Question 1

Is Direct Primary Care legal in Kansas?

Accepted Answer

Yes. Kansas has had a dedicated DPC law since 2015. HB 2225 was enacted on May 7, 2015, making Kansas the 12th state with DPC legislation. It's codified at Kan. Stat. Ann. § 65-4978, and multiple DPC practices operate in the state, including well-known pioneers of the DPC movement.

Question 2

How much does Direct Primary Care cost in Kansas?

Accepted Answer

Adult DPC memberships in Kansas typically run $59–$159 a month. Family plans usually cost less per person, and kids' memberships come in cheaper than adult ones. Pricing varies by city and practice, so browse Kansas practices to compare real numbers.

Question 3

Is a DPC agreement considered insurance under Kansas law?

Accepted Answer

No. Kansas law explicitly says a DPC agreement is not insurance. Under § 65-4978, a direct primary care agreement isn't insurance and isn't subject to the Kansas Insurance Code. A DPC practice doesn't need an insurance license to operate.

Question 4

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

Accepted Answer

No. Kansas law bars a DPC practice from billing your insurer for services already covered by your membership. No. Kansas law prohibits a DPC practice from billing a third-party insurer for services already covered under the membership agreement. The periodic membership fee is the full payment for those services.

Question 5

Can Kansas DPC practices offer wholesale lab and pathology pricing?

Accepted Answer

Yes. Under HB 2027 (2017), Kansas DPC practices can offer pass-through pathology pricing as long as they disclose the lab and its charge. Yes. Kansas passed HB 2027 in 2017, making it a "disclosure" state for pathology direct billing. DPC practices can offer pass-through pricing for skin biopsies and other pathology services, as long as they disclose the lab used and the price the practice was charged.

Question 6

What must a Kansas DPC agreement include?

Accepted Answer

It must be a written agreement covering services, fees, a not-insurance disclosure, termination rights, and a 12-month prepayment cap. The agreement has to be written, describe covered services and fees, disclose that it isn't insurance, allow either party to terminate, and cap advance payment at no more than 12 months of fees.

Question 7

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

Accepted Answer

Yes. DPC isn't a replacement for health insurance. It covers most day-to-day primary care but not hospitalizations, ER visits, specialist care, or surgeries. Most Kansas DPC members pair their membership with a high-deductible health plan for that coverage. Learn how DPC fits into your coverage.

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Kansas DPC laws & FAQ

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Kansas DPC laws & FAQ

Direct Primary Care
Doctors in Kansas