What is Direct Primary Care (DPC)?

Direct Primary Care, or DPC, is a membership model of healthcare that allows doctors to treat patients without the constraints of a traditional insurance-based practice.

What is included in my membership?

All office visits, phone visits and electronic visits are included. A yearly comprehensive physical is included. In-office labs including rapid strep tests, influenza testing and basic urine analysis are included. In-office studies including electrocardiogram (EKG) and spirometry lung function tests are included. In-office treatments such as joint injections, nebulizer breathing treatments and a number of skin procedures are included. Members receive their doctor’s personal contact information so that they can contact their doctor with urgent questions and management. If possible and safe, your doctor will want to try to handle as much of your healthcare by phone or by electronic messaging. The goal is to save you time, energy and money.

How much does it cost?

An affordable monthly fee (with discounts for annual billing) allows you to budget your healthcare dollars. No co-pays, deductibles or hidden costs prevent you from getting the primary care that you need. Convenient automatic payments from your bank account or credit card.
Age 0-2: $30 with parent policy, $60 without parent policy
Age 3-17: $25 with parent policy, $50 without parent policy
Age 18-45: $60/month
Age 46-64: $75/month
Age 65+: $95/month

Family 4+ members: $150/month College Student (less than 26 years): $40/month
One time registration fee: $75

One month free discount for annual billing

Small business discounts:
5 or more employees (registration fee waived)

Do you accept health insurance or Medicare?

No, we do not. I am sure you have felt the challenges of an insurance-based practice: difficulty reaching your doctor, communication through a medical assistant, long wait times and rushed office visits. Without the constraints of insurance contracts, we are able to offer direct and easy access, limited to no wait times, same-day or next day appointments and electronic or phone visits.

If I have health insurance or Medicare, can I still be a member?

Yes. Remember you can use your health insurance or Medicare for laboratory testing, imaging, medications, specialist visits and hospitalizations.

Do I need health insurance if I am a member?

We recommend that our members continue to have health insurance to ensure financial help with medications, labs, imaging, specialist visits and hospitalizations. With that being said, having health insurance is not a requirement to be a member. This membership partners well with high deductible insurance and healthcare sharing ministries.

Can my membership fee be reimbursed by my insurance company?

In some cases, you can submit a receipt for your membership fees and some insurance companies will apply these payments towards your deductible.

Is my membership tax deductible? Can I use my Health Savings Account (HSA)?

The law is currently unclear about DPC (Direct Primary Care) membership fees being tax deductible or being applied to an HSA account. Legislation has been proposed to help clear up this issue. In the meantime, confer with your tax consultant to discuss your personal situation.

* Flexible Spending Accounts (FSA) can be used for membership fees without any concern.

What happens if I need to go to the hospital or go to urgent care?

With easy access to your primary care doctor, we strive to decrease urgent care visits and hospitalizations. In instances where hospital care is required, we work closely with the hospitalists and specialists who are taking care of you. We rely on their expertise when hospital care is necessary and we are ready to assume post-hospital follow-up care after discharge from the hospital.

Can I contact my physician after-hours?

Yes. We know that illness and injury do not always happen during normal business hours. So if there is a concern that can’t wait, we encourage you to call, text or email. This is just one of the ways we provide personalized care.

Are there certain medications that Dr. McMillin does not prescribe or illnesses that she does not treat?

We are not accepting new patients for pharmaceutical treatment of chronic pain requiring opiate pain medication. Patients with chronic pain are encouraged to seek care from a pain management specialist. We also do not prescribe controlled sedatives (benzodiazepines) for treatment of chronic anxiety. Patients with chronic anxiety requiring sedatives are encouraged to be cared for by a psychiatrist. If you have specific questions about conditions that we treat or medications that we prescribe, please contact us.

Where are you located and what are your office hours?

We are located at 709 West 8th Street, Suite 3 in Gillette, Wyoming. Our office hours are Monday through Thursday: 8:00am-3:00pm.

Are my medical records ever shared with insurance companies?

We maintain scrupulous standards of privacy. We are never obligated to provide any third party with a copy of your records unless you specifically ask that we do so.

What if I want to cancel my membership?

You can cancel your membership at any time and there is no cancellation fee. We do request five business day notice to remove you from the system and stop any EFT payments. Registration fees and first three months of membership are nonrefundable.
If a previous member would like to re-enroll, we do charge a $150 re-enrollment fee.

How will I know if Direct Family Care is right for me?

It is important that our relationship with you is a meaningful and productive relationship for your health care needs. We would like to meet all new potential patients to make sure we are good fit for your health care needs and can meet your expectations.
Call to schedule a free, unconditional visit to discuss your healthcare needs. It’s the only reasonable way to begin what we trust will be a long, productive and healthy relationship.

Is Direct Primary Care the same as a Concierge or Boutique clinic?

There are many different models and different names. People sometimes use the terms interchangeably and the principles are certainly similar. The main similarity is the personalized and easy access to your doctor. The aspect that often sets Direct Primary Care (DPC) apart from concierge and boutique clinics is the low cost of DPC clinics.