Direct Primary Care, or DPC, is a model of healthcare that puts patients first by getting rid of the red tape by which most other traditional practices are restricted.

Main Street Family Medicine is a Direct Primary Care practice in Vancouver, Washington. We offer a model of family healthcare that is accessible, comprehensive, affordable, and personal.

The terms are often used interchangeably and essentially refer to the same principles. Direct Primary Care is a healthcare model focused on putting the patient first. That means treating them when they need it, never rushing patients through appointments, and being proactive with healthcare treatment plans. Direct Primary Care clinics don’t accept insurance, but choose to work directly with the patient, providing deeply discounted labs, affordable prescriptions, and guidance on the cheapest cash-pay imaging and referral services in our community.

We have cut the red tape of bureaucracy. The restrictions that typically leave physicians in a traditional healthcare setting buried in unhelpful paperwork are lifted through Direct Primary Care, allowing us to spend our time where it really counts- with patients. In refusing to recognize any interference with the sanctity of the patient-physician relationship, we have returned family medicine to its root values of clinical excellence for and compassionate knowledge of every patient. In every aspect of family healthcare, we promise accessibility, convenience, and affordability.

Of course. We argue that everyone benefits from a service tailored directly to them. That’s why we offer truly customized healthcare. Our practice is devoted to the maintenance of your good health and enhancements of your daily experience that only physical well-being can bring. We’re here for both your reactive needs and, more importantly, proactive healthcare. ​ At Main Street Family Medicine, we have the gift of time. Every visit, for whatever reason, will be easygoing in its absolute thoroughness, relaxed in answering your questions and addressing the need of the moment. Then, as the months and years go by, we’ll build a comprehensive, intimate knowledge of your health.

In providing superb care with exceptional access, we seek to prevent or reduce hospitalizations and specialty referrals. In instances where those types of care are required, we will continue to work with any specialist or hospitalist you see. In some cases, depending on the level of care and the sorts of expertise required, we may rely on those specialized caregivers to manage your treatment.

Yes! All our providers are available to see children (birth to 18 years of age). We are able to provide Well-Child Checks, sports physicals, sick visits, and free child vaccinations.

Yes! Because illness and injury do not respect regular office hours, you may call our practitioners for urgent matters after regular business hours, even on weekends or holidays.

Because we know you well, we can streamline your care when you’re sick away from home. Many illnesses can be diagnosed and treated with a simple conversation by phone, email, text or webcam. We’ll locate the nearest pharmacy and order the medications most appropriate for your circumstances.

We are never obligated to provide any insurance or pharmaceutical company with a copy of your records unless you specifically ask that we do so.

Come get to know us! Schedule a free Meet and Greet, where you can see the clinic, meet our staff, and ask any additional questions you have. This is the best way to ensure we would be a good fit for your specific needs and expectations.

No. While we gladly see many patients with all sorts of private insurances, we do not bill insurance for any service provided here at the clinic to save our patients from the arbitrary, intrusive decisions that follow with third-party payors. Additionally, this direct fee-for-services arrangement frees us to offer wholesale prices on laboratory tests, imaging, and medications.

Yes! We recommend our patients have a healthshare or a high deductible insurance plan along with a health savings account. This ensures financial help is available should hospitalization or referral to a specialist be necessary. Although we do not directly bill insurance, any services you obtain at another facility can be billed to your insurance provider. Though we often have much better prices than your insurance carrier will provide you, we are happy to help you cost shop. One huge difference here at Main Street is that we give you the cost of services before they are rendered so you can be confident that your care is within your budget. We are also happy to refer you to insurance representatives who can help customize an insurance plan to your specific needs. Please call us if you have additional questions.

Yes! We are able to take patients on Medicare and Medicaid- please call to discuss how it works.

Unfortunately, no. Your retainer is not yet defined as a “medical expense” in most states. Please confer with your tax consultant to clarify tax consequences in your particular circumstances.