DPC is a membership-based model—one flat monthly fee gives you direct, convenient access to your physician without copays or billing surprises.
They are similar in terms of the member experience—both offer personalized, accessible care with longer visits and stronger patient-clinician relationships. The difference is that DPC delivers this experience at a more affordable price point and without billing insurance, making it a cost-effective solution for both members and employers.
Your membership covers: Acute and chronic care, allergy care, in-office dermatology, mental health (depression, anxiety), physicals (school, sports, work), sleep hygiene, stress management, injury care (sprains, lacerations), weight assessments, women’s health, men’s health pediatric and well-baby checks, and preventive services. Same- or next-day appointments are provided depending on medical need.
You’ll need separate coverage or payment for services such as lab work, vaccines, medical imaging, surgeries, specialist care, ER visits, or hospitalization. This isn’t a complete list, but it highlights the types of care outside the scope of your membership. We recommend pairing your KerixHealth membership with a high-deductible insurance plan or health share plan to cover these additional needs.
By removing copays and time constraints, patients get more meaningful, unhurried interactions. With physicians acting as health coaches, outcomes and satisfaction improve.
Yes. DPC covers primary care. Insurance or a health share plan is still needed for hospital stays, specialists, and other higher-level services.
Yes. Beginning January 1, 2026, federal law allows Health Savings Accounts (HSAs) to be used for Direct Primary Care memberships. This makes KerixHealth fully compatible with High Deductible Health Plans (HDHPs).
You can pay for your membership directly with your HSA debit card during sign-up. If you don’t have a debit card, you can pay out of pocket and then submit your KerixHealth receipt to your HSA administrator for reimbursement.
Eligibility varies by state and by clinician. In some regions, individuals on Medicaid or similar programs may not qualify. For Medicare, not all clinicians are able to see Medicare patients, so eligibility depends on the clinician’s participation.
KerixHealth uses a simple, transparent membership model. You pay a flat monthly fee that covers all your primary care services—without copays, deductibles, or surprise bills. The exact cost depends on your location and membership type (individual, family, or other tiers), but it’s always designed to be affordable and predictable.
Membership simplifies your cost structure—no per-visit copays, no surprise fees for most in-office care—making primary care both predictable and affordable.
New memberships must remain active for a minimum of 3 months. After that period, you may cancel at any time with a 30-day notice through your account portal. Please note that already-paid fees are not refunded or prorated.
You can typically contact your doctor by phone or secure messaging, with routine inquiries answered within 12–24 hours and urgent needs handled quickly.
Your KerixHealth physician remains accessible remotely; and if local care is required, they’ll coordinate it for you.
That bill is likely from a specialist, imaging facility, or hospital. KerixHealth isn't responsible—reach out to your insurer or the provider for help.
Absolutely. KerixHealth welcomes individuals regardless of their medical history.
Yes. Physicians must opt out of Medicare billing to offer DPC, and you keep your Medicare coverage while paying membership fees directly.
Each member can choose a different KerixHealth physician and location as needed.
It delivers faster, more personalized care that boosts wellness, reduces unnecessary specialist or ER visits, and lowers healthcare costs.
Not at all—it typically complements high-deductible or self-funded plans to enhance care while containing costs.
KerixHealth provides many of the same advantages as concierge medicine—such as direct access to clinicians, longer visits, and proactive care—but with two important distinctions: we do not bill insurance, and our membership fees are lower. Concierge practices typically bill insurance and charge a membership fee, which drives up costs for employers and employees while only improving access. KerixHealth takes a different approach—by moving spend off the health plan (a variable cost) and into direct primary care (a lower, fixed cost), we help employers control expenses while improving employee health outcomes.
Yes. KerixHealth works alongside virtually all types of health plans, including fully insured, self-funded, and high-deductible health plans (HDHPs). It’s flexible enough to be positioned as a standalone benefit, layered on top of existing insurance, or built into a broader strategy for cost savings and employee health engagement.
Yes. Beginning January 1, 2026, federal law allows Health Savings Accounts (HSAs) to be used for Direct Primary Care memberships. This makes KerixHealth fully compatible with High Deductible Health Plans (HDHPs). Employees can use HSA dollars to cover their KerixHealth membership since it qualifies as an eligible medical expense. They may pay directly with their HSA debit card during enrollment or pay normally and then request reimbursement through their HSA administrator.
Pricing is straightforward and typically structured per employee, per month, with tiered options available based on workforce size and needs. Employers can choose whether to fully sponsor the benefit, share costs with employees, or offer it as a voluntary add-on. Most companies see the investment offset by savings in reduced claims, fewer ER visits, and lower overall healthcare spend.
Medical records are private—employers receive only anonymized, aggregated data, never individual health details.
You’ll receive utilization and outcome metrics that are fully de-identified but insightful for measuring ROI and guiding benefits planning.
Yes—KerixHealth adapts to teams of any size and remains consistent in care quality.
KerixHealth offers virtual care that connects employees to their physician from anywhere. We also partner with national networks for labs and imaging, so remote employees still receive meaningful care without needing a physical clinic nearby.
Traditional insurance-based primary care often struggles with long wait times, rushed appointments, and lack of accessibility. KerixHealth removes those barriers by providing same- or next-day access, longer visits, 24/7 communication, and proactive care management—all of which leads to healthier, more engaged employees.
Employers typically see: Fewer unnecessary ER and urgent care visits, reduced specialist referrals, better management of chronic conditions, higher employee satisfaction and retention, and lower overall claims spend.
It’s flexible. Some employers cover the full membership as a company-paid benefit, while others offer it as a voluntary benefit employees can opt into. Many choose a shared-cost model that balances savings and engagement.
By focusing on prevention and managing conditions earlier, we reduce costly downstream claims. Our model decreases reliance on ER visits and expensive specialists, keeping healthcare spend predictable and significantly lower over time.
It offers accessible primary care instead of episodic, referral-heavy models—combining virtual and in-person care to improve outcomes and lower costs.
KerixHealth provides many of the same advantages as concierge medicine—such as direct access to clinicians, longer visits, and proactive care—but with two important distinctions: we do not bill insurance, and our membership fees are lower. Concierge practices typically bill insurance and charge a membership fee, which drives up costs for employers and employees while only improving access. KerixHealth takes a different approach—by moving spend off the health plan (a variable cost) and into direct primary care (a lower, fixed cost), we help employers control expenses while improving employee health outcomes.
Best fits clients with high-deductible plans, distributed teams, or those looking to enhance employee satisfaction through proactive and mental healthcare.
Emphasize transparency, cost savings, care access, and how it integrates with existing benefits. KerixHealth supports you with client-facing materials and onboarding tools.
Unlike telehealth, you get long-term relationships and in-person care. Unlike concierge, it’s more affordable and doesn’t rely on insurance billing.
Yes—aggregated performance metrics are available to show engagement and value while respecting patient confidentiality.
KerixHealth strengthens benefit packages by adding a high-value, cost-containment solution. Clients gain improved employee health outcomes, lower overall claims, and a competitive edge in recruiting and retention.
Absolutely. KerixHealth is designed to integrate seamlessly with different benefit structures—whether your client offers a fully insured plan, a self-funded model, or an HDHP. This flexibility allows brokers to recommend KerixHealth as either a complement to existing coverage or a core piece of a streamlined, cost-efficient benefit strategy.
Yes. Beginning January 1, 2026, federal law allows Health Savings Accounts (HSAs) to be used for Direct Primary Care memberships. This makes KerixHealth fully compatible with High Deductible Health Plans (HDHPs). Employees can use HSA dollars to cover their KerixHealth membership since it qualifies as an eligible medical expense. They may pay directly with their HSA debit card during enrollment or pay normally and then request reimbursement through their HSA administrator.
KerixHealth offers flexible, per-member-per-month pricing that adapts to employer size and structure. Advisors can present it as a predictable, cost-effective solution that often replaces the need for other point solutions and delivers measurable ROI for clients.
Yes—we partner closely with brokers and advisors to provide preferred pricing structures, marketing support, and customizable product options that make KerixHealth easy to position and implement.
No—KerixHealth eliminates the need for many common point solutions such as standalone telehealth, care navigation platforms, wellness apps, and certain disease management programs. Because advanced primary care addresses these areas directly, employers can simplify their benefits strategy while reducing overall costs.
No—KerixHealth eliminates the need for many common point solutions such as standalone telehealth, care navigation platforms, wellness apps, and certain disease management programs. Because advanced primary care addresses these areas directly, employers can simplify their benefits strategy while reducing overall costs.
