems arise.

Yes, everyone can do DPC! Then why pay for DPC if I already pay for health insurance?  With the high deductibles that most people have, many find that a DPC membership, along with its access to discounts on labs and medicines, is actually cheaper than using their health insurance for primary care. This is a proven model to save money. Others have to decide if they value the time, access, and more personal care that they receive from their DPC doctor.  I feel very strongly that personalized care and time with your doctor is an exceptional value and an invaluable part of quality healthcare. So, you don’t have to change or cancel your insurance to do DPC. Direct Primary Care is open to everyone.

No.  Usually, concierge medicine is expensive and the physicians still participate with insurance plans.  DPC is inexpensive and has no middleman between doctor and patient. The easy access to the physician is a common feature of both, however.

Most DPC memberships cost less than the average cell phone bill. The monthly fee, as well as the other charges, are usually much more affordable than insurance-based premiums, co-pays, and deductibles. Here at Mira DPC, the cost is $130.00 a month. See the next FAQ to see what that includes!

Communication (phone, text, emails, or virtual visits)

Unlimited Clinic visits (regular hours)

Some routine labs & tests such as urinalysis, strep screens, flu tests, and pregnancy tests

Medical equipment lease (crutches, etc.)

Minor procedures such as cryotherapy, minor laceration repair, IV fluids

Yearly flu shot

Access to discounted, wholesale pricing on other services (labs, meds, procedures, etc.)

I will be available to answer questions about small things via text so you do not have to take a half a day off to address them like you would at a traditional medical practice.

Text, call, or email me. I will answer, take care of the problem, and if needed will meet you at the office.

No. I work directly for you, providing exceptional, personal, direct health care without the increasing constraints and limitations of the government and insurance companies.

Yes. We can see patients who have Medicare and Medicaid. However, the membership fee is not covered by Medicare/Medicaid, and you will need to sign a waiver stating that neither of us will be billing Medicare/Medicaid for my services. Other services I order such as lab, radiology, specialist care, and hospitalization may be billed to these programs.

I will coordinate your referral to a specialist in your insurance network, and they will bill your insurance.

I will coordinate with the hospitalist who is taking care of you, to get them the most up to date information on your current healthcare and records with your approval, and work with them to coordinate your post-discharge planning to optimize your care and keep you out of the hospital in the future.