Direct primary care (DPC) brings back the simple and direct relationship between the primary care doctor and the patient. Instead of billing insurance companies for your medical care (which requires doctors to abide by many insurance regulations that are not necessarily in your best interest, clinically), patients pay a monthly membership fee that makes sure their dollars are being spent on their own health. The DPC model gives patients access to their provider, discounted prices for lab and medication, extended office visits, and direct communication via email, text or phone.

Direct primary care membership is not insurance, but a different way to pay for comprehensive primary care services that allows for relaxed, extended visits in a relationship-based practice rather than a production-based practice. We can focus on caring for you and your family rather than dealing with expensive and frustrating insurance regulations.

Your monthly membership provides you open access to our excellent primary care services and personalized followup to optimize your health. You can schedule your own visits and reach your provider and team directly via text, call, or email. We provide plan options to cover all your needs by giving you choice on what base services you need and including the option for add-on services, procedures, and specialized visits. (Please see specific membership options). We have negotiated for at-cost laboratory testing, at-cost imaging services, and specialty referral discounts on your behalf. And so much more…

Yes! We love families and want to help support yours! Adding family members automatically gives you a discount on each of the memberships, including your own. If you are a single parent or have a household of more than 4 kids, be sure to ask us during your membership call about additional discounted rates that we can apply. We want to help support you in the hard work you are doing to care for your family.

Absolutely. We want to keep you healthy; that's the goal! The current healthcare system has trained us to only access our doctor when we are really sick. We want to offer you a relationship with a provider that you trust, to ensure that your core needs are being taken care and help you live beyond the urgent needs of your health.

There are minor issues and important health questions that you are welcome to address anytime and with this kind of membership, that is easy to do. In the rare case that you do get sick, we can help take care of you!

We have same day or next business day appointments to cover your more urgent needs or injuries. There are procedures or labs or imaging that we can provide you at lower cost. Having a team that knows how to advocate for your health needs and expedite your care, or even save you one unnecessary trip to the emergency room, would be worth more than a year of membership cost.

Knowing that you have excellent personalized care will help you think of your healthcare as a tool to thrive, not just survive.

Although we do not bill or use insurance, we do pair well with people who have insurance, especially high deductible plans and health share plans. We recommend everyone have insurance or a health share plan for catastrophic events such as traumas or severe illness requiring hospitalization (heart attack), extensive treatments (like cancer), or complex speciality procedures and care. Insurance works really well for the rare, expensive event, but creates unnecessary complexity and cost for primary care services. After all, you don’t use your car insurance for oil changes or to fill up your gas — why use health insurance on primary care?

We believe in building a long term relationship with you, and so request a 6 month initial commitment, to be paid monthly*. Our Patient Agreement states that we need written notice 30 days ahead of cancellation. If you paid quarterly or annually, you will be refunded the remaining difference.

Re-activating cancelled memberships: A registration fee to cover administrative costs is applied for returning and new members.

Upgrading from a Health Essentials membership to Premium is not considered a cancellation, there are no fees to do that, and can be done at any time.

Downgrading from a Premium membership to Health Essentials requires written notice at least 14 days in advance of your next charge date.

*Ask about discounts on the monthly membership rate when you opt to pay in advance for a 6 or 12-month period, rather than month-to-month.

No, we do not bill or take any insurance, including Medicare.

Patients who have regular Medicare may find that having a membership with us fills a gap in their healthcare needs that is well worth the additional expense*. So, while Dr. Fredette is "opted out" of her ability to bill Medicare, she can be an Ordering/Referring Provider, which still allows you to use your regular Medicare benefit for outside services (consultations, imaging, etc) ordered by our office.

Medicare does not cover membership costs or charges from our office and will not offer reimbursement for those charges. Medicare rules require beneficiaries who sign up for Renova Health to formally agree that they will not submit the invoices to Medicare. Medicare beneficiaries will be asked to sign a Medicare Beneficiary Notice of Non-Covered Services agreement form upon registration.

*MedAdvantage programs and other types of Medicare plans can automatically disqualify you from being able to see Dr. Fredette as your PCP. You may benefit from speaking to an advisor to help you understand what combination of plans is best for you.

NOTE: If you are 65+, please email or call us to start the conversation about membership, since there are certain restrictions around Medicare that may apply.