Patient Pays
A simple membership example designed to support predictable access to primary care.
Rios Healthcare is developing direct-care membership options designed to improve access, simplify pricing, and protect the doctor-patient relationship — while preserving care pathways for patients who use insurance, Medicare, or self-pay options.
Primary care has become increasingly difficult for both patients and physicians. Insurance rules, prior authorizations, delayed approvals, denials, and administrative requirements can interfere with timely, personal medical care.
Rios Healthcare is building a more flexible model so patients can have clearer access, more predictable options, and a stronger relationship with their physician.
The example below illustrates the type of membership structure Rios Healthcare is developing. Final pricing and included services may change before launch.
A simple membership example designed to support predictable access to primary care.
Same-day / next-day visits when available
Primary care and chronic care follow-up
Preventive care and annual wellness planning
Telehealth access when clinically appropriate
In-house lab and X-ray access
Discounted cash-pay services
Simpler communication and care coordination
A stronger ongoing doctor-patient relationship
Compared with fragmented fee-for-service care, urgent care visits, and unpredictable out-of-pocket costs.
Illustrative example only. Final pricing, included services, insurance rules, and availability may vary.
Direct-care membership is intended to make routine and ongoing primary care easier to access.
Timely visits, follow-up care, and simpler communication for primary care needs.
Ongoing management for conditions such as diabetes, hypertension, cholesterol, thyroid disease, and more.
Wellness planning, screening discussions, annual care review, and risk-factor management.
Virtual care when clinically appropriate and allowed by applicable rules.
Access to in-house lab and X-ray services when clinically appropriate, with transparent pricing where available.
A more connected relationship with the practice for ongoing care needs and next steps.
Direct care is not health insurance and does not replace coverage for major medical expenses. Patients should maintain appropriate insurance coverage for emergencies, hospitalization, specialists, surgery, medications, and services outside Rios Healthcare.
Rios Healthcare is designing this as a hybrid model. Some patients may continue using insurance for covered services, while others may use self-pay or membership options for more predictable access.
Medicare and insurance rules may affect what can be included or discounted. Final membership terms will be structured to follow applicable laws, payer rules, and practice policies.
Common questions about direct care, membership, and how this model may work at Rios Healthcare.
No. Direct care is not health insurance. It is a membership-style care model for certain primary care services.
Yes, depending on the service and your coverage. The goal is to create more options, not fewer.
Possibly, but Medicare rules matter. Final membership terms will be designed around applicable legal and payer requirements.
Some in-house services may be available through transparent or discounted cash-pay pricing, depending on the final plan and applicable rules.
Rios Healthcare is currently developing the model and collecting patient interest before final launch.
You can book an appointment or direct-care inquiry and let our staff know you are interested in membership options.
Book a visit or direct-care inquiry and let our staff know you would like information about future membership options.