A New Hampshire Internal Medicine Clinic
Our goal is to offer accessible and female physician led primary care services in Concord, NH, building a healthier community.
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Schedule a free meet and greet to get to know our physician.
Feature | Direct Primary Care (DPC) | Traditional Fee-for-Service (FFS) |
---|---|---|
Payment Method | Monthly membership fee (like a gym, lawn care, etc.) | Pay per visit or service (like a restaurant bill) |
Insurance Needed | No insurance needed for regular visits | Uses health insurance for payment |
Co-Pays | No co-pays for visits | Usually pay a co-pay every time you visit |
Cost Transparency | Clear monthly fee; no surprise bills | Costs can be unclear; bills may come later |
Appointments | Same-day or next-day appointments | Longer wait times common |
Visit Time | Longer visits (30–60 mins) | Shorter visits (10–15 mins) |
Doctor Access | Call, text, or email your doctor directly | Typically go through staff or nurse line |
Red Tape & Paperwork | Skips delays and unnecessary paperwork | More insurance forms, approvals, and delays |
Consistency of Care | See the same doctor every time — always a female physician at VitalCare Internal Medicine | High staff turnover; often not the same provider or a physician |
Covered Services | Most basic care included (checkups, sick visits, simple procedures) | Each service may add charges |
Focus | Relationship-based care | Volume-based care |
Best For | People wanting reliable, personal care without hassle | People using insurance who don’t mind less consistency and wait times |
Feature | Concierge Practice | Direct Primary Care (DPC) |
---|---|---|
Membership Fee | Required, typically high (could range from hundreds to thousands per year) | Required, generally more affordable than concierge; often a flat monthly fee |
Insurance | Requires both membership and insurance coverage for certain services | No insurance needed for routine care; membership covers most services |
Cost | High overall cost due to dual fees (membership + insurance) | More affordable, transparent costs, no surprise billing |
Access to Doctor | Easier access, but more expensive due to the combined fees | Direct access to your physician with a focus on convenience and personal care |
Service Range | May include more luxury or extra services (e.g., travel medicine) | Focused on core healthcare services (checkups, sick visits, preventative care) |
Patient Load | Lower patient load to ensure personalized service | Lower patient load, allowing for longer appointment times and personal attention |
Visit Time | Longer visits are common but may come with additional costs | Longer visits (typically 30-60 minutes) with no extra charges |
Overall Focus | Aimed at providing exclusive, high-end care for patients willing to pay for extra perks | Focused on providing affordable, relationship-based care to the community |
If you’re interested in seeing how many DPC clinics exist in New Hampshire, you can explore the DPC Frontier Map, which lists practices by location.
While many types of clinicians offer DPC, VitalCare Internal Medicine stands out as the only female internist in the Concord and surrounding areas in NH providing this model. I offer expert care to all patients while specializing in care for women and local businesses. Compared to midlevels and family physicians, internists bring advanced training in managing complex adult health conditions—something I combine with a personalized approach that prioritizes trust, access, and continuity.
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