While Direct Primary Care covers the vast majority of day-to-day healthcare needs, many employers and employees still want protection in place for larger, unexpected medical events.

That’s where medical cost sharing comes in.

Cost-sharing programs are designed to help cover major expenses such as hospitalizations, surgeries, or serious illnesses. Instead of traditional insurance, members contribute to a shared pool that is used to support one another when significant healthcare needs arise.

When paired with Direct Primary Care, this creates a simple and effective approach to healthcare:

  • Direct Primary Care provides accessible, relationship-based care for everyday health needs
  • Cost Sharing provides financial protection for larger, less frequent events

Below are two trusted cost-sharing options you can explore:

Slightly higher monthly cost

Access to any provider

6-month waiting period for pre-existing conditions

Unlimited sharing cap

Not compatible with HSA

Maximum flexibility

Founded 2010

Lower overall monthly cost

Access to PPO network (Cigna)

No waiting period for pre-existing conditions

Unlimited sharing cap

Compatible with HSA

Structured network

Founded 2017

There’s no one-size-fits-all answer – and that’s the point. Both Sedera and Zion represent a shift away from the limitations of traditional insurance and toward a more transparent, community-supported model of care.

What makes the combination of DPC with cost sharing so powerful is that it puts patients back in control. You get transparent pricing, freedom of choice, and care decisions driven by your health rather than by billing codes or network restrictions. With trusted partners like Sedera and Zion, medical cost sharing allows families as well as employers to protect against large medical costs while enjoying the personal, accessible care that DPC was designed to deliver.

If you are interested in learning more about medical cost sharing, and how it could help ease your financial burden, please contact us!