Question 1

Is Direct Primary Care legal in New Hampshire?

Accepted Answer

Yes. New Hampshire has had a dedicated DPC law since 2019. The state enacted HB 508 on August 16, 2019, becoming the 28th state with DPC legislation. It's codified at N.H. Rev. Stat. § 415:28 and expressly puts DPC outside insurance regulation.

Question 2

How much does Direct Primary Care cost in New Hampshire?

Accepted Answer

Adult DPC memberships in New Hampshire typically run $55–$139 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 New Hampshire practices to see real prices near you.

Question 3

Is a DPC agreement considered insurance under New Hampshire law?

Accepted Answer

No. Under § 415:28(II), a direct primary care agreement isn't insurance, and the provider "shall not be subject to the requirements of this chapter" (Title 37, the NH Insurance Code) when the agreement meets the statute's conditions.

Question 4

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

Accepted Answer

No. The agreement must prominently state that the DPC provider "will not file any claims against the patient's health insurance policy or plan for reimbursement of any primary care services covered by the agreement."

Question 5

Is there any restriction on who can enter a DPC agreement in New Hampshire?

Accepted Answer

Yes, a fairly unique one. Under § 415:28(V), a DPC provider with a capitated (prepaid) contract with a health insurer for a specific patient can't enter a DPC agreement with that same patient, unless the insurer contract specifically allows it. That guards against double-payment arrangements.

Question 6

Can New Hampshire DPC physicians dispense medications?

Accepted Answer

Effectively no. NH law limits dispensing to a 72-hour supply of medications for the "immediate needs" of the patient. Routine in-office dispensing of a patient's ongoing medications isn't permitted in New Hampshire.

Question 7

Do I still need health insurance if I join a New Hampshire 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. NH law also requires the agreement to prominently state that it's not workers' compensation insurance. Most NH DPC members pair their membership with a high-deductible health plan. Learn how DPC fits into your coverage.

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New Hampshire DPC laws & FAQ

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New Hampshire DPC laws & FAQ

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Doctors in New Hampshire