You’ve got questions.

We’ve got answers.

Direct Primary Care

  • Direct Primary Care is a grassroots model started by Family Medicine physicians who want to return medicine to how it used to be (personal, quality time), with a modern touch (texting, telemedicine, etc.) The current model is broken. A single ER visit or hospitalization can put a patient in deep debt. Doctors are forced to pack their schedules to fit as many patients as possible, throwing quality, individual care out the window.

    How does DPC fix this? We do not bill insurance. It’s that simple. This one principle gives us the freedom to put time back into PATIENT CARE, not in unnecessary admin work. When a doctor is being paid for by insurance companies, they work in the interest of the insurance company. When we shift the focus to the patient (which is where it deserves to be), everybody wins.

  • No, this is concierge level care with an affordable price tag. Concierge medicine typically charges an annual fee in addition to billing insurance. With Direct Primary Care, there is no year-long commitment required and no surprise insurance bills for services we provide. We determine what is absolutely needed for your care and don’t tack on extra stuff because we know at the end of the day, you are paying for it.

  • All members are given a direct, HIPAA-compliant number to call or text Dr. Dafashy. We know not every question needs an office visit. We are happy to review your needs by phone and see if it requires a visit in person for further evaluation.

    Direct access also means after hours care. We know illness or injury does not follow an 8-5 schedule. With our direct access line, you can reach Dr. Dafashy any time of the day. We ask kindly that after hour messages be reserved for urgent or emergent matters only.

  • The value of this model stems from the unprecedented access to your physician.

    Child has a rash? Don’t take time out of your day, text your doc a picture and get a game plan!

    Recently overwhelmed by a specialist’s diagnosis? Come to the clinic to go through the diagnosis, treatment plan and prognosis in detail with your doctor.

    Can’t afford to miss work but need to talk to a doctor? Schedule a telephone or video visit.

    Child cut his finger and needs stitches? Save yourself from an ER bill and get it done at no extra cost.

    Haven’t been to the doctor since YOU were a child? It is time to make your health a priority- get a personalized wellness plan tailored to your lifestyle.

Membership

  • Click here to see our membership plans

  • Yes. There is no penalty fee for cancelling membership. We understand that life happens, plans change, or the fit may not always be right. We kindly ask for 30 day written notice.

    In order to provide personal care to each patient, Dr. Dafashy is only able to accept a limited number of members. Re-activation of accounts will depend on availability. We also reserve the right to terminate patients who do not follow office policies.

  • No problem! Why spend time on Dr. Google when you have your own doctor who knows you well? Membership gives you ACCESS for when you need, for the expected and unexpected visits. Not all problems require a trip to the office, and we can often provide the care you need through a call or text. This access may prevent an unnecessary trip to an urgent care or ER, saving you time and money, and in turn, removing the burden placed on our emergency services. Further, we offer a comprehensive, preventative care plan that will be tailored to your needs, to keep you healthy and out of doctors offices!

  • Click the link at the bottom of the page to request membership and you will hear from Dr. Dafashy shortly!

  • As a board-certified Family Medicine physician, Dr. Dafashy is trained to care for all ages, from birth to end of life.

Insurance

  • No, and this is what makes all the difference in direct primary care. Have you ever had a doctor stare at the computer during your whole visit? Insurance companies place a heavy administrative burden on doctors, taking time away from patient care.

    The DPC model believes in direct contractual agreements with laboratories, pharmacies, imaging centers, and even some specialists, for up front, clear pricing. You know how much every test, order, and visit will cost BEFORE you are billed.

    Of course, you always have the option to use your insurance for these things as well, but YOU get to decide which option works best for you and your family.

  • Yes. While you do not need insurance to join our clinic, we strongly recommend having insurance or participating in a medical cost sharing program to protect you from catastrophic events.

    We are not a substitute for insurance. It is important to have health coverage for emergencies, hospitalization, specialty care and unexpected long term care (cancer, car accidents, major surgery).

    Our model works best with a low-premium, high deductible plan, to save you more money in the long run. Your membership fee does not contribute to your deductible.

  • You can still join our practice. You only need to sign a one time waiver declaring neither you nor your doctor will bill Medicare for our membership services. Medicare will still cover labs, imaging, medications or hospitalizations. But Medicare will not cover the membership.

  • No problem! We know not everyone can afford a health coverage plan, and we believe this should not stop you from receiving high quality medical care. We are committed to serving our community regardless.

  • We agree. Insurance has evolved into something far beyond what it was supposed to be, and at high costs! But remember- insurance does NOT mean health care. You may be overpaying for your insurance. We recommend using insurance for catastrophes only, choosing a plan with low premiums and high deductible (the majority of insured patients never meet their deductible for routine care). Or consider joining a health care sharing plan (ask us about this!). Having insurance does not replace the work your primary care doctor can do for you. Insurance and a DPC membership should work together, with your primary doctor managing 90-95% of your health needs and health care coverage on hand if the worst were to happen.

Our Services

  • Membership grants direct access to your doctor. All appointments are covered under our low cost monthly membership fee, with same or next day appointments available (exceptions are in-office procedures, such as IUD placement). Because we don't bill insurance, you don't have to worry about a co-pay with each visit. Even better, we can discuss your health concerns in person, by telemedicine, or through text, with no surprise bills or restrictions!

    Appointments are blocked for 30 min to 1 hour depending on your need. There is no limit to the number of appointments per month.

  • No problem! Unless your insurance requires an in-network provider only for referrals (we are out of network for all insurances), we can refer you to our extensive list of specialists in the Houston area. If you choose to pay cash for these visits, you will know this cost beforehand.

  • We are not affiliated with any hospital system and currently do not offer hospital care. However, we strongly believe in working with your hospital team to provide any information to give you the best care.

  • Yes! If you would like to have your routine well woman exam with us, we would be happy to provide that care.

    We also understand some women prefer to stay with their OBGYN for these exams, and that is ok. We are happy to help manage the rest of your health and coordinate any care with your OBGYN as needed.

  • Dr. Dafashy does not manage chronic opiates, most chronic controlled substances, complex psychiatric conditions (such as schizophrenia, bipolar disorder), and prenatal care/ obstetrics. We feel these are best managed by specialists who have received extensive training in these conditions, and we are happy to help coordinate finding the right specialist for you.

    At this time, we do not offer any vaccinations in clinic. We can refer patients to a local vaccine clinic, pharmacy, or health department.

  • We value transparency! Outside of the monthly membership fee, you should expect to pay for any labs, imaging or medications ordered.

    Our clinic receives exclusive significant discounts for our labs, generally at 80-90% savings! For imaging and medications, we are your best resource to find you the best cash price if you choose not to use insurance.