Frequently Asked Questions

What is Direct Primary Care
The direct primary care model is a new exciting way to provide primary care without unnecessary and costly interference from health insurance companies. With direct primary care, we can keep our practice small, 400 - 600 patients per doctor oppose to traditional medical practices with 2000 - 3000 patients per doctor, in order to provide you with highly accessible, personalized care when and where you need it.
How does Boston Direct Health differ from the average doctor’s practice?
Accessible doctor, with extended visits to focus on your health goals, time to discuss physical activity, nutrition and stress management; promoting wellness in addition to treating chronic medical conditions.
What does the membership plan include?
Your membership covers all of the primary care services we offer in our office. In addition, we can provide a large amount of care and care coordination by phone, email and text, including virtual visits when appropriate. We are available to discuss urgent concerns nights and weekends when needed. We are working hard to create a practice where you can access us when you need us, without having to jump through multiple hurdles! You will enjoy greater convenience and peace of mind, and may also find a reduced need for visits to specialists and the emergency department.
Who does this membership plan work best for?
It works especially well for those who want to participate in improving their health and staying well, including: Patients desiring easy and direct communication with their doctor Patients who want a doctor to address the root cause of illness, not just treat the symptoms Those with high-deductible health plans, Health Savings Accounts, PPOs or no insurance Self-insured businesses seeking to provide their employees with affordable health care and improved well-being, while simultaneously reducing everyone’s healthcare spending Everyone benefits from the value-added services we offer at Boston Direct Health
What happens if I’m admitted to the emergency room or hospital?
Emergency room visits and hospital admissions for serious medical problems are stressful and often confusing for patients and their families. The physician at Boston Direct Health will facilitate communication with your emergency and inpatient team.
Do you make home visits or nursing home visits?
Distance and circumstances permitting, we do our best to arrange a home visit for our patients when appropriate.
What if I need a specialist?
Board certified in Family Medicine, our comprehensive training allows us to handle most of your healthcare needs. However, in the event that you do need to see a specialist, we will help you find the right doctor and coordinate your care.
What if I need urgent care?
If you have a life-threatening emergency, call 911 immediately. A family member or caregiver can call us later so we can be in contact with the emergency room. For urgent problems that are not emergencies, you can contact us 24 hours a day, 7 days a week. In many cases, we can diagnose and treat your need without a visit to the ER. In fact, direct primary care has been shown to result in fewer ER visits for members because we can discuss urgent medical needs any time of the day or night, and you know you can see us the next day!
What if I need medical attention while I’m away from home?
You can speak with your doctor wherever you are. We will help diagnose and treat any medical conditions that can be done by “virtual visit.” If you have a condition that requires in-person evaluation and treatment, we will direct you to appropriate, nearby care, and coordinate follow-up when you return home.
How do I get in touch with you? May I contact you any time? And How?
For routine matters the office is open 9am-5pm Monday through Friday. Whether you call during or after business hours, you can expect the doctor to answer the phone or return your call shortly.

Role of Insurance

Do you Bill insurance plans?
No
Do I still need to have health insurance?
Yes, you do. Our medical practice is NOT a health insurance program. It is very important to maintain insurance (and/or Medicare) to cover expensive, unusual and unpredictable events such as surgery, emergency care and hospitalization – BUT NOT for routine primary care! Direct Primary Care practices are changing utilization of health insurance; think of car insurance. With your car, you cover yearly emissions tests, car maintenance such as oil changes and gas out of pocket, but utilize your automobile insurance in the event you get in an accident. You will need medical insurance in the event of an unpredictable event affecting your health. Having accessible and affordable preventive care and primary care to improve your health with a goal of decreasing need for additional expensive health care expenses.
Can you see me if I have Medicare?
Absolutely. We have opted-out of Medicare, which means neither our practice nor the member can submit a claim to Medicare for reimbursement for primary care. Medicare or private insurance payment for medications, blood work, imaging tests, specialty referrals and care, or hospitalization will continue according to your specific plan, without change.
I have an HMO insurance plan. May I join Boston Direct Health?
If you have an HMO and are interested in joining, please call 617-304-1965 to discuss how to join

How to Join

How much is the membership fee?
There is a one time $50 enrollment fee $75 per month for patients up to age 25 $100 per month for patients over the age of 26
Can joining Boston Direct Health actually save me money?
National studies show that many patients will save money utilizing direct primary care. With rising copayments, monthly premiums and deductibles each year, healthcare has become increasingly cost restrictive. In 2016, the average deductible for individual plans was $4,358 and the average deductible for family plans was $7,983. https://resources.ehealthinsurance.com/affordable-care-act/much-health-insurance-cost-without-subsidy Direct Primary Care decreases need for utilizing urgent care and emergency departments, which have even higher copayments and costs associated with visits. This is done by having accessible physician with appointments same day and/or next day oppose to having to wait weeks for appointments. Additional savings can be had by switching to a higher deductible, lower premium plan. We also have negotiated deep discounts with local labs and radiology providers for our patients who choose to pay cash for these services. AND you will know what the price will be BEFORE any such service is performed.
Is there a limit to how many patients can join Boston Direct Health?
Yes. To ensure accessibility to members, there will be a limit to practice size. Once patient limit has been reached, a waiting list will be established.
What if I want to end my membership?
You are welcome to cancel your membership at any time as long as you give us 30 days notice, as long as they have satisfied the 3 month minimum membership.
How do I become a member?
Accepting pre-enrollment now https://bostondirecthealth.hint.com/signup
I’m still not sure, can we talk?
Absolutely! Call or email to schedule a free consultation. Phone: 617-304-1965 Email: szivich@bostondirecthealth.com