How Clear Health DPC works

Clear Health uses an innovative alternative model called direct primary care. A direct care practice removes insurance companies out of the equation, eliminating copays, deductibles, and claim submission requirements. Unlike a traditional primary care practice, we do not rely on insurance reimbursement for sustainability which allows us to do what we do best - practice medicine. Your visits will never feel rushed and new members are scheduled for 60-90 minutes to allow us to get to know them and their healthcare goals. You will also know exactly how much your healthcare will cost with no surprises. As the practice is limited to just a few hundred members, and not thousands, you will be able to contact Dr. Jones when you need advice and be able to schedule an appointment quickly if needed.

We keep our membership fees simple. Each adult member is $99, and both children (with at least one adult) or full time students (of any age) can sign up for $50.

Yes! Unfortunately, most medical care has become very reactionary, something we use only as a reaction to having symptoms or being sick. While we always provide sick care for our patients, it is also important to be proactive and create plans for staying healthy. Certainly, everyone benefits from healthcare tailored to them. The traditional healthcare model encourages you NOT to seek care until you are very sick due to its complex and rushed nature. With Direct Primary Care, you can seek care at any time, preferably sooner rather than later, and we can actually prevent sickness from happening instead of waiting for things to get bad enough before coming in. We treat patients when they need to be treated, not several weeks or months from now.

Of course! You are allowed to see Dr. Jones if you have insurance, we simply will not bill your insurance for any visits. You will pay us directly monthly. Dr. Jones is considered a non-participating provider with ordering and referral status. This means he may order labs, tests, and referrals through your insurance (excluding HMO insurance plans). Keep in mind Clear Health has negotiated pricing that is lower than cash pay prices, and usually less than insurance copays.

Yes, Dr. Jones makes house calls (only available within a specific geographic location) and for an additional cost per visit. House calls are for consideration if a patient is too ill to come into the office for an evaluation. Please give Dr. Jones a call if you would like to receive medical care in the comfort of your home.

Direct Primary Care is at its best when there is a long-term relationship between the doctor, the medical team, and the patient. However, we understand this is a new model and it might not be for everyone. You can cancel at anytime. We do not allow members to leave and rejoin when they get sick as that would be unfair to paying members. If you are going through financial hardship we can try and work with you, and rejoining Clear Health DPC is at the discretion of the doctor.

In instances where those types of care are required, we will work with your hospitalist during your hospital stay as well as work closely with any specialist when such care is needed. In some cases, depending on the level of care and the expertise required, we may rely on those specialized caregivers to manage your treatment. We do encourage you to carry insurance for these kinds of needs, as we are not an insurance plan.

Arrangements will be made for you to get your labs at a facility of your choice. If you have insurance, lab tests such as pap smears and mammograms are still covered by your choice of insurance and can be billed to them. If you do not have insurance, the cost of other additional labs will be given prior to collection. Dr. Jones has negotiated for lower than cash pricing for labs and will pay the lab directly. Charges for labs will be added and applied to your preferred method of payment for membership. Dr. Jones has negotiated on your behalf with imaging centers for the best self-pay prices and will confirm prior to scheduling. Charges for imaging will be required upfront with the imaging center.

Clear Health DPC is a membership-based practice on a mission to provide consistent high-quality primary care services. The members are top priority and membership plans offer personalized and accessible care. By offering options such as direct access to your doctor, same-day appointments, and longer visits, members have time to have their concerns addressed in a relaxed setting.

Yes as we do not replace your existing health insurance. There are certain types of care we cannot provide for you, such as surgeries and hospital stays, and you would still need insurance to cover these emergency situations. We suggest that members continue or opt to carry either a high deductible health plan (insurance) and a health savings account (HSA), or a nonprofit medical cost sharing plan to ensure financial help should hospitalization or referral to a specialist be necessary.

At this time, we are open for enrollment which you may access on our membership page or by clicking the “Become a Member” tab above. After you have pre-enrolled, Dr. Jones will contact you to schedule a virtual or in person meeting to get acquainted and review your medical history and needs. Together, we can determine if our services and approach meet your needs and expectations. Please remember that space is limited to 500 patients so we can devote the highest standard of personalized care and service to each member. We accept members on a first-come, first-served basis. Once the enrollment limit is reached, we will establish a waiting list, so we encourage you to act quickly.

If you have an HSA or Flex Spending Account (FSA) , you may be able to use these funds to help pay for your annual membership. Consult your tax advisor or HR department for guidance on your particular circumstances.

Yes, we currently offer in-office visits by appointment only to help accommodate same day or next day availability for urgent visits.

Many illnesses can be diagnosed and treated with a simple conversation by phone, email, text, or telemedicine (virtual visit). As a result of the nature of our practice, you are able to speak with Dr. Jones wherever you are or easily schedule a virtual visit. If you have a condition that requires in-person evaluation and treatment, Dr. Jones will direct you to appropriate nearby care, and coordinate follow-up when you return home. Travel frequently, or live out of town? We offer a remote monitoring device Nonagon to improve telemedicine capabilities including listening to your lungs, heart, looking inside your ears and throat, measure your heart rate and even oxygen. Contact us for details if interested in signing up with this FDA approved device(limited to one device per household).

At this time, Dr. Jones is seeing patients aged 5 years and older. Kids can be easily added to an accompanying adult membership for a monthly fee of $50 per child and receive the same benefits. We are not able to provide routine vaccinations but will happily work with you to arrange these. We do require that at least one paying adult membership accompany a child membership.

No, we do not participate in insurance plans to pay membership fees. The direct membership model means no co-pays or deductibles, no hassles and no hidden charges. If you have private insurance, you may be able to get out of network reimbursement for your visits.

We offer a free 30 minute meet and greet to help answer any questions you have about the model and to introduce you to the team. There is no commitment, and the meeting can be virtual or in person. To accommodate a thorough 60-90 minute exam, and review of previous records (usually another 30-60 minutes), we charge a one time $200 enrollment fee. If you are a previous patient of Dr. Jones and prepay for the full year we will waive the enrollment fee for you and your family.