General Patient Information
Welcome to our General Patient Information hub — a simple, friendly guide to how membership works at Gem State Direct Primary Care. Our goal is to make your healthcare experience clear, transparent, and personal. If you ever need help or have questions, we’re always just a message or phone call away.
General Questions (FAQs)
If we haven’t fully answered all of your questions, please contact us via phone or through the contact us so we can further assist you.
What is Direct Primary Care (DPC)?
Direct Primary Care is a membership‑based model that removes insurance from the middle of your primary care. Instead of billing per visit, you pay a predictable monthly fee that gives you direct access to your provider, longer appointments, and truly personalized care.
DPC allows us to focus on you — not codes, quotas, or rushed visits.
Membership Pricing
SINGLE MEMBERSHIPS
$50/month Children (age 12-18)
$110/month Age 19-55
$125/month Age 56+
NO ENROLLMENT FEES!
Bonus! If you prepay for a 12-month period, you receive a 15% discount!
COMPANY MEMBERSHIPS
$100/employee
*Company pricing is based on company enrollment
FAMILY MEMBERSHIPS
$300/family of 3+
*To stay within the federal OBBB cap, we offer a reduced family membership rate that keeps your total monthly cost at the $300 limit.
This allows families to continue using HSA, FSA, or HRA funds for their membership.
What's Included In Your Membership
Your membership covers the vast majority of your primary care needs, including:
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Unlimited office visits
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Same‑day or next‑day appointments
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Longer, unrushed visits
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Direct messaging with your provider
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Telemedicine when appropriate
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Care coordination with specialists
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Wholesale pricing on medications
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Discounted labs and imaging
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Annual wellness visits
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Chronic disease management
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Preventive care and lifestyle support
Our goal is simple: make high‑quality care accessible, personal, and stress‑free.
Do you take insurance?
We do not bill insurance for visits. This is what allows us to keep care affordable, unrushed, and transparent.
However, you can still use your insurance for:
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Labs
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Imaging
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Specialist visits
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Medications (if you prefer to use your pharmacy benefits)
Many patients pair their membership with a high‑deductible or catastrophic plan for emergencies.
Can I use HSA, FSA, or HRA funds to pay for my Direct Primary Care membership?
Yes. Beginning in 2026, the One Big Beautiful Bill (OBBB) recognizes Direct Primary Care (DPC) memberships as qualified medical expenses. This means patients can use HSA, FSA, and HRA funds to pay for their Gem State DPC membership, as long as the membership fee stays under the federal cap of $150 per month per individual.
These changes continue into 2027 and beyond.
Does OBBB change how my insurance works with DPC?
OBBB allows patients to pair a DPC membership with a High‑Deductible Health Plan (HDHP) without losing HSA eligibility. Your insurance still covers hospital care, specialists, imaging, and emergencies, while your DPC membership covers your primary care.
Membership Terms
We keep things simple and straightforward — no surprises.
Memberships are month‑to‑month unless you choose the annual prepay discount.
There are no long‑term contracts.
You may cancel anytime with a 30‑day written notice.
Re‑enrollment fees may apply if you cancel and return later.
Additional Fees
Most care is included in your membership. When outside services are needed, we pass along our wholesale pricing with no markup.
Examples of common additional costs:
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Pathology for Pap smears: typically $60–$100
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Skin tag or mole pathology: typically $40–$100
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Common labs: CBC ~$10, A1c ~$8, Lipid panel ~$6
These prices are approximate and may vary slightly, but we always discuss costs with you ahead of time.
Conditions We Treat
We provide comprehensive primary care for most non‑emergency needs, including:
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Acute illnesses (colds, flu, infections)
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Chronic conditions (diabetes, hypertension, thyroid disorders)
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Mental health support
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Women’s health
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Men’s health
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Preventive care
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Minor procedures
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...and so much more!
If something falls outside our scope, we help coordinate the right specialist.
Care While Traveling
Your membership travels with you.
Whether you’re out of town or out of state, you can reach us through messaging or telemedicine for most concerns.
If you need in‑person care while traveling, we help guide you to the right resources.
House Calls
House calls are available when appropriate and within a reasonable distance of the clinic. If you’re unsure whether your location qualifies, just ask — we’re happy to help
Since availability can vary, we recommend reaching out early if you think a home visit might be helpful. Our goal is to provide care that’s both compassionate and convenient—right where you need it most.
How To Reach Us
Main Phone: (208) 361-2146
Fax: (208) 415-4805
Address: 8512 N Wayne Dr, Ste B
Hayden, ID 83835
We’re here to support you, answer questions, and make your healthcare experience as smooth as possible.