The questions members ask first.

Direct primary care lets us spend the time medicine actually requires — 60 minute first visits, same-day appointments, direct messaging — none of which insurance reimburses adequately. Members continue to use insurance for specialty care, hospitalizations, prescriptions, and outside imaging.

First visit is 60-90 minutes. Annual physical is 60-90 minutes. Follow-up + acute visits are 30 minutes — about 2.5x the typical insurance-driven 12 minute slot. Same-day acute issues sometimes resolve through messaging without a visit at all.

Yes — DPC membership qualifies as a medical expense under most HSA + FSA plans. We provide receipts that include the HSA-approved description. Some employer plans require pre-approval; we provide a letter on request.