Yes, health insurance coverage coupled with a Direct Primary Care provider is an increasingly popular and effective approach to accessing primary care services. Patients with Medicare must sign an opt-out agreement that states neither they nor their provider will directly bill Medicare for their membership fee or office visits.
Insurance and Medicare beneficiaries may continue to use their insurance for services incurred outside of Alpine Medical & Specialty Practices, including specialists’ fees, prescriptions, labs processed at an outside laboratory, diagnostic imaging services, specialist, hospital charges, etc.
When coupled with a catastrophic medical policy, the Direct Primary Care model does meet the minimum requirement for coverage as set forth in the ACA. Specifically, Section 1301 (and amendment Section 10104) allows for Direct Primary Care to provide an alternative to traditional health insurance options when combined with a low-cost, high-deductible plan.