What Is the Difference Between Concierge Medicine & Direct Primary Care?

What Is Direct Primary Care?The terms “concierge medicine” and “direct primary care (DPC)” and are often used interchangeably. While both are alternatives to the traditional primary health care model, there is a fundamental difference between the two that patients should be aware of when choosing their health care providers.

Concierge Medicine

This membership-based primary health care model was established to meet the demands of certain individuals who wanted to avoid the hassles of traditional fee-for-service health care. In exchange for a monthly concierge fee, patients receive extended access to select doctors, including same-day appointments and round-the-clock telemedicine consultations. To accommodate this extended access, concierge doctors generally limit their patient panels to several hundred patients at most (as compared to the typical 2,500-plus patient panel of a traditional primary care practice).

Significantly, the monthly fee paid to a concierge practice covers only those services that are not covered by insurance. Therefore, many concierge doctors also bill their patients’ health insurance providers for medical visits. As a result, most patients pay a premium for primary health insurance in addition to the monthly concierge fee.

Direct Primary Care

Like concierge medicine, DPC is a membership-based primary health care model in which patients pay a monthly fee that entitles them to extended access to select doctors. However, DPC completely eliminates insurance companies and other third parties from the equation – DPC doctors do not bill their patients’ health insurance providers for medical visits. This means the overhead associated with procedure coding, claim filing, write-offs, billing, and claims-centric electronic medical records (EMR) systems is also eliminated, further streamlining the health care process.

DPC members do not need to pay for costly primary health insurance in addition to the monthly membership fee. With that said, they are still encouraged to carry insurance to cover the costs associated with specialist care for complex illnesses and injuries, hospitalizations, and life-threatening emergencies.

In sum, DPC is a primary care practice model that is directly reimbursed by the patient for both doctor access and primary health care services. Unlike many concierge practices, however, a DPC practice does not accept or bill third-party payers – this is the main difference between the two health care models.

If you have questions, you are welcome to contact Optimum Direct Care. We’ll be happy to tell you about our DPC practice, which is led by Dr. Toni “Muzzi” Muzzonigro and located near Orlando, FL.

Contact Us
Take Your First Step on the Path to Optimum Health!
Join Now

“In the years leading up to finding Dr. Muzzi, the way I think about my health evolved to fit a more modern view of health and science with a focus on overall wellness and preventative medicine. I was surprised and delighted on my first visit to find Dr. Muzzi not only shared this view, but was practicing medicine in this way. Focusing on my overall wellness rather than treating symptoms has improved my quality of life and undoubtedly add quality years to my life.”

Take Control of Your Health

Achieve Optimum Wellness
Become a Member Today
Join Now!

“There is no better care available than with Optimum Direct Care (ODC). We have been with Dr. Muzzi and Erin for several years now. The attention to detail, quick response and holistic approach to your health is unrivaled. They provide peace of mind for always knowing you can reach your doctor anytime. There is no waiting, no repeating who you are and your history over and over. No making multiple calls to the doctors office for requesting your prescription refills or holding your breath to be able to make an appointment for urgent care. We love the direct care model as we were part of another similar practice in the area before coming to Dr Muzzi. However they charged not only premium prices for monthly membership but in addition a top dollar price for every visit. With ODC it is just your monthly membership fee. Our family highly recommends Dr. Muzzi and ODC. They feel like our extended family. ”

Join Now!