Understanding the Differences: Private Practice, Concierge, and Direct Primary Care
When it comes to primary care, not all models are created equal. If you've ever wondered why your experience at one doctor’s office feels rushed while another feels more personal and connected, it probably comes down to how that practice is structured. Let’s break down the differences between the three main types of primary care models: private practice, concierge care (this is us!), and direct primary care (DPC).
1. Private Practice Primary Care
This is the most common model—and what many people think of when they picture a doctor’s office. In a private practice:
Billing: The practice bills insurance for each visit and service rendered (fee-for-service).
Providers: Patients may see multiple providers depending on availability
Incentives: Since insurance billing is often the only source of revenue, these practices are incentivized to see more patients and provide more billable services.
Experience: This can sometimes lead to shorter visits, longer wait times, and surprise charges after the visit.
✅ Accepts Insurance
While many dedicated providers work within this model, the system itself often prioritizes volume over personal connection.
2. Concierge Primary Care (a.k.a. Member-Supported Care)
This is our model!
Concierge care aims to bring the focus back to the patient. Here’s how:
Billing: Practices still bill insurance for visits and procedures.
Membership Fee: Patients also pay a monthly or annual membership fee, which supports longer visits, better access, and fewer patients per provider.
Relationship: Members typically have a single primary care provider they see every time—and can often contact them directly for follow-ups or questions.
Referrals & Insurance: Since we still work with insurance, referrals and specialist care are easy to coordinate within your network.
✅ Accepts Insurance + 🟢 Adds Member Support
In short, concierge care blends the convenience of insurance-based care with the personalized attention and access of a boutique practice.
3. Direct Primary Care (DPC)
Direct Primary Care removes insurance from the equation altogether. In this model:
Billing: Providers do not bill insurance. Instead, patients pay a monthly fee—usually between $100–$250—which covers most primary care services.
Insurance Use: Patients often pair DPC with a high-deductible or “catastrophic” insurance plan for emergencies or hospitalizations.
Relationship: Like concierge care, patients see the same provider each time and often get quick, direct access to them.
❌ Does Not Accept Insurance
DPC is appealing to those who want a transparent, no-surprise model and are comfortable handling their insurance separately.
Final Thoughts
Choosing the right primary care model depends on what matters most to you: cost, convenience, continuity, or a deeper relationship with your provider.
At our concierge practice, we believe in combining the best of both worlds—streamlined insurance access and personal, proactive care through membership support.
