You can find the answers to some of the most frequently asked questions below. If you would like more information, please call me at 781-780-2461. You can also schedule a free consultation with me.


Direct Primary Care and You

What is Direct Primary Care (DPC)?

DPC is an innovative primary care model in which the physician-patient relationship is at the heart of how medicine is practiced. DPC practices offer a full range of primary care services for a low monthly or annual fee paid directly to the doctor without the unnecessary and costly interference from health insurance companies.  DPC practices are very popular among patients and are spreading quickly across the country.

How does a Direct Primary Care (DPC) practice differ from a traditional primary care practice?

In a traditional primary care practice, doctors are compensated based on how they bill the insurance company and the quantity of patients they see, rather than on the quality of care they provide.

In my DPC practice, quality of care is the number one priority. By cutting down on the panel size of patients, I am able to spend quality time with my patients; they have easier access to appointment times; they are guaranteed to see me, not another provider; and they are able to reach out to me via e-mail and cell phone.

How does Direct Primary Care (DPC) differ from concierge medicine?

DPC is similar to a concierge practice, but even better because I do not bill the insurance companies.  By practicing this way, I work for you, my patient, not the insurance company.

Osteopathic Medicine

What is Osteopathic Medicine?

Osteopathic Medicine provides all of the benefits of conventional medicine, but also offers the added benefit of hands-on diagnosis and treatment through a system of therapy known as osteopathic manipulative treatments (OMT).

My medical training in osteopathic medicine also emphasizes treating patients from a holistic approach, which recognizes the total human being, including the body, mind, and spirit.  By treating my patients holistically, I am able to provide them comprehensive care that honors their personal beliefs, goals and experiences about health and wellness. This holistic approach does not negate, but complements conventional medical therapies.

The Role of Insurance

Does Dr. Mancini bill insurance?

I accept patients regardless of their insurance, but I have chosen not to bill insurance plans.  My practice is designed to be unencumbered by the constraints and limited reimbursement from insurance plans so that I may better serve and care for my patients.  You will NOT be charged for office visits or co-pays. You only pay the flat monthly or annual membership fee that covers all comprehensive primary care services.

My model of practicing medicine results in significant savings:  money, paperwork and time!  The membership fee allows me to keep my overhead low, my practice small, and work directly for my patients, not the insurance company!

Does Dr. Mancini see patients who do not have any insurance?

You do not need insurance to be a member of my practice.  If interested, we can have you speak to a trusted health insurance agent to customize an insurance plan that works in conjunction with DPC. Most patients have found that joining a DPC practice actually saves them money.

Can Dr. Mancini see me if I have Medicare?

Absolutely! My private medicine model is particularly well designed to handle the more complex issues and medication management often associated with older patients. I can spend the necessary time to manage chronic diseases and optimize your health and wellness.

As I have opted-out of Medicare, it means I do not bill Medicare, nor can the patient bill Medicare for primary care services that I provide. However, Medicare will still cover any laboratory testing, imaging, medications, specialty referrals, and hospitalizations.

Does DPC replace insurance?

No, it is not insurance nor does it replace it.  I recommend that patients retain a health insurance policy in the event of an unexpected event like a hospitalization or catastrophic illness.  Insurance is an important part of specialist and hospital care. Similar to automobile insurance, our health insurance system was originally designed to pay for rare, unpredictable, and extremely expensive problems. It is essential when patients need things like emergency care,  an operation, chemotherapy treatments or hospitalization.

Appointments, Referrals and Overall Care

What if I go to the emergency room or get admitted to the hospital?

As your physician, I will contact the emergency room and hospital physician or anyone providing care during your stay to make sure they have the most accurate and up-to-date information they need to treat you. As your number one health care advocate, I will also communicate with you and your loved ones. In addition, I will visit you during your hospital stay and help coordinate your care with the attending hospitalist.

What if I need urgent care?

If you have a life threatening emergency, call 911 immediately. For urgent problems that are not an emergency, you can contact me 24/7. If necessary, I will meet you in the office to evaluate you. In fact, Direct Primary Care has been shown to decrease the number of ER visits and hospitalizations for members.

What if I need to see a doctor when I am on vacation?

As a member of my practice, you can always call me and we can discuss the problem over the phone and if necessary I will direct you to the appropriate nearby care.  I will coordinate follow-up on your return home.

What if Dr. Mancini is on vacation?

From time to time I will need to take a vacation. In advance of any vacation, I will notify my patients as to the dates and timeframe I will be out of the office.  In my absence, Dr. Jeffrey Gold (, a fellow Direct Primary Care physician, will be available 24/7. The coverage will be seamless and you will receive the care you deserve.

What if I need to be referred to a specialist?

By spending more time with me, as your primary care physician, the need to refer you to a specialist will decrease significantly. However, in the event you need to be referred to a specialist, I will personally contact the specialist on your behalf to schedule an expedited appointment.

What if I am too sick to leave the house or I am homebound or live in a nursing home?

I do home visits on an individualized basis.  In addition, I have a Home Care Plan for those individuals who are homebound or live in a nursing home or assisted living facility.

What if I don’t expect to need frequent medical attention; is this still a good practice for me?

My focus is on providing comprehensive, preventive care and keeping patients healthy—not just sick care.  My goal is to prevent disease before it occurs by focusing on long-term health and wellness. One of the benefits of joining my practice is that I have the time to listen to my patients and truly get to know them on a personal level, which allows me to work with them in creating an individualized plan to meet their specific needs and achieve their health goals.


Can I meet Dr. Mancini before deciding if I want to join?

Absolutely! I invite all prospective or interested members to schedule a complimentary face-to-face consultation. Please call 781-780-2461 to request a meeting with me.

Will I be able to save money by joining this practice?

Patients typically save money by joining. There are no extra co-pays, visit fees or deductibles to meet and I can handle the majority of your health issues. Research has shown that Direct Primary Care results in less expensive test ordering, less unnecessary medications, fewer referrals to specialists, fewer hospital and emergency room visits and savings on medications, labs, and imaging studies.

How much is the membership fee?

Membership is based on a flat monthly, aged-based fee.

Age Monthly Fee
18-21 $30/month
22-30 $50/month
31-44 $75/month
45-64 $95/month
65 and older $125/month
Home Care Plan (any age) $300/month

Don’t forget, there are no additional visits fees, copays or deductibles.

What if I want to cancel my membership?

Your membership may be cancelled with a 30 day prior written notice. If you have paid the year in full, you will be refunded a pro-rated amount.

How do I become a member?

Becoming a member is very simple!  Just visit our enrollment page.


Delivering Primary Care
the Old-Fashioned Way