
Medicare and DPC can work side by side when structured correctly. Integrity Medicine's patients pay a flat monthly fee for direct primary care while keeping Medicare coverage for major medical services.
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Many of our patients wonder how the direct primary care model fits with Medicare insurance. A DPC membership covers routine primary care, while Medicare covers approved services outside the practice. This gives Medicare beneficiaries more access to their direct primary care physician without giving up their major medical plan.
Direct primary care at Integrity allows patients to see their doctor as often as needed without worrying about fee for service billing. The membership fee covers routine visits and preventive care.
Hospital care, specialists, surgeries, and major procedures remain covered under Medicare coverage rules. DPC practices focus on primary care while Medicare handles covered services.
A flat monthly fee replaces copays for most primary care visits. Many patients find it easier to budget predictable costs.
Most physicians working in a DPC model limit patient panels. This improves communication, chronic disease management, and patient outcomes.
Our doctors do not bill Medicare for covered services inside the membership. This avoids complicated reimbursement and insurance regulations for routine care.
Labs, x rays, and certain medications may be offered at lower cash prices. Patients decide what services they want without surprise bills.
Under federal law and Medicare regulations, DPC practices like Integrity Medicine do not bill Medicare for services included in the membership. Instead, Medicare beneficiaries pay the periodic fee directly to us. Medicare remains active for major medical services and other covered services outside our practice.
Keep your Medicare insurance for hospitals and specialists.
Pay a flat monthly fee for primary care access.
Integrity Medicine handles routine care. Medicare covers approved external services.
Healthcare costs continue to rise under traditional insurance models. Many Medicare patients choose Integrity because we offer strategic planning around routine care while preserving major medical coverage. This structure gives patients clarity, access, and stronger relationships with their doctor.

Medicare can work together with your direct primary care plan to improve access, reduce stress, and simplify primary care. Schedule a consultation to see if this approach fits your health care needs.