Direct Primary Care is a different approach to providing health care. Instead of the pay-per-visit model, you contract directly with your health care provider, paying a flat monthly fee that covers most common health care services. This allows patients to have their routine health care needs met, no insurance required. Direct Primary Care is not health insurance. Many people who join a DPC practice, will opt for a less expensive, high deductible, catastrophic-type health insurance plan to cover more serious health concerns.