Frequently asked questions

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.

We are Oxford’s first Direct Primary Care practice. We offer a style of family medicine that is immediate, thorough, comprehensive, specific, easily affordable, and personal.

The terms are often used interchangeably. Direct Primary Care is a healthcare model focused on two important issues: 1. Putting the patient’s needs first, and 2. Keeping healthcare affordable. That means treating them when they need it, never rushing patients through appointments, and being proactive with healthcare treatment plans. The doctor-patient relationship is just as the name suggests – direct. Direct Primary Care clinics don’t accept insurance, rather they choose to work directly with the patient, providing discounted labs, deeply discounted prescription prices, and other costs savings along the way. We pride ourselves on price transparency – you will always be informed of the cost of a service before it is performed.

We have cut the red tape of bureaucracy. The restrictions that typically leave physicians in a traditional healthcare setting buried in nonsense paperwork are lifted through Direct 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 practice medicine to its root values of clinical excellence for and compassionate knowledge of every patient. In every aspect of family healthcare, and custom healthcare, we promise accessibility, convenience, and affordability.

Of course. We might argue that everyone benefits from a service tailored directly to them. That’s why we offer truly custom healthcare. Our practice is devoted to the maintenance of your good health, to the enhancements of your daily experience that only physical well-being can bring. We’re here for your reactive needs. But proactive healthcare is important, and we’re here for that, too.

At Hoke DPC, we have the gift of time. Even better? We get to give the gift of time. Large amounts of precious, irretrievable time given to you as you wish. 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, invaluable understanding available in no other regimen of care.

No. Happily, no. Perhaps the most critical distinction in our model of care centers on a direct, personal relationship between you and your doctor. That directness carries over to our business model as well. While the tender mercies of an insurance company might apply to the fixing of a damaged fender on your automobile, we see no reason for any insurer to have a voice about either the quality or the cost of your family’s care.

We forgo insurance payments in order to save our patients from the arbitrary, intrusive decisions that inevitably follow with third-party payors. Furthermore, this direct fee-for-services arrangement frees us from the typical contractual agreements that prevent physicians from offering wholesale prices on laboratory tests, imaging, and medications.

Yes. We recommend our patients continue a major medical plan with a high deductible and health savings account to ensure financial help should hospitalization, major surgery, or referral to a specialist be necessary.

Yes. You need only sign a waiver declaring that neither you nor your doctor will directly bill Medicare for our services. However, you can still use Medicare Part A for hospital and nursing home based services, and Medicare Part B for non-hospital based services not rendered at our office.

Great News! After over a decade of lobbying at the national level, the DPC community scored a big win with passage of the One Big Beautiful Bill in July of 2025. The bill contains a provision for DPC practices which, effective January 2026, will allow you to use HSA funds to pay for your monthly membership and any other charges (labs, medications, EKGs) at Hoke DPC. Using HSA dollars compared to regular, post-tax income is like getting 2 1/2 months of membership free each year. Check out this video for a more detailed explanation of this tax benefit: https://www.facebook.com/share/v/1bG58fQsQZ/

In providing superb care with unprecedented sorts of access, we seek to prevent or reduce hospitalizations and specialty referrals. In instances where those types of care are required, we will certainly continue to work with your hospitalist during your hospital stay as well as work closely with any specialist. 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. We are delighted to provide care to families, from birth to 100+ years of age. We will not be providing routine vaccines for young children as the practice gets started in 2019. As Hoke DPC grows, it is our intention to be able to offer vaccines in the near future. In the meantime, the Butler County Health Department can administer all routine pediatric (and adult) vaccinations, and even bill some insurances directly. For more information on health department vaccinations, visit

http://health.bcohio.us/our_services/nursing_clinics.php#outer-93

By all means, yes! Because life’s emergencies do not respect regular office hours, our providers are just a phone call away for urgent/emergent issues. If you prefer, for non-urgent issues, you may also use our secure patient portal to access your medical record and then e-mail your provider. Typically, you will receive a response within 1 business day.

Naturally we provide such care – yet another freedom we enjoy together as a result of our independence from the restrictions of third-party payment. 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. Let us know where is the nearest pharmacy, and we can order the medications most appropriate for your circumstances.

We maintain scrupulous standards of privacy. Since we are not contracted with any payer (other than you), we are never obligated to provide any third party with a copy of your records unless you specifically ask that we do so.