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Medicare and DPC

How Medicare and DPC Work Together

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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Get Direct Primary Care Without Losing Medicare

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.

Why Consider Medicare And DPC?

  • Enjoy unlimited office visits.

    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.

  • Keep Medicare for major medical services.

    Hospital care, specialists, surgeries, and major procedures remain covered under Medicare coverage rules. DPC practices focus on primary care while Medicare handles covered services.

  • Reduce recurring medical expenses.

    A flat monthly fee replaces copays for most primary care visits. Many patients find it easier to budget predictable costs.

  • Gain more time with your physician.

    Most physicians working in a DPC model limit patient panels. This improves communication, chronic disease management, and patient outcomes.

  • Simplify billing and reimbursement confusion.

    Our doctors do not bill Medicare for covered services inside the membership. This avoids complicated reimbursement and insurance regulations for routine care.

  • Access extra services at transparent pricing.

    Labs, x rays, and certain medications may be offered at lower cash prices. Patients decide what services they want without surprise bills.

How Medicare And DPC Work

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.

Maintain Active Medicare Coverage

Keep your Medicare insurance for hospitals and specialists.

Enroll In A DPC Membership

Pay a flat monthly fee for primary care access.

Use Each Plan For Its Purpose

Integrity Medicine handles routine care. Medicare covers approved external services.

A Practical Strategy For Primary Care

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.

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Ready To Start?

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.

Frequently Asked Questions

Can a Medicare patient join a direct primary care practice?
Does Medicare pay for direct primary care?
What does the DPC membership fee cover?
Will I lose my Medicare coverage if I join DPC?
Is DPC my only option if I have Medicare?
How do I know if Medicare and DPC are right for me?