top of page

Why You Should Choose Direct Primary Care Even If You Have Health Insurance

Dr. Ashley Loboda

As a pediatrician, I often hear families express their frustrations about the rising costs of healthcare. With health insurance premiums, deductibles, and out-of-pocket expenses on the rise, many parents are seeking alternatives that offer both affordability and quality care. One solution that’s now available in Pittsburgh is direct primary care (DPC). Read more to explore how DPC can provide exceptional value and save you money in an increasingly costly healthcare economy.


1. Understanding the High Costs of Health Insurance

Having health insurance does not always mean that your annual out-of-pocket expenses are low, especially if you have a high deductible insurance plan.  Health insurance can be a complex maze of premiums, copays, deductibles, and network limitations. Families often face hefty monthly premiums, only to be hit with high out-of-pocket costs when seeking care. This can lead to a situation where families may delay necessary medical visits due to financial concerns, ultimately affecting their children's health.


2. Direct Primary Care: A Refreshing Alternative

Direct primary care offers a model that focuses on the patient-provider relationship, bypassing many of the complexities of traditional insurance. In a DPC practice, patients pay a monthly membership fee that covers a range of primary care services, including routine check-ups, rapid lab tests, texts, phone calls, video visits, and even same-day appointments. This predictable pricing model alleviates the anxiety often associated with navigating insurance copays and deductibles, allowing families to plan better for their healthcare expenses.


3. More Time for Patients

In traditional insurance-based practices, pediatricians often rush through appointments to accommodate a large patient volume. DPC allows for longer appointment times, enabling pediatricians to provide thorough discussions about health concerns, and a more personal relationship between the provider and family. Parents appreciate knowing they have a physician who truly understands their child’s unique health needs.This means better health management and improved outcomes for children.


4. Focus on Prevention and Wellness

In a DPC model, there’s a strong emphasis on preventive care, which is crucial for children’s development. This means more comprehensive wellness visits, regular developmental screenings, and guidance on nutrition and lifestyle. Parents often find that this proactive approach helps them keep their children healthier in the long run, potentially reducing the need for more extensive medical interventions later.


5. Transparent Pricing and No Hidden Fees

One of the most appealing aspects of DPC is its transparent pricing structure. Families know exactly what they’re paying each month and what services are included. This clarity eliminates the uncertainty and surprise bills often associated with traditional health insurance, making budgeting for healthcare much easier.


6. Accessibility and Convenience

DPC practices often offer extended hours, same-day appointments, and telehealth options. For busy parents juggling work and family commitments, this flexibility can be a game-changer, ensuring their children receive timely care without the long waits often associated with traditional practices.


7. Better Health Outcomes

Studies have shown that DPC can lead to improved health outcomes.  DPC fosters stronger relationships between families and their healthcare providers. When pediatricians can invest time in understanding a child’s medical history, lifestyle, and family dynamics, it leads to better communication and trust. Parents feel more comfortable discussing concerns, leading to more effective care.With more accessible and personalized care, families are more likely to follow through on preventive measures and treatment plans, leading to healthier children.



As healthcare costs continue to climb, exploring alternatives like direct primary care can be a wise choice for families seeking both quality and affordability. DPC provides a model that prioritizes patient care, transparency, and accessibility—qualities that are often lost in the complexities of traditional health insurance.

If you’re considering your family’s healthcare options, I encourage you to reach out to us at Direct Pediatric Care.  We can be the solution to ensure your children receive the best care possible without the financial burden that often accompanies traditional insurance.



I’d love to hear your thoughts on the high costs of health insurance and how DPC might fit into your family’s healthcare strategy. Feel free to share in the comments below!


Comments


Direct Pediatric Care, LLC

​2275 Swallow Hill Road, Suite 1000

Pittsburgh, PA 15220

Contact Us:

#412-212-7034 (call or text)

Fax # 412-785-3682

info@directpedcare.com

  • Instagram
  • Facebook

© 2024 by Direct Pediatric Care, LLC

bottom of page