Direct Primary Care

A: Direct Primary Care is a membership-based healthcare model that removes insurance barriers and gives you personalized access to your provider. At Aquarius, it’s designed for proactive, personalized care focused on prevention, performance, and long-term health optimization rather than just treating illness.

A:

• Performance Primary Care: $199 per month

• DPC + Hormone Optimization: $349 per month

Both plans include longer visits, direct access, InBody scans, and more.

A: The $199 plan covers comprehensive primary care, wellness exams, InBody scans, metabolic optimization, and lifestyle support.

The $349 plan includes everything in the base plan plus advanced hormone optimization (TRT/HRT), precision lab monitoring, and performance-focused protocols.

A: Aquarius Direct Primary Care is a membership-based model and does not bill insurance for office visits, meaning there are no copays or deductible charges for your primary care appointments, while you may still use your insurance for labs, imaging, prescriptions, specialist referrals, and other outside services.

A: Many patients choose to use HSA/FSA funds for eligible services. However, coverage and reimbursement decisions are determined by each individual insurance plan, employer, or HSA/FSA administrator. Aquarius Performance & Wellness cannot guarantee reimbursement and is not responsible for denied claims or non-reimbursed services. 

A: No. Most routine office visits included within your membership do not require additional copays.

A: Traditional care often means rushed 10 - 15 minute visits and reactive treatment. With DPC at Aquarius, you receive longer, unrushed appointments, personalized access to your wellness team, and care that focuses on root cause medicine .

A: DPC and concierge medicine are similar in that they both focus on personalized care and improved accessibility.

However:

• Concierge practices often bill insurance in addition to charging a membership fee

• DPC practices generally operate outside the insurance model entirely

DPC is typically designed to provide more affordable, accessible, relationship-based care.

A:

• Longer and more frequent wellness exams

• Routine check ins from our Patient Care Coordinator (Registered nurse) 

• Acute care visits

• InBody Composition Scans

• Metabolic health optimization

• Lifestyle & nutrition counseling

• Personalized access to your care team

• Referrals to our wellness network

Hormone Optimization members also receive personalized TRT/HRT, peptides, and advanced monitoring.

A: Call us at (413) 301-5824 to visit www.aquariusiv.com/direct-primary-care to enroll. We’ll schedule an initial consultation to make sure DPC is the right fit for your health goals.

A: DPC is ideal if you want:

• More time and attention from your provider

• A proactive, preventative approach to health

• Treatment that focuses on root cause and lifestyle 

• Support for performance, longevity, and optimization

• A true long-term partnership in your healthcare

DPC is not health insurance and does not replace insurance coverage.

We strongly recommend maintaining insurance coverage for:

• emergencies

• hospitalization

• surgery

• specialist care

• catastrophic medical expenses

A: Yes. Your membership is month-to-month after the initial 12-month commitment. We just ask for 30 days’ notice upon cancellation.

This 12-month commitment allows us to work together consistently and gives your body the time it needs to achieve meaningful, optimized results in your health, hormones, performance, and overall wellness.

A: We currently focus on individual adult memberships. 

A: Yes. One of the major benefits of our model is improved accessibility and ongoing support between visits. One of our registered nurses, your Patient Care Coordinator, will reach out to you every 6-8 weeks to provide ongoing coaching and support. In addition: 

Patients may communicate with the practice through:

• Phone

• Text

• Email

• Patient portal messaging

Communication is intended for appropriate medical guidance and continuity of care.

A: Whenever possible, we strive to offer prompt access for urgent medical concerns and acute visits. While we may be able to provide care for certain urgent issues, a local urgent care or emergency department may be better fitted.

A: Yes. Patients may keep their existing primary care provider while participating in one of our specialty wellness programs, including:

• Women’s hormone optimization

• Men’s hormone optimization (TRT)

• Weight loss & metabolic optimization

These programs are focused specifically on hormone health, metabolic health, body composition, and wellness optimization — they are not intended to replace a patient’s primary care provider or routine medical care, although we believe that treating the person as a whole can be more beneficial. 

For patients enrolling in our Direct Primary Care (DPC) membership, we generally recommend having one provider clearly managing your overall primary care whenever possible. Having multiple providers functioning in a primary care role may create confusion or conflict regarding medications, follow-up care, preventive screenings, chronic disease management, and overall coordination of care.

However, every patient’s situation is unique, and in some cases patients may choose to maintain an outside PCP while also utilizing Aquarius DPC services. If this occurs, we encourage clear communication and coordinated care between providers whenever appropriate. Our initial consultation will determine if care under with practice is a good fit for both parties.

A: Many patients join DPC not because they are sick, but because they value:

• root cause, early detection

• lifestyle and performance based treatment

• proactive care focused on longevity

• accessible medical guidance

• prevention and wellness optimization

• long-term health planning

The goal is not simply to treat illness, but to help patients stay healthy and optimized over time.

A: Yes, when medically appropriate. We would manage your current medications and prescribe as necessary. Most medications would be covered by your insurance as usual. Treatment plans are individualized based on each patient’s:

• symptoms

• health history

• lab work

• goals

• risk factors

A: Yes. We offer individualized hormone optimization services for appropriate candidates, including:

• Men’s hormone optimization (TRT) (testosterone)

• Women’s hormone optimization (HRT) (progesterone, estradiol, testosterone) 

• Fertility guidance for men on our TRT program

• Peptide therapy for qualified candidates

• Metabolic health optimization

A: Yes, telemedicine may be available for appropriate follow-up care and certain medical concerns. DPC patients are required to be seen in person at least once yearly.

A: Our model emphasizes:

• Comprehensive evaluation

• Lifestyle focus 

• Physical, sexual & mental health 

• Individualized treatment

• Ongoing monitoring

• Root-cause medicine

• Relationship-based care

• Long-term health optimization

We prioritize frequent communication, quality, safety, accessibility, education, and continuity of care over high-volume, transactional medicine.

A: We’d love to speak with you! Call (413) 301-5824 or email us at info@aquariusiv.com and we’ll be happy to walk you through everything.