Question 1

Is Direct Primary Care legal in Virginia?

Accepted Answer

Yes. Virginia became the 21st state with DPC legislation in 2017. SB 800 was enacted April 26, 2017, codified at Va. Code §§ 54.1-2997 and 54.1-2998. It took two tries: an earlier bill (SB 627) passed both chambers in 2016 but got vetoed by the governor, and the 2017 version was signed into law. Read the statute.

Question 2

How much does Direct Primary Care cost in Virginia?

Accepted Answer

Adult DPC memberships in Virginia typically run $59–$139 a month. Family plans usually cost less per person, and kids' memberships come in cheaper than an adult's. Prices vary by practice, so it's worth shopping around. Browse Virginia practices to see real prices near you.

Question 3

Is a DPC agreement considered insurance under Virginia law?

Accepted Answer

No. Section 54.1-2997 says a DPC agreement isn't insurance. It's not subject to Virginia's insurance code. On top of that, § 38.2-4200 gives individual physicians pre-existing protection for direct agreements with their patients, which makes Virginia's legal environment especially favorable for DPC.

Question 4

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

Accepted Answer

No. Virginia law bars a DPC practice from billing a third-party insurer for services already covered under the direct primary care agreement. Your membership fee is the complete payment for those services.

Question 5

What must a Virginia DPC agreement include?

Accepted Answer

A written agreement with a specific set of required terms. Under § 54.1-2998, it must be in writing, describe covered services and the periodic fee, disclose that it isn't insurance, allow either party to terminate with reasonable notice, and spell out the duration and any renewal terms.

Question 6

Can Virginia DPC physicians dispense medications?

Accepted Answer

Yes, with the right licensure. Virginia MDs and DOs can dispense medications if they're licensed by the Virginia Board of Pharmacy as a practitioner drug outlet. The application fee typically runs $180–$240, and the Board publishes an FAQ page and guidance document for dispensing physicians.

Question 7

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

Accepted Answer

Yes. DPC covers everyday care, not the expensive emergencies. It won't cover hospitalizations, ER visits, specialist care, or surgeries, so most Virginia 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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Virginia DPC laws & FAQ

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