Concierge direct primary care. Doctors at your home

Call now for an easy membership plan AND the only legal alternative to the most expensive Covered CA, individual or group insurance policies. 

DPC (direct primary care) patients get all the phone questions and overall management that they want as part of a low monthly fee, plus additional at home appointments as needed, 

Yes, the photo is an actual Christmas Day patient appointment.  The relaxed pace of our appointments helps us KNOW you.  

Our Doctors come to your home and: 

• listen carefully, 
• understand you better,
• connect more of the dots,
• clearly answer your questions,
• treat your medical problems, 
• and manage your recovery.  

We do not order unnecessary tests.  This is not defensive corporate medicine. This is great care simply by knowing you better.  Our goal is avoid unnecessary ER trips, and reduce unnecessary hospitalizations. 

20 year leap forward in communicaitons. Direct secure  messages with staff and Doctors.  

We run circles around "My Chart".  You can text secure messages on our new communications app -- and the MDs and staff see your message to answer you directly.   ALL voicemail messages are automatically and immediately transcribed for the doctor. What you need can be tracked and managed. 

We feel this is a major 20-year leap forward in our care of patients. That’s largely because your questions, messages, VM, phone or fax can be tasked to one of the MDs or medical staff. They do what is needed. Then ✅ it off when whatever it is done/answered. Things move forward even more effectively.  That is a major reason that immediate problems are usually seen the same day.

 The low month fee

Covers ongoing medication management, refills, quick two or three minute questions we can answer based on knowing you well, arm wrestling with your insurance. (For patients in a facility or with caregivers it also includes giving written orders to the facility nursing staff).  

Book longer appointments as needed

 You can schedule longer visits with the docs on our staff or have other services done or delivered at your home. HCDTO will tell you the lowest cost, best approach to addressing each of your medical concerns. We believe our direct primary care, with the option of more intensive treatment at your home, reduces your total out-of-pocket medical spending AND provides better care.

   First adult   $89 per month

    + Spouse     $69 

    + Children  $29 each (consults for illness, without vaccines)

How closely do we follow, know and support our DPC patients?  

Here are three quick real-life examples: 

• “…You're traveling and your son tested positive for influenza?  Yes, we can send in a prescription for him, plus preventative doses for everybody else in the family.” 
• "… Yes we can meet you quickly to get a respiratory swab in the parking lot. Which car are you in today, the Range Rover or the black Audi ?”
• Two brothers share responsibility as her medical power of attorney. Police need to reach the POA.  We know they are both traveling. "...One brother is in England — he is awake now can be reached at this number.”

DPC is only available for our ongoing patients.   HCDTO added a specialist in Pulmonology, Critical Care and Internal Medicine in 2024.  We work hard to avoid unnecessary trips to the Emergency Room.

How to get started 

Step one: Schedule your initial intake visit in your home (includes labs, ECG and about an hour with the provider).

Step two: You decide you love us.

Step three: You say "...start me up with direct primary care coverage."

We will treat all your unexpected primary care needs in the most efficient manner, suggesting methods with the lowest cost to you. Our team is also available to answer your quick questions on the phone and manage your primary care as often as you need us — for one low monthly price.  

Examples of the range of other options include a video consult, a nurse who knows your case sent to your home to give IV fluids or other care, an MA/phlebotomist coming at your home for lab draws, an in-depth face-to-face consult with a doctor, specialist coordination and more..  No matter what we are doing for you, we will always share the range of choices.  From the least expensive to the highest service.   

Leverage your high deductible insurance 

You can use your existing high-deductible PPO or Medicare insurance to cover outside labs, X-rays, CT and MRI imaging, physical therapy, visiting nurses, specialists and hospitalizations.  Patients under age 65  can submit receipts for out of network services to their PPO plan.  

Our direct primary care includes free orders and consults for all of the labs, imaging, therapy, nursing, specialists and hospitalizations described above.

Low cash prices 

We never recommend being un-insured against catastrophic medical problems but, for those without insurance, we keep track of how to find the lowest cash prices for outside services.   We will be your go-to source for all your primary care -- from quick phone questions included at no charge to more complex appointments with a moderate charge.

When you need more hands-on at home  

We offer direct primary care members easy to understand add-on services for situations that need more complex treatment at your home:

For example in our central coverage area:

     We write order at no charge, you walk into the lab for blood draw     $    0 

     Phlebotomist draws labs at your home                                                     $  80

     Triage, treatment and IV fluids, (where & MD orders matter)               $ Call

     MD or PA-C treatment at your home   (where & follow up matters)    $ Call

     MD or PA-C complex treatment at your home *                                      $ Call

* Complex examples include advanced wound care, adjustment  of anti-psychotic medications for uncontrolled patients, and similar situations.   * Longer distance travel has a small surcharge.