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Direct primary care

Direct Primary Care in Florida: How It Works and What It Costs

A flat monthly fee for your own primary care team, with no copays. Here's how it works in Florida, the law behind it, and why it's never enough on its own.

  • Free, no obligation
  • Not an insurance agency
  • Honest about the limits
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Answer 6 quick questions to see what Direct Primary Care plus health sharing could cost your household.

The short answer

Direct primary care (DPC) is a membership with a primary care practice. You pay a flat monthly fee, and sick visits, checkups, questions and follow-ups are included, with no copay each time. It isn't insurance, and it doesn't pay for specialists, hospitals or emergencies. Most people pair it with something for big bills.

Floridians search for "direct primary care" about 1,900 times a month, with Orlando and Tampa the most-searched cities.

What Florida law says

Section 624.27 of the Florida Statutes covers direct health care agreements between a patient and a provider or practice. It says such an agreement "does not constitute insurance" and isn't subject to the Florida Insurance Code (source). The law requires the agreement's signature page to say, in bold contrasting type, that it isn't health insurance, that the provider won't file claims against your insurance for services the agreement covers, that it doesn't count as minimum essential coverage under the ACA, and that it isn't workers' compensation insurance (source).

Florida's law isn't limited to primary care: dentists, chiropractors and other licensed providers can offer these agreements too. For most households, though, primary care is where it makes the biggest difference.

What a DPC membership usually includes

  • Sick visits and checkups, in person or by video, without a copay
  • Direct contact with your doctor's team by phone, text or video
  • Help managing common conditions such as high blood pressure or diabetes
  • Often, low cash prices on basic labs and generic medications (varies by practice)

What it doesn't include

  • Hospital stays, surgery and emergencies
  • Specialists, imaging such as MRI, and most procedures
  • Anything outside primary care

That gap is why a DPC membership is never enough by itself. For big bills, the options are a Marketplace plan or health care sharing.

Local practice or virtual membership?

Local DPC practiceVirtual primary care membership (our pairing)
WhereAn office you can drive toPhone and video, anywhere in Florida, and when you travel or evacuate
Hands-on careExams, stitches, in-office testsYou go in person elsewhere when needed
Best forFamilies near a practice who want the same doctor in personBusy schedules, rural households, people who split the year between two homes
PriceSet by each practice; ask for adult and child feesBuilt into the combined monthly amount on our price table

Practices set their own fees and services. Confirm them with the practice before you join. We don't rank practices.

Questions to ask any DPC practice

  1. What's the monthly fee for adults and for children, and is there a sign-up fee?
  2. How fast can I get a same-day or next-day visit?
  3. Which labs and medications do you offer at cost, and what do they cost?
  4. Can I reach the doctor after hours?
  5. How much notice do I need to cancel?

Where it fits

Most households we help pair three things: primary care membership for everyday care, health sharing for big unexpected bills, and a dental savings plan for teeth. See what the full combination costs.

Common questions

Is direct primary care legal in Florida?

Yes. Florida's direct health care agreement law (§ 624.27, Florida Statutes) says these agreements are not insurance and aren't subject to the Florida Insurance Code, as long as they meet the law's requirements.

Is direct primary care the same as concierge medicine?

Not quite. Both charge a membership fee. Concierge practices often also bill your insurance and tend to charge more. Direct primary care usually doesn't bill insurance at all; the membership is the whole price for primary care.

Do I still need something for big bills?

Yes. Direct primary care doesn't pay for hospitals, surgery, specialists or emergencies. That's why we pair it with health sharing or point you to insurance.

Can I use a local DPC doctor instead of the virtual one?

Tell us. Our standard pairing includes a virtual membership that works statewide. If you already have, or want, a local DPC practice, we'll talk through how that fits with health sharing.

Sources

Want to see what this would cost your household?

Tell us who needs care and what you pay now. We'll walk you through the options, including when insurance is the better fit.

Free, no obligation. Florida households only.

Health care sharing
Health care sharing ministries are not insurance and are not regulated as insurance. Sharing of medical expenses is voluntary and not guaranteed. Review each organization's guidelines for details, limitations, and state-specific notices.

Florida notice (§ 624.1265(3), Florida Statutes)
Florida law requires health care sharing organizations to give this notice with their applications and guidelines: “Notice: The organization facilitating the sharing of medical expenses is not an insurance company, and neither its guidelines nor its plan of operation is an insurance policy. Membership is not offered through an insurance company, and the organization is not subject to the regulatory requirements or consumer protections of the Florida Insurance Code. Whether anyone chooses to assist you with your medical bills will be totally voluntary because no other participant is compelled by law to contribute toward your medical bills. As such, participation in the organization or a subscription to any of its documents should never be considered to be insurance. Regardless of whether you receive any payments for medical expenses or whether this organization continues to operate, you are always personally responsible for the payment of your own medical bills.” Health care sharing is not Minimum Essential Coverage.

Direct primary care
Direct primary care is a membership with a primary care practice. Under Florida's direct health care agreement law (§ 624.27, Florida Statutes), these agreements are not health insurance and are not subject to the Florida Insurance Code. A DPC membership does not pay for specialists, hospital care or emergencies, and it is not Minimum Essential Coverage.

Discount plans
THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. Florida disclosure (§ 636.212, Florida Statutes): The plan is not insurance. The plan provides discounts at certain health care providers for medical services. The plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount plan organization. Discount plan organization: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034. Discount plans are not ACA Qualified Health Plans.

How we're paid
We may receive compensation from some organizations we recommend. This does not change our evaluation of how they work. See our Referral Marketing Disclosure.

Not advice
This page is general information, not medical, legal, tax or financial advice. Prices are examples, not quotes; they depend on your household and can change. Affordable Healthcare Florida is not an insurance agency and does not sell insurance. We help individuals and families explore alternatives to insurance, including direct primary care, health care sharing and discount plans.