Question 1

What is Community Supported Direct Care?

Accepted Answer

Community Supported Direct Care is a direct-pay healthcare model with transparent pricing and no insurance middleman. You pay for visits directly, and pricing includes equity tiers so that those with greater financial stability help sustain access to care for others in the community. There is no membership or subscription fee at this time. You pay per visit.

Question 2

Who is Community Supported Direct Care for?

Accepted Answer

Everyone. This model is grounded in the belief that community supporting community strengthens healthcare for all. It is designed to sustain thoughtful, relationship-centered care while expanding access. We thrive when we support one another.

Special intention is given to serving those impacted by systemic inequity, including people who identify as Black, Indigenous, or People of Color; disabled or chronically ill; LGBTQIA+; larger-bodied; low-income; or who hold multiple marginalized identities.

Question 3

What tier should I choose?

Accepted Answer

If you’re wondering which tier is the right fit for you, I encourage you to explore the Green Bottle self-assessment tool created byAlexis J. Cunningfolk. (https://www.wortsandcunning.com/blog/sliding-scale)This resource offers thoughtful guidance on sliding-scale models and helps clarify the difference between financial sacrifice and financial hardship.

Question 4

What if I need to see a specialist?

Accepted Answer

If specialty care is needed, I’ll help connect you with the right provider and coordinate care so communication stays clear and collaborative. Any fees for specialist visits are set by that office and depend on your insurance plan or their cash-pay structure.

Question 5

What if I need labs or imaging?

Accepted Answer

When testing is needed, I’ve got your back! If you’re using insurance, labs and imaging are billed directly through the facility performing the test according to your plan benefits. If you’re uninsured, do not have lab benefits, have a high deductible, or prefer not to use insurance, I can arrange discounted cash-pay options instead. I’ve secured reduced pricing for many common labs and imaging studies, and we review costs beforehand so you know what to expect.

Question 6

What if I need a prescription medication?

Accepted Answer

If a prescription is part of your care plan, I can write it for you as long as you are an established patient in the practice. You may use your insurance at the pharmacy of your choice, or pay out of pocket if you prefer. When helpful, I can also provide GoodRx discount options to help lower medication costs.

Question 7

What about vaccines?

Accepted Answer

I respect each family’s choices regarding vaccinations and am here to support you, whatever decision you make. My goal is to provide safe and non-judgmental care, and I will never turn anyone away based on their choice to vaccinate or not. Your family's health and well-being are my top priority.

I do not currently offer vaccines at my clinic, but will provide you with reliable referrals to help meet your family's preventative healthcare goals.

Question 8

Can I use my HSA or FSA to pay for Community Supported Direct Care?

Accepted Answer

In most cases, yes. Visits are typically eligible expenses for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). I can provide detailed receipts or documentation if needed. Because plans vary, I recommend confirming specific eligibility requirements with your HSA or FSA administrator.

Direct Care Pricing

Community Supported Direct Care

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