How Direct Primary Care (DPC) compares to Health Insurance

As an employer, you want to provide your team with access to quality healthcare while keeping costs predictable and manageable. Traditional health insurance is often expensive, complex, and frustrating – for both businesses and employees. Direct Primary Care (DPC) offers a simpler, more cost-effective alternative that complements or even replaces parts of traditional insurance.

Here’s a side-by-side comparison:

Direct Primary Care (DPC)Health Insurance
Predictable costs with one monthly feeUnpredictable costs that include monthly premium plus copays plus deductibles
Treats illness and focuses on preventionTreats illness
Personalized care depending on patient needsCare is dictated by insurance rules and regulations
Same day or next day appointmentsLong wait times to get appointments
DPC doctor can use any therapy to treat the patientInsurance company only approves certain therapies
More time with a patient and no dictated requirements make doctor-patient relationship more direct and efficientThe majority of time with patient is spent with required checkups, leaving little time to address the actual health issue
Doctor has time to create personal relationship with patientNot enough time to get to know the patient more closely
Reduced bureaucracy, doctors get paid immediatelyHigh administrative burden, doctors get paid several months late
No coverage for major medical eventsCoverage for major medical events
Promotes healthy patientsPromotes sick patients

Why Employers Choose DPC

  • Cost Control & Savings
    With one flat monthly fee per employee, you avoid the unpredictability of deductibles and copays. Many businesses save 20–40% on overall healthcare costs when combining DPC with a high-deductible or catastrophic plan.
  • Healthier, Happier Employees
    Employees get more time with their doctor, faster access to care, and a stronger focus on prevention. That means fewer sick days, less turnover, and higher productivity.
  • Recruitment & Retention Advantage
    Offering DPC as a benefit shows you value your employees’ well-being. It can help you stand out in a competitive job market and improve loyalty among your team.
  • Less Red Tape
    Because DPC cuts out the insurance middleman for primary care, both you and your employees avoid endless paperwork, pre-authorizations, and surprise bills.

Some Questions Employers Ask

Do I still need insurance if I offer DPC?

When DPC is paired with a high-deductible or catastrophic insurance plan to cover major medical events such as surgeries, your employee will be well taken care of: DPC handles the everyday healthcare needs affordably, while insurance is there for the big, rare events.

Is DPC good for small businesses?

Absolutely. DPC is one of the most cost-effective options for small employers who want to provide healthcare without breaking the bank. Even businesses with just 2–3 employees benefit.

How do I add DPC to my benefits plan?

It’s simple. You choose a local DPC clinic (or a network of them, like ours), and we set up monthly memberships for your employees. It’s flexible and easy to integrate with your existing benefits.

What is the ROI of Direct Primary Care for companies?

The return on investment comes from lower total healthcare spending, reduced absenteeism, and improved employee productivity. Companies often see savings within the first year.

A Note on Recent Oregon Legislation

law books sitting on wood table with gavel on top

In May 2025, Governor Tina Kotek signed House Bill 2540, which ensures that health insurance companies in Oregon must now credit member deductibles with payments made for out-of-network primary care – including Direct Primary Care memberships.

This is a major win for employers and employees alike, making DPC an even more valuable benefit option.

Ready to explore how DPC can save your business money while giving employees better care?