Direct Primary Care (DPC) is a healthcare model where patients pay a monthly membership fee directly to their physician for comprehensive primary care services. Unlike traditional practices, Direct Primary Care does not bill insurance, allowing for longer visits, better access, and a focus on preventive and chronic care.

In traditional insurance-based practices, physicians are often limited by short visits and high patient volume due to insurance restrictions and payment models.

In a Direct Primary Care practice:

• Visits are intentional, based on the time and setting that individual needs rather than “one size fits all” time and place setting required in traditional insurance models.

• There are no copays or per-visit fees - membership covers in depth and comprehensive internal medicine level care.

• Communication is easier and more direct- messages go directly to your doctor for input. No phone trees or multi-step processes to reach out for questions or care.

• Care is relationship-based rather than transactional.

No.

Direct Primary Care is not insurance and does not replace health insurance. We strongly recommend maintaining a health share or insurance for very high-cost needs such as hospital care or unpredictable emergencies.

Yes! You can use your HSA to pay for DPC membership up to $150 per month for an individual, or $300 per month for a family (covering more than one person).

Grove Health Direct Primary Care is designed for:

• Adults 18 years and older

• Patients seeking long-term internal medicine care with their chosen doctor

• Individuals managing chronic conditions, as depth of internal medicine training is well suited to care for most common conditions

• Adults who value access, continuity, and preventive care focus

This practice would not be a good fit for patients seeking urgent-only or one-time visits. Urgent care is best suited for these needs.

Membership includes comprehensive adult internal medicine primary care services including:

• In-person and virtual (phone or video) visits

• Secure messaging with your doctor

• Preventative and deeply comprehensive visits

• Chronic disease management (hypertension, diabetes, weight management, etc.)

• Care coordination and referrals to specialists if high complexity needs - with internal medicine background, this is infrequent

• Detailed list of services available in membership agreement

There are no additional visit fees for included services.

Direct Primary Care membership does not include:

• Emergency room or hospital admissions

• Specialist visits

• Imaging fees (MRI, CT, ultrasound), discounted options are available if not using insurance

• Laboratory fees, discounted options are available if not using insurance

• Procedures not listed in membership agreement

• Medication cost (discounted options available and we can work with you for a personalized plan)

No.

This practice does not bill ANY insurance, Medicare or Medicaid. Membership fees cannot be submitted for reimbursement.

Patients are encouraged to join a health share or insurance for catastrophic events and other unpredictable, high cost care.

At Grove Health Clinic, standard pricing is based on age and reflects expected increased care needs as we age. Membership fees are:

• Transparent

• Billed Monthly (after three month onboarding period)

• Published on our pricing page

There are no enrollment fees, copays, or per-visit charges.

Yes.
New patients agree to a 3-month minimum commitment. After that period, membership continues month-to-month with 30 days’ notice required for cancellation.

This ensures continuity of care and protects the integrity of the DPC model as the goal is longitudinal care.

No.
This Direct Primary Care practice is designed for ongoing, relationship-based care, not episodic or one-time medical visits.

Patients who cancel and later seek to re-enroll may be subject to a re-enrollment fee and could join if the practice remains open to new patients.

The practice reserves the right to decline re-enrollment.

Yes.

Memberships are intentionally limited to guarantee timely access, longer visit capability, and high-quality care. Once the physician is at capacity, a waiting list is maintained.

Members can contact the practice via:

• Secure messaging

• Text based communication

• Direct phone call

• Email

We will respond promptly during business hours to ensure your health needs are safely met.

If it is an emergency, call 911 or present to your closest ER to ensure safety.

In-person clinic space will be welcoming members in July 2026.

The practice will be located in Downtown Fenton, MI.

For emergencies, call 9-1-1 or go to the nearest emergency room.

As your primary care physician, I remain available for guidance and coordination when appropriate, but emergencies should always be handled through emergency services for safest care plan.

Direct Primary Care works best for patients who value:

• A long-term, personal physician relationship

• Transparent pricing

• Access and continuity valued over transactional care

If you’re unsure, we encourage an introductory conversation to explore how this model provides exceptional value for your long term health.

To get started:

1. Review website to learn about our clinic

2. Schedule an introductory call to ask any outstandquestions you may have

3. Complete enrollment paperwork

4. Establish care visit with Dr Scowden