Direct Primary Care Integration in Bloomfield Hills, With Your Eyes Open
Employees often say they cannot get in to see a doctor. Others skip care because of the deductible. Direct primary care is one answer employers hear about. Direct primary care integration in Bloomfield Hills means fitting a DPC practice into the health plan you already have, so the two work together.
We are an independent employee benefits consulting firm, in business since 2007. We help employers in Birmingham, Troy, Rochester Hills and across Michigan decide if DPC fits, and how to set it up if it does.
Direct Primary Care Integration
In direct primary care, or DPC, the employer pays a doctor’s practice a flat monthly fee for each enrolled employee. That fee covers most primary care visits. There is no claim to file and often no copay. Employees usually get longer visits and easier access to the doctor.
DPC is not health insurance. Employees still need a group plan for specialists, hospital stays and emergencies. That is where integration matters. For direct primary care integration in Bloomfield Hills, we:
- Help you decide if DPC fits your workforce and your budget.
- Compare local DPC practices and read their agreements.
- Line up the DPC with your group plan, so referrals, lab work and prescriptions fit together.
- Check it against your HSA plan, if you have one.
- Explain it to employees at open enrollment.
Can employees have direct primary care and an HSA?
Yes, within limits. A health savings account (HSA) is a tax-free account that pairs with a high-deductible plan. IRS guidance in 2026 lets direct primary care sit alongside an HSA when the monthly fee stays within set limits. Those limits are $150 a month for an individual and $300 a month for a family. A fee above those amounts can put HSA eligibility at risk. We check the fee and the plan design before you sign.
Does direct primary care save employers money?
It can improve access, but savings are not a sure thing. A Society of Actuaries study found direct primary care lowered care use but did not lower net employer cost on average. In plain words, people used less care, but that did not turn into a lower total bill for the typical employer. Your results depend on your group, your plan and the practice. We give you an honest read before you commit.
Common questions
Is direct primary care only for large employers?
No. Small employers can offer it too. In Michigan, small group means 50 or fewer employees, and DPC can sit next to a small-group plan. For a small group the fee is paid per enrolled employee, so the cost scales with headcount and is simple to budget. Where the group plan is paired with an HSA, the fee limits described above apply regardless of size.
Do employees have to use the DPC doctor?
Usually not. It is an extra option. We help you present it so people actually use it. Uptake depends on access, so we check where the practice is against where employees live and work, and how quickly it can see a new patient. An option nobody uses still costs the monthly fee for everyone enrolled.
How is DPC priced?
Practices charge a monthly fee per member. We compare fees and what each practice covers. The comparison that matters is what the fee includes, such as labs, generic medications and virtual visits, and what it leaves to the group plan. The contract terms matter too: any minimum enrollment, the notice needed to leave, and how the fee changes at renewal.
Talk to us about direct primary care integration in Bloomfield Hills
Send us your renewal or book a 30-minute call. We will tell you plainly whether DPC makes sense for your group. Our office is at 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304. Call 248.370.8853.
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