Frequently asked questions.

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Direct Primary Care FAQs

  • DPC is a modern model of healthcare where you pay a flat monthly fee for all your pediatric care needs — no co-pays, no billing surprises. It's ideal for families who want more personalized care, easier access, and predictable costs.

  • Many Orange County families with insurance still pay $1,000+ per child each year in out-of-pocket costs alone. With us, you get all your care included in a predictable monthly fee, with no hidden costs.

    You won't have to pay a co-pay for office visits or routine physicals.

    You will save time! Being able to avoid many visits altogether, no need to miss school or work by sending your questions directly to us via email and text – something you won't get from a traditional practice.

  • The terms are often mistakenly used interchangeably, but they are not the same. Both DPC and concierge practices charge a periodic fee, however, under the concierge model, this fee only gets you access; that is, it doesn't actually cover any of your care. Instead a concierge practice still bills insurance for your visits. Under DPC, your visits and other care are included in your fee, plus you're provided with other incredible benefits like wholesale pricing for labs, direct digital communication with your doctor, and much more.

Membership FAQs?

  • See our prices on our pricing page. We charge a flat monthly fee, and in exchange you get unlimited office visits, your doctor's cell phone number, and a whole lot more.

    • Unlimited pediatric visits (well and sick)

    • Direct access to your pediatrician via text/phone

    • Same-day or next-day appointments

    • Low cost in house testing

    • Infant and child development tracking

    • Health and parenting guidance

    • Coordinated specialist referrals

  • Of course! Physician access is one of the greatest benefits of the direct primary care model. Because illness and injury do not respect regular office hours, you may call, text, or email your physician whenever you need and they'll get back to you as soon as possible.

  • We maintain high standards of patient privacy. We will never provide your health information to any third party unless legally required, coordination of care with your consent, or you specifically ask that we do so.

    • Vaccines cost

    • Inhouse labs

    • Ear piercings

    • Basic procedures and wound care

  • Unfortunately, no. Your retainer is not yet defined as a "medical expense" in most states and as such is not deductible. Please confer with your tax consultant to clarify tax consequences in your particular circumstances.

  • We believe vaccines are safe, effective, and essential for protecting children and our community. We strongly recommend the CDC’s vaccination schedule, we do not offer medical exception letters for patients choosing not to vaccinate.

    We’re happy to discuss concerns and may allow a slower schedule if agreed upon by both the doctor and family. We believe open and honest communication can provide the best outcome for our patients. Our goal is to provide care rooted in science, compassion, and trust.

  • Yes, we strongly recommend the Vitamin K injection, Hepatitis B vaccine, and erythromycin eye ointment after birth — they are safe, evidence-based, and help protect newborns from serious health risks.

    While we can discuss timing for the Hep B vaccine and eye ointment, the Vitamin K injection is required for all newborns in our practice. Oral Vitamin K has no proven protection for your baby, as it’s less effective and inconsistently absorbed.

    These treatments help give your baby the healthiest and safest start possible.

  • No membership required!

    While our Direct Primary Care membership offers the best value and access for ongoing care, we also welcome non-member visits on a fee-for-service basis.

    Superbills can be provided to submit to your insurance. Visit our Pricing Page for details on individual visit rates and membership options.

Insurance FAQs?

  • We don’t contract with insurance plans, but we can provide a superbill for you to submit for reimbursement.

    Our primary model is Direct Primary Care (DPC) — a monthly membership that covers most of your child’s routine and urgent care needs. For families who prefer not to enroll, we also offer cash-pay visits with transparent pricing. Membership is eligible for HSA expenses, please confirm this information with your employer.

    We still recommend keeping insurance to cover hospitalizations, specialists, or major emergencies that fall outside the scope of primary care.

    • We’ve chosen to opt out of the insurance system so we can focus on what matters most: your child’s care, not paperwork.

      By not billing insurance, we’re able to:

      • Spend more time with your family during visits

      • Offer same-day appointments without long waits

      • Be available by text, phone, or video

      • Provide transparent, predictable pricing with no surprise bills

      • Make decisions based on what’s best for your child, not what’s allowed by an insurance company

      We believe the current insurance-based system often adds unnecessary complexity, limits access, and shortens visit times.

      You’re always welcome to use your insurance for things outside our clinic — like labs, imaging, ER visits, or specialists — but your care with us stays simple, direct, and focused on your child.

  • Often yes, especially if our services are categorized under primary care. We’ll provide documentation as needed — check with your HSA/FSA provider to confirm.

    If you are unable to use these funds to pay for the membership fee directly, there is a good chance that you can still use your HSA/FSA as reimbursement for certain services provided through our office.

  • If you have PPO insurance, yes — many families are able to receive partial reimbursement for care. We can provide a superbill for you to submit a claim yourself.

    Here’s what to keep in mind:

    • Reimbursement depends on your specific plan and benefits

    • HMO plans typically don’t cover out-of-network care

    • Monthly DPC membership fees are not reimbursable, as they fall outside standard fee-for-service billing

    • Individual visits and services (such as vaccines, labs, or urgent care visits) may be eligible for reimbursement

    If you're unsure what your insurance covers, we recommend calling your plan’s member services line. And if you need help on our end, we’re happy to assist with the paperwork.

  • Yes. We recommend our patients continue a major medical plan. If you experience a major health issue, you will still need insurance to help cover it.

  • While it’s sometimes possible for Direct Primary Care clinics to see patients with Medi-Cal or Medicare, we’ve chosen not to for a few important reasons:

    • To avoid confusion and billing issues — these programs may not cover labs, prescriptions, or referrals ordered by a non-enrolled provider.

    • To protect your experience — staying outside these systems allows us to focus on personalized care.

    • To keep things simple and transparent — no surprise bills or unclear coverage