Frequently Asked Questions About Euphora Health
Jump to: insurance, pricing, medications, services, access
How We Work with Insurance and Medicare
How does this work with my insurance?
Direct Primary Care (DPC) is not insurance. We recommend that our members maintain a high-deductible insurance plan or a Healthshare for “big-ticket” items like hospitalizations, surgeries, and high-cost medication. We handle 80-90% of your healthcare needs for a flat monthly fee, often saving you significantly on out-of-pocket costs. When you need care outside of our office we are happy to guide you within your insurance network or to the best cash price if you choose to not use your insurance.
Can I join if I have Medicare?
Yes. You can absolutely be a member of Euphora Health if you have Medicare. Because our doctors have “Opted Out” of the Medicare system, federal law requires us to sign a simple Private Contract together. This states that neither you nor Euphora will bill Medicare for our membership services. You still keep your Medicare for everything else, such as specialists, hospitals, and imaging.
Do you accept Medicaid?
We do not accept Medicaid, but many Medicaid patients choose to join our practice for the increased access and time with their doctor.
Do I still need insurance?
While not required to join our practice, we strongly encourage having some form of catastrophic coverage. DPC is a replacement for your insurance-based primary care, not a replacement for insurance entirely.
Can I use my HSA or FSA to pay for membership?
Many patients use their HSA or FSA funds to pay for their DPC membership. While current IRS regulations vary, most members find it is a compliant way to manage their healthcare expenses. For HSA, the maximum applicable amount that can be used for DPC is $150 per month for individuals and $300 per month for families. Any amounts above these limits would need to be paid out of pocket. We recommend consulting with your tax professional for your specific situation.
How do labs and blood work work with insurance?
We can either tell the lab to bill your insurance or you can pay us directly for the labs. We offer “Wholesale Labs.” Because we negotiate directly with laboratories like CPL, our members pay deeply discounted rates. For example, a standard panel that might cost $200 at a traditional clinic is often $20-$25 at Euphora Health. You can pay for these via your HSA/FSA or credit card. If you prefer to use your traditional insurance for labs, we can provide an order for you to take to an outside facility, though our wholesale rates are almost always the most affordable option if you end up having to pay any part of the bill.
Pricing and Membership
What are the membership fees?
Our fees are based on age, ensuring that care remains affordable at every stage of life. Adults generally range from $85 to $119 per month. There is a one-time registration fee of $79 per person (capped at $109 per family) to get your care established.
Do you offer family or couples discounts?
Yes. We are a family-owned practice and believe healthcare should be affordable for the entire household. While we keep our individual rates low, families save significantly because children’s memberships are reduced to just $49/month when at least one parent joins. For a typical family of four, this results in a savings of $60 per month compared to individual billing. Additionally, we cap our one-time registration fee at $109 per family, saving you $200+ upfront compared to individual sign-up fees.
Is there a cancellation policy?
We believe in earning your business every month. There are no long-term contracts. If you need to cancel, we just ask for a 30-day notice. If you choose to rejoin later, a re-registration fee will apply.
What is included in the membership?
Your membership covers all office visits (with no copays), telehealth, texting/emailing your doctor, and many in-office procedures. You also get access to our wholesale pricing for labs, in office testing and procedures.
Are there additional costs for office visits or minor procedures?
No. At Euphora Health, your monthly membership covers all office visits with $0 copays and no deductibles. This includes unlimited in-person visits, as well as telehealth (phone, text, and video). Most minor in-office procedures—such as stitches for lacerations, EKGs, skin biopsies, toenail removals, and rapid tests for strep or pregnancy—are also included at no additional cost. We believe you should never have to hesitate to call your doctor because of a surprise bill.
Medications and Specialized Care
Do you manage ADHD medications?
Yes. We can manage controlled substances like Adderall or Vyvanse for established patients. We require a documented history of diagnosis from a specialist and regular in-person follow-up visits to ensure safety and compliance with Texas medical regulations.
Do you offer Hormone Replacement Therapy (HRT)?
Yes, we offer HRT for both men and women. Your provider will review your clinical history and lab work to create a customized plan. While the consultation is included in your membership, the cost of the hormones is separate.
Can you manage chronic conditions like high blood pressure or diabetes?
Absolutely. Managing chronic conditions like hypertension, diabetes, and high cholesterol is the heart of what we do. Unlike traditional clinics where you are rushed through a 15-minute visit once every few months, our membership allows for 30-to-60-minute appointments. This gives us the time to focus on lifestyle changes, nutrition, and precise medication management. Most importantly, because our members have direct access to us via text and phone, we can adjust your treatment plan in real-time between visits, preventing small issues from becoming emergencies..
What if I need a specialist?
If you need specialized care, we will coordinate the referral for you. We provide the necessary clinical notes and summaries required by your insurance or the specialist’s office to ensure a seamless transition of care. We can guide you within your insurance network or to the most cost effective solution if you will pay cash.
Women’s Health, Pediatrics and Family Care Services
Are Well Woman Exams included?
Yes. Your annual physical, including clinical breast exams and pap smear, is covered by your membership. Any external pathology or lab fees for the pap are billed separately at our deeply discounted member rates. We also provide colposcopy if it is warranted after an abnormal pap smear.
Do you see pediatric patients?
We see patients of all ages, from newborns to seniors. We provide well-child checks, sports physicals, and acute care for when your little ones get sick. We don’t provide routine childhood vaccines because it isn’t financially viable for our clinic.
What is your vaccine policy?
We follow evidence-based guidelines from the CDC and ACIP when recommending vaccines, and we believe immunizations are an important part of preventive care. We will always share our clinical recommendations honestly and explain the reasoning behind them. That said, we respect patient autonomy — we will never exclude or dismiss a patient simply because they have questions about or have declined a vaccine. Our goal is to be a trusted resource for accurate information, not a source of pressure or judgment.
What is included in an annual exam?
At Euphora Health, an annual exam is much more than a quick check-up; it is a comprehensive 60-minute deep dive into your health. Your exam includes a full physical, a review of your medical history, and an in-depth discussion about your lifestyle, nutrition, and wellness goals. We also perform or order age-appropriate screenings, such as mammograms or colon cancer screening, if needed. For women, this can include a Well Woman Exam (clinical breast exam and Pap smear). While the office visit and physical are 100% covered by your membership, any external lab tests are billed at our deeply discounted wholesale rates—meaning you get an “Executive-level” physical without the premium price tag.
Direct Access, Telehealth and Scheduling
How quickly can I see a doctor?
We reserve space in our schedule for same-day or next business day appointments for urgent issues. Our goal is to ensure you never have to wait an inappropriate amount of time to see your doctor when you are sick.
Can I text my doctor?
Yes. Members have a direct line to their clinical team. You can text us for non-urgent questions, medication refills, or to share updates on your health, all at no extra cost.
Is telehealth included?
Absolutely. If a concern can be handled via phone or video chat, we are happy to do so. This saves you a trip to the office and fits your healthcare into your busy lifestyle.
