Frequently Asked Questions

How is Cascade Direct Care different?

Cascade Direct Care offers a modern approach to old fashioned family medicine. We strive to provide our patients with urgent visits within 48 hours, and house calls are available for those who need them. Your provider is available by phone during office hours for questions, and each patient is given the time that they need and deserve at each appointment. In addition, since our patients have the luxury of our time and undivided attention, many outside costs can be avoided entirely through early detection of problems. With our superb care, we seek to prevent unneeded hospitalizations, imaging, and specialty visits.

I am a small business owner. Does a membership with Cascade Direct Care make sense for my employees?

A membership plan offers substantial savings to the employer, especially if the employer pairs our membership with a higher deductible insurance plan. Other possible benefits to employers are lower absenteeism, better employee health, and greater employee satisfaction with their individualized health care.

Can I use my health savings account to pay for the retainer fee?

Yes, most health savings accounts (HSAs) can be used to pay for the membership fee with pre-tax dollars.

Why doesn't Cascade Direct Care accept all health insurances?

We are a small rural health clinic and accept all of the main insurances for Crook County as a way to better serve our community.

Regarding our retainer option, health insurance is best utilized for hospitalization and treatment of a catastrophic injury or illness. Since nearly 90% of the health care needs in America are considered routine or preventative in nature, an expensive policy for this care does not make sense. One analogy compares the preventative maintenance of an automobile to healthcare. What if you were required to use your auto insurance each time that you needed a basic oil or tire change? The cost of your car's maintenance would skyrocket due to the costs of billing, paperwork, and bureaucracy. Like nearly all other insurance, auto insurance is used for catastrophic events such as an accident or theft. No other type of insurance (auto, homeowners, liability, malpractice, etc.) is used for routine maintenance except health insurance. Why should patients be forced to overpay for their health maintenance?

I have a chronic medical condition. Is Cascade Direct Care right for me?

Patients with chronic medical conditions require the frequent and thorough care that is associated with our office model. Because each practitioner has a set amount of patients, each patient is ensured the time that they need with their provider in order to accomplish their wellness goals.

What if I don’t have health insurance?

Our practice offers two options:

Cash Pay Per Visit: Our office visit charge is $95 per visit for our cash pay patients. The base price for our sliding scale is also $95 per visit. Please see our front desk for information on our sliding scale and how to qualify.

Retainer Practice Membership: Our members pay $60/month with no deductibles, no co-pays, and no strings attached. This monthly fee includes unlimited appointments and all other necessities of primary care. We see all patients regardless of their insurance status. We recommend that our patients purchase a major medical plan which will ensure financial help should hospitalization or a specialist be needed. For your convenience, we can connect you with insurance representatives that will walk you through the process.

What is a Direct Primary Care model (Retainer Practice)?

Direct Primary Care is primary care offered to the consumer without the billing of insurance. It is intended to remove financial barriers of healthcare by reducing the cost to the patients. A provision of the Patient Protection and Affordable Care Act, found on page 77, allows for direct primary care to compete with traditional health insurance options in the mandated health insurance exchange when combined with a low cost high deductible plan. Please see the Direct Primary Care Coalition website for more information:

What are the requirements for a retainer practice certification in Oregon?

The Oregon Legislature passed a bill in 2011 exempting these practices from falling under insurance regulations. In return, the practices are required to be certified yearly by the State of Oregon Insurance Division of the Department of Consumer and Business Services. Certification requires practices to provide information that demonstrates they are financially responsible and have the necessary business experience and expertise to operate a retainer medical practice. Retainer practice applicants must be able to offer primary care services, and they cannot bill to an insurance company, Medicare, or Medicaid. For more information, please refer to the Oregon Department of Consumer and Business Services at:

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