Question 1

Is Direct Primary Care legal in Nebraska?

Accepted Answer

Yes. Nebraska has had a dedicated DPC law since 2016. The state enacted LB 817 (the Direct Primary Care Agreement Act) on March 30, 2016, becoming the 16th state with DPC legislation. It's codified at Neb. Rev. Stat. §§ 71-9501 through 71-9511, and multiple DPC practices operate around the state today.

Question 2

How much does Direct Primary Care cost in Nebraska?

Accepted Answer

Adult DPC memberships in Nebraska typically run $59–$149 a month. Family plans usually cost less per person, and kids' memberships run cheaper than an adult's. Prices vary by city and practice, so it pays to compare. Browse Nebraska practices to see real prices near you.

Question 3

Is a DPC agreement considered insurance under Nebraska law?

Accepted Answer

No. Under § 71-9504, a direct primary care agreement is expressly not insurance and isn't subject to the Nebraska Insurance Code (Chapter 44). A DPC practice doesn't need an insurance license to operate in Nebraska.

Question 4

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

Accepted Answer

No. Under § 71-9507, a DPC practice is prohibited from billing a third-party insurer for services already covered under the direct primary care agreement. The membership fee is the full payment for those services.

Question 5

Can Nebraska state employees use DPC?

Accepted Answer

Yes. Nebraska passed LB 1119 in 2018, signed by the governor on April 18, 2018, specifically to kick-start DPC adoption among state employees. The program lets state employees use DPC as part of their health benefits arrangement.

Question 6

Can Nebraska DPC physicians dispense medications?

Accepted Answer

Yes, but with a catch if they charge for it. Nebraska law (§ 38-2850) lets physicians dispense medications as incidental to their practice, but if they charge patients for those drugs, they have to register as a pharmacy and pay a $625 annual fee. NPs and PAs can't dispense under this pharmacy license type at all.

Question 7

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

Accepted Answer

Yes, DPC isn't a substitute for insurance. DPC covers most day-to-day primary care but not hospitalizations, ER visits, specialist care, or surgeries. Most Nebraska 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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Nebraska DPC laws & FAQ

Direct Primary Care
Doctors in Nebraska