Direct Primary Care is a membership model based on the belief that people are healthier when they have a relationship with a trusted primary care doctor. Members have open access to their doctor to get advice or care when they need it. The costs of membership are transparent.

All of your primary medical care is included without additional cost. This includes :

-Phone visits, office visits, and procedures.

-Routine appointments that are 30 or 60 minutes long.

-Coordination of your care with specialists, advocacy on your behalf, and research into your specific medical conditions.

-A comprehensive annual physical is strongly encouraged to monitor any concerns and set health goals for the year.

Enjoy the security of knowing you can always reach me! Members receive my direct contact information so you can contact me with emergencies after hours; I can advise you on how best to manage things, whether it is arranging an in-person evaluation, treating over the phone/video conference, or coordinating emergency department care. Many things can be handled remotely when I am not bound by insurance regulations, saving you time, energy and money.

If you are admitted to the hospital I would insert myself as your primary care consultant, to bring any pertinent pre-existing knowledge to those that specialize in hospital medicine, advocate on your behalf on the treatment plan, make sure that you understood everything that happened and all the choices available to you, and that you got the appropriate follow up.

Trivas Family Medicine doesn't accept ANY insurance!! This allows me to keep overhead low and those savings are passed on to you. Your insurance will continue to function as always for things outside of my office-tests, hospitalizations, specialists, medications-though I may be able to save you even more money with lower cost options.

In order to operate a membership-based practice, I am required to “opt out” of Medicare. You will need to sign a statement acknowledging that neither you nor I will submit bills for my services to Medicare. Medicare will continue to function normally for everything outside of my office.

There is no commitment, other than my recommendation to try it for at least 3 months if you are new to the practice, and give 30 days’ notice if you are changing physicians. Any pre-paid (ex. annual) membership fees will be pro-rated and returned to you. Re-enrollment will be considered on a case-by-case basis if space allows, and subject to a $90 re-enrollment fee.

Insurance coverage is not the same thing as getting health care. Studies have shown that having a personal trusting relationship with a primary doctor improves health outcomes and reduces medical errors, but that is extremely hard to establish in today’s trend of 15 minute visits with a provider. By having an experienced physician who knows you and your circumstances, has time for you, and works for you, your health and bank account both can improve, especially if you have a high deductible insurance plan. By eliminating the per visit payment, you may be more willing to seek care early, preventing un-avoidable complications. Having direct access to your doctor to have your questions and concerns answered promptly is invaluable.

Affordable monthly fees (with discounts for semi-annual and family billing) allows you to budget your healthcare dollars. No co-pays, deductibles or hidden costs prevent you from getting the primary care you need, when you need it. Automatic payments from your bank account or credit card make life easy.

0-19 years: $50/ month*

20-39 years: $70/month

40-64 years: $90/month

65+: $110/month

*10% Discount when signed up with a parent

10% Discount with semi-annual or annual payments

- There is no registration fee, but we ask that you make a 3 month commitment to try it out at initial enrollment.

- A single visit without membership comes with a fee of $200. A second visit requires membership.

- There is a re-enrollment fee after termination of service- $90

In addition, a brief phone or in-person 'Meet and Greet' appointment is available at no cost so that you can have a time to find out if this is an appropriate model of care for you or your family. No medical care will be provided at these visits, but much information can be conveyed and questions answered.

Unfortunately, not at this time. Your retainer is not yet defined as a “medical expense” in most states and as such is not deductible. Several DPC advocacy groups are lobbying hard to win rightful deductibility for these expenses. In the meantime, consult with your tax consultant to clarify tax consequences in your particular circumstances.

If you’re out of the city, the state, or the country, I’m available by phone and electronically to answer concerns about your health. I can help determine if you need to seek health services at your location, or if the condition can be managed by other means.