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Clinic manager outlines PMC’s direct primary care subscription plan ahead of June launch
Summary
PMC’s clinic manager described a subscription-style direct primary care product — $125/month for adults, $80/month for children — covering preventive and minor sick visits and some labs; staff said launch timing depends on billing integration and statutory rules under Senate Bill 45.
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The clinic manager reported that Petersburg Medical Center plans to offer a direct primary care subscription intended to expand access to clinic services for people with limited or high-deductible insurance.
The clinic manager said the program will be an annual subscription billed monthly, with an adult rate of $125 a month and a child rate of $80 a month. “It’s a monthly subscription where adults can get 125 a month for services for primary care services and a child could be at $80 a month,” the clinic manager said, adding the subscription would cover preventive care, annual visits and basic sick care such as strep or ear infections and would include some routine labs but not specialty labs, radiology, medications, emergency room or hospital stays.
The presentation said clinic staff have been meeting weekly with IT and billing to integrate subscriptions into the business office. The manager said the program’s hoped-for launch slipped from an April target and staff were aiming for June, pending vendor work and a Cerner billing change "so that everything flows properly to the business office." The manager said the subscription is intended primarily for people without insurance or with high deductibles.
Board member Phil (addressing the group) clarified that the program’s permissible scope is governed by law rather than PMC policy, citing Senate Bill 45. "The rules are actually defined by law…those things are not PMC-defined," Phil said, urging clarity for the public about legal limits.
The board asked staff to provide updates on final billing configurations and compliance with the statutory framework before full rollout. No formal motion or vote was taken on the program at the meeting.
The board’s next meeting was scheduled for June 25.

