Not insurance. Health care. Membership primary care in Southeast Tennessee and Northwest Georgia.

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Common questions

The things people ask before they join.

If your question is not here, call the clinic nearest you. Somebody answers.

Insurance and coverage

Is this insurance?

No. DPCA is a membership medical practice, not an insurance company. Your membership covers the care our providers deliver in our clinics. It does not cover hospital stays, specialists, emergency care, or surgery. We recommend every member carry coverage for major medical events, and we can connect you with a local agent who handles that.

I already have insurance. Does DPCA still make sense?

For most people, yes. A year of membership usually costs less than a deductible, and it covers the care you actually use most: visits, routine labs, and everyday medications. Members with insurance keep it for the things membership does not cover, which is hospital care, specialists, emergencies, and surgery. Many pair DPCA with a high deductible plan for exactly that reason.

Can I use my insurance for DPCA visits?

No, and that is the point. We do not bill insurance for our care. Billing is what produces the seven minute visit, the coding, and the volume pressure. Removing it is what lets our providers keep small panels and answer their own phones. You can still use your insurance for care we do not provide, like imaging, specialists, or a hospital stay.

Do you take Medicare?

DPCA has opted out of Medicare. Medicare beneficiaries may enroll under a private contract and may not bill Medicare for DPCA services.

Membership and cost

What does membership cost?

Adults age 18 and over are $89 a month. Children under 18 are $35 a month on a family account, and the family maximum is $248 a month for two adults and two or more children under 18. A minor enrolling on their own is $60 a month without the pharmacy benefit. There is a one time $75 enrollment fee per family. There is no copay at check-in and no deductible, because we do not file a claim for our care.

Can I enroll my child without enrolling myself?

Yes. A minor can enroll without a parent enrolling. That membership is $60 a month and does not include the pharmacy benefit. If a parent is already a member, a child under 18 is $35 a month on the family account, with a $248 family maximum for two adults and two or more children.

Is there a contract, an enrollment fee, or a cancellation penalty?

There is no long-term contract. You can cancel with 30 days' written notice, and there is no cancellation penalty. There is a one time $75 enrollment fee per family, and it applies to individual and employer accounts alike.

Getting care

Can I get a same day or next day appointment?

Yes, if you are a member. We cap how many members each provider takes, which is what makes same or next day appointments possible. You can see your provider's calendar and book directly, send a message through Spruce, or call the clinic. DPCA is appointment only and does not take walk-ins, so book or call rather than dropping in.

How do I reach my provider between visits?

Call, text, or email your care team directly. Most questions get answered without an appointment at all. You are not routing through a phone tree to leave a message with someone who will call you back tomorrow.

Do you offer telehealth?

Yes. Telehealth visits are available to members through Spruce, which is also how you call, text, and message your care team.

What about labs, prescriptions, and imaging?

Routine labs are included. The full list of what is covered, including frequency limits on tests like A1C and cholesterol, is on our included care page. Prescriptions run through a program covering over 1,000 maintenance medications, delivered to your door. Imaging is not included, but we have negotiated cash rates with local imaging centers, and those rates are often lower than what you would pay toward a deductible.

Do you see children?

Yes, from age 2. DPCA sees patients age 2 and older, including well child checks. We do not see patients under 2.

For employers

Can I offer this as a stand-alone benefit for my employees?

If you have fewer than 50 full time employees, yes. DPCA membership can be offered on its own. At 50 or more full time employees, DPCA membership pairs with an ACA-compliant health plan rather than replacing it.

We are self-insured. Does this work for us?

Yes, and self-insured groups tend to see the effect fastest. When you are self-insured your employees' healthcare costs are your own, so anything that keeps everyday care out of a claim shows up directly on your books.

How does this actually lower our cost?

Most of what your employees need in a year is primary care. When that care is covered by a membership instead of running through claims, you can pair it with a higher deductible plan at a lower premium. The everyday care your people were avoiding because of the deductible is now free at the point of use, and the plan is there for the events that genuinely need it.

Do we have to wait for open enrollment?

No. You can start at any point in the year. DPCA membership is not tied to your plan year.

Are occupational health services included for our member employees?

Yes, with one exception. Pre-employment screenings, fit-for-duty exams, return-to-work screenings, health screenings, and DOT physicals are included for employees who are DPCA members. Drug testing is billed separately.

Joining DPCA

How do I become a member?

Sign up online in a few minutes using the Join DPCA button, or call the clinic nearest you and we will walk you through it. Once you are enrolled you get a welcome email and then you book your first visit.

What happens at my first visit?

Your provider takes a full history, does a comprehensive physical, and runs a lab evaluation. That is what your individualized wellness plan is built from. It is a longer visit than you are used to, on purpose.

What happens after I sign up?

Onboarding happens virtually through Spruce, or with help from the care team if you would rather do it with a person. You set up your Spruce account, complete your intake, and book your first visit, which runs long on purpose because that is where your wellness plan gets built.

How do I transfer my records from my current doctor?

The same way it works at any other practice. You sign a records release, we request your chart from your current doctor, and it comes across before or shortly after your first visit. The care team walks you through it.

Are you accepting new patients?

Yes. We are always accepting new patients. Because we cap panel sizes to protect same and next day access, availability at a specific clinic can vary, so it is worth calling the location you want.

Ask us directly.

Call the clinic nearest you and ask for whatever you need. If it is a question about employer benefits, use the employer form and somebody from that side will get back to you.

No more questions?

Always accepting new patients. Sign up online in a few minutes, or call the clinic nearest you.