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Primary care is called PRIMARY for a reason: we specialize in caring for common conditions that people face throughout their lifetime, regardless of which organ system in your body is involved. This allows us to cover 95+% of your health care needs. When unique procedures or outside input is required, we gratefully reach out to our colleagues; however, we use referrals judiciously to limit your expenses and promote your safety. When too many specialists are involved in a case, communication errors occur and the result too often is waste, disorganization and overload; even on the Food Network, no one invites 5 specialty chefs into the kitchen at different times to all independently add ingredients to the same meal. Yuck!
Learn MoreSimply, the patient pays the doctor directly for comprehensive primary care, without giving a huge portion of each dollar spent to insurance companies who have yet to make a diagnosis or write your prescriptions [but do manage to consume hours of our time each week haggling over prior authorizations and denials – time which could be spent caring for you!]
You can avoid the “insurance bureaucracy tax”.
Direct Primary Care (DPC) replaces the traditional insurance-driven system primary care system with a simpler, more transparent model. Instead of billing insurance for every visit or procedure, patients pay a low monthly membership fee that covers most day-to-day care. This direct payment structure allows your healthcare dollars to go entirely toward your medical care—not toward billing departments or administrative overhead. By eliminating the red tape of insurance approvals and coding, your family doctor can focus on what matters most: your health and long-term well-being.
At Treasure Valley Family Medicine, DPC means you get more time with your physician, and a truly personal healthcare experience. Without the pressure to rush through visits, your doctor can spend more time listening, explaining, and helping you manage your health proactively. The result is better access, better care, and a stronger partnership between you and your doctor.
Learn MoreFor an individual, $90 / month will provide unlimited primary care – all usual services we have to offer within our four walls. $90
is cheaper than your typical cable or phone bill. The individual prices drop for additional family members (1st adult: $90/month, 2nd adult: $70/month, Children: $50/month per kid). Can you hear me now?
Compare that to traditional insurance which now costs an average family $16,000 / year with workers paying on average $4,565
toward that cost, not counting co-pays and deductibles.
All usual services within our clinic walls are covered, including EKG, steroid injections, chronic disease management, DOT physicals, email and phone service to name a few. (See our services page for a full list). For services outside our clinic space, you will need to cover the cost. For example, the cost of inserting an IUD is covered, but buying the IUD device from the local medical supplier (at our wholesale professional discount rate) is charged to the patient. We do not charge for minor supplies like sutures, liquid nitrogen, steroid injection solution, EKG paper, or in-clinic labs (pregnancy, rapid strep, or A1c). We do have to charge for large ticket items like the IUD, immunizations and external services such as processing pap smears, outside labs and imaging services like x-ray, CT and MRI.
Direct primary care ContractWe will do your lab draws at the clinic to save you time and money, then send the labs out for evaluation at an independent, certified
lab group – MUCH cheaper than going to a hospital based laboratory. Results will be available promptly on the patient portal.
For our direct primary care patients, we have negotiated “professional courtesy rates” lower even than typical cash rates; this
means the clinic will pay the lab very reduced rates on your behalf and you can reimburse us at time of service.
Yes. A British Medical Journal study of Qliance, another direct primary care group practice found that Qliance’s patients experienced “35% fewer hospitalizations, 65% fewer emergency department visits, 66% fewer specialist visits, and 82% fewer surgeries than
similar populations.”
As often you need. No kidding. (However…since potential legal issues require we place a limit on our desire to serve you, let’s say you max out at 99 visits per month).
Remember, sometimes the phone or email will actually save you time and accomplish what you need; either way we will help you.
One of the primary motivations for starting the clinic was to provide medical services for patients with mental health needs and developmental disabilities. Since such patients are typically tied in with traditional insurance payers, especially government funded sources, it was necessary for us to set up our business as a hybrid which takes both direct primary care patients and insured patients.
Learn MoreNo. Federal laws do not allow this.
Good news:Yes, when combined with a wrap around policy, DPC will allow you to avoid the income tax penalty for not having traditional employer based health coverage. In 2017 and later years, the tax penalty is:
2.5% of your total household adjusted gross income, OR
$695 per adult and $347.50 per child, to a maximum of $2,085, whichever is higher!
Bad News: While Washington, Oregon and Utah all have wrap around plans (catastrophic only health insurance) which cost substantially less than contemporary fully loaded policies, Idaho does not. No insurance company in Idaho has been willing to offer catastrophic plans. In our opinion, this means DPC in the near term will be most financially appealing to Idahoans without exchange style insurance policies but still needing medical care.
Learn MoreHealth care sharing satisifies the Affordable Care Act requirement that individuals puchase insurance or pay the tax penalty. More than 400,000 people across all 50 states participate in the cost sharing arrangements among people of similar Christian beliefs. They are NOT insurance, do NOT receive govt funding and are NOT for profit organizations. They have been in existence for at least 50 years, and were grandfathered into Obamacare.
A direct primary care arrangement is an agreement between you and your doctor in which you pay a flat monthly membership fee that covers most routine medical services. This includes office visits, physical exams, management of chronic conditions, and many in-office procedures. There are no surprise bills or copays—just clear, predictable costs. While patients are encouraged to keep insurance for major medical events such as ER accidents or hospital surgeries, everyday care and preventive visits are handled directly through the DPC membership. This arrangement empowers both doctor and patient to focus on wellness, not paperwork.
Many patients choose Direct Primary Care because it offers a more personalized, accessible, and affordable way to receive healthcare. Under the traditional insurance model, physicians are often pressured to see dozens of patients a day, which limits face-to-face time and reduces the quality of the visit. DPC eliminates those constraints. At Treasure Valley Family Medicine, your doctor intentionally limits the number of patients they see, ensuring they can provide thorough, individualized attention at every appointment. You’ll experience shorter wait times, more relaxed visits, and the peace of mind that comes with knowing you can reach your provider when you need them.
Beyond convenience, DPC can also lead to better long-term outcomes. Because you can reach your doctor easily, small problems are caught before they become serious. This proactive approach can reduce unnecessary urgent care visits, ER trips, and referrals to specialists. Patients also appreciate that communication—whether through phone, text, or in-person visits—is straightforward and not dictated by an insurance company’s approval process.
A Direct Primary Care doctor is a physician who provides comprehensive medical care directly to patients without billing through insurance. These doctors are trained to handle a wide range of health needs, including preventive medicine, acute illness, and chronic disease management. At Treasure Valley Family Medicine, your DPC doctor offers the same high-quality care you’d expect from a traditional family physician but with more accessibility, transparency, and time devoted to your individual health goals.
What truly sets a DPC doctor apart is the freedom to focus solely on patient care. Without the pressure to code, bill, and justify every minute to insurers, your doctor can spend more time understanding your medical history, lifestyle, and priorities. This leads to better communication, stronger relationships, and ultimately, better health outcomes.
“Direct Primary Care” means you and your doctor work together directly—no insurance interference, no middleman dictating what care you can or cannot receive. It’s a return to traditional family medicine values, supported by modern tools that make communication and care coordination seamless. This direct relationship creates a more personalized experience, with the freedom to address your health concerns when and how they arise, not just when insurance allows.
Direct Primary Care is designed to be both affordable and predictable. Instead of paying per visit or navigating a maze of deductibles and copays, patients pay a low monthly fee that covers most primary care services. At Treasure Valley Family Medicine, this includes office visits, extended consultations, and many common in-office procedures—without hidden fees or billing surprises. For many people, this monthly membership costs less than what they currently spend on insurance premiums and copays combined.
In addition to the cost savings, patients often find that the value of DPC extends far beyond finances. Having reliable access to your doctor when you need them—without waiting weeks for an appointment or worrying about approvals—reduces stress and helps you stay proactive about your health. Transparent pricing and consistent care make DPC an excellent option for individuals, families, and small business owners looking for a smarter, more personal way to receive medical care.
http://www.jabfm.org/content/28/6/793.full
http://www.idahostatesman.com/news/business/business-insider/article66149887.html
http://www.huffingtonpost.com/2011/03/12/skip-the-insurer-get-bett_n_834080.html
http://www.amednews.com/article/20110801/government/308019949/4/
http://time.com/3643841/medicine-gets-personal/
https://amp.businessinsider.com/direct-primary-care-a-no-insurance-healthcare-model-2017-3