Question 1

Is Direct Primary Care legal in Georgia?

Accepted Answer

Yes. Georgia has had a DPC law since 2019. SB 18, the Direct Primary Care Act, was enacted April 25, 2019, making Georgia the 26th state to formally define DPC as outside the insurance code. It's codified at O.C.G.A. § 33-7-2.1. Read the statute.

Question 2

How much does Direct Primary Care cost in Georgia?

Accepted Answer

Adult DPC memberships in Georgia typically run $59–$149 a month. Family plans usually cost less per person, and kids' memberships come in cheaper. Pricing varies by practice, so browse Georgia practices to compare real numbers.

Question 3

Is a DPC agreement considered insurance under Georgia law?

Accepted Answer

No. Georgia law states a direct primary care agreement isn't insurance and doesn't require an insurance license. No. Section 33-7-2.1(b) says a direct primary care agreement "is not insurance, shall not be deemed an insurance arrangement nor agreement, and is not subject to state insurance laws." A physician doesn't need any license beyond their standard medical one to offer DPC.

Question 4

Can a Georgia DPC doctor also bill my insurance for the same services?

Accepted Answer

No. Georgia's Direct Primary Care Act defines DPC practices as ones that don't bill third parties on a fee-for-service basis. No. Georgia's Direct Primary Care Act defines a qualifying DPC practice as one that doesn't bill any third parties on a fee-for-service basis. Double-billing is ruled out by that definition.

Question 5

What must a Georgia DPC agreement include?

Accepted Answer

It must be written and signed, allow either side to terminate, describe the covered services and fees, and disclose it's not insurance. Per § 33-7-2.1(d), it has to be written and signed by both sides, allow either party to terminate (the physician must give at least 30 days' notice, the patient no more than 30), describe what services are covered, spell out the fees, cap prepayment at 12 months, and prominently state in writing that it isn't health insurance.

Question 6

What happens to prepaid fees if I cancel?

Accepted Answer

You get the unearned portion back, and Georgia requires the refund within 30 days of termination. You get the unearned portion back, and Georgia actually puts a clock on it. Under § 33-7-2.1(f), the physician has to refund any unearned fees within 30 days of termination.

Question 7

Do I still need health insurance if I join a Georgia DPC practice?

Accepted Answer

Yes. DPC covers most day-to-day primary care, not hospital stays, ER visits, or surgery. Yes. DPC covers most day-to-day primary care but not hospital stays, ER visits, specialists, or surgery. Most Georgia members pair their membership with a high-deductible health plan for that. Learn how DPC fits into your coverage.

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Georgia DPC laws & FAQ

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Georgia DPC laws & FAQ

Direct Primary Care
Doctors in Georgia