Direct Primary Care is a newer health care approach where patients pay a flat, recurring fee directly to their healthcare provider for their primary care needs. This medical subscription fee typically covers a range of basic primary care services, including consultations, exams, some labs and procedures, as well as specialty referrals. No insurance is necessary for this care model, because insurance is not accepted or ever billed for Direct Primary Care patients. Direct Primary Care is a membership for primary care, not health insurance. It does not replace insurance for hospital care, emergencies, specialist visits or imaging.