How Direct Pay Makes Health Benefits Affordable

By Jawad Arshad / ebn / October 03, 2022 / / Read Article

A direct-pay network can be set up to cover 85% to 90% of all medical events, which involve everyday acute primary care for both in-person and virtual visits, as well as diagnostics like labs and imaging, and pharmacies.

Other layers can be added to the mix that would allow healthcare consumers to buy up coverage for mental health, dental and vision care. While coverage for inpatient and major medical care would not be included in this arrangement, employers can continue to provide a more “traditional” insurance plan, or explore alternative programs like HealthShares, or can even arrange for direct contracting with local hospitals with the help of their adviser.