Marion Direct Primary Care

Putting The Care Back in Health Care.

At Marion Direct Primary Care, we do health care differently by putting the care back in health care.

Dr. Susan M. Damien

DNP, APRN, FNP-BC, AGACNP-BC 
Family Nurse Practitioner

What is Direct Primary Care?

Direct Primary Care is a healthcare model that establishes a direct relationship between you & your primary care provider. Genuine health care is delivered by your provider in exchange for a monthly membership. There are no co-pays or deductibles because Direct Primary Care (DPC) is not insurance.

With a monthly membership to Marion Direct Primary Care you will have a direct line of communication to your provider via phone calls, texts, emails, video visits when needed, and of course, in- person visits.

Traditional fee-for-service providers are bogged down by burdensome insurance mandates and checkboxes each time they see a patient. Your membership allows freedom for your provider to collaborate with you on your health care in the amount of time you need for a visit.

An initial visit is planned for 40-60 minutes of face-to-face time with your provider to allow for a thorough discussion of your health background, current plans, and health goals. The typical wellness or sick visit allows for 30-45 minutes for members with fever health needs and longer appointment times for those with more complex needs.

There is no limit to the number visits to your provider for health promotion, disease management, or visits for illness or injury during an active membership. Per visit fees apply for non-members receiving services.

Membership features include:

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Complimentary Basic Labs
  • CBC (blood count-anemia, infection);
  • CMP (metabolic panel: electrolytes, blood
    sugar & protein levels, liver & kidney health);
  • Urinalysis (urinary tract infection, kidney
    impairment, presence of sugar); 
  • Lipid (cholesterol, triglycerides, LDL, HDL);
  • HgbA1c (gives a picture of average blood
    sugar levels over last 90+/- days);
  • Thyroid (essential for metabolism, HR,
    digestive & muscle function);

CBC, CMP, HbgA1c, Lipid, Thyroid, Urinalysis, & Pap Smear. Members receive significant savings on cash-based labs when drawn in office.

*Pathology services additional
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Wellness Visits
  • Comprehensive initial exam with labs
  • Annual wellness visit with labs
  • Well child exams. Vaccines are not included in your child’s membership rate. Please ask about our vaccine program.
  • Pregnancy & Postpartum Follow-through

To foster communication while you’re in the hands of your obstetrical provider

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Imaging
  • Specially contracted cash rates with select imaging centers for members of Marion DPC.
  • May be submitted to your health insurance plan, however, you may want to see if the Marion DPC contracted cash rate is more affordable.
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Pharmacy

Marion DPC provides in-house dispensing on commonly prescribed generic medications, available to members at cost. In addition, frequently recommended over-the-counter treatments are also available at affordable prices to save you a trip to the pharmacy.

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Procedures

Phlebotomy, EKG, Spirometry, Minor Laceration Repair, Incision & Drainage, Nebulizer, Pap Smear, Pregnancy Test, Flu/Covid/Strep testing, Urinalysis, Basic Vision & Hearing screening, IV Hydration Therapy, and BHRT (Testosterone & Estrogen replacement if needed).

  • pathology fee additional
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Sick Visits
  • Same day or next day Urgent Care visits for members.
  • Telehealth visits complimentary

Urgent Care visits for eye pain/infection; mild to moderate Asthma; Cold; Flu; Covid; Migraine; Skin conditions like warts, acne, rashes, eczema, abscess, Shingles; Abdominal Pain, Constipation, Nausea, Vomiting, Diarrhea, Minor Lacerations (stitches); Sore throat/Strep Throat; Cough/Bronchitis; Ear Pain/Infection; Muscles Sprains/Strains; Fatigue; Hangover; urinary tract infection (UTI); yeast infection

Membership features include:

0889c7b1841b4500aa72504ad112d47f
Complimentary Basic Labs
  • CBC (blood count-anemia, infection);
  • CMP (metabolic panel: electrolytes, blood
    sugar & protein levels, liver & kidney health);
  • Urinalysis (urinary tract infection, kidney
    impairment, presence of sugar); 
  • Lipid (cholesterol, triglycerides, LDL, HDL);
  • HgbA1c (gives a picture of average blood
    sugar levels over last 90+/- days);
  • Thyroid (essential for metabolism, HR,
    digestive & muscle function);

CBC, CMP, HbgA1c, Lipid, Thyroid, Urinalysis, & Pap Smear. Members receive significant savings on cash-based labs when drawn in office.

*Pathology services additional
laura-chouette-zp5EGN2vxLM-unsplash
Wellness Visits
  • Comprehensive initial exam with labs
  • Annual wellness visit with labs
  • Well child exams. Vaccines are not included in your child’s membership rate. Please ask about our vaccine program.
  • Pregnancy & Postpartum Follow-through
  • pathology fee additional

To foster communication while you’re in the hands of your obstetrical provider

shahram-anhari-C6nazHzurKY-unsplash
Imaging
  • Specially contracted cash rates with select imaging centers for members of Marion DPC.
  • May be submitted to your health insurance plan, however, you may want to see if the Marion DPC contracted cash rate is more affordable.
shutterstock_1184421427
Pharmacy

Marion DPC provides in-house dispensing on commonly prescribed generic medications, available to members at cost. In addition, frequently recommended over-the-counter treatments are also available at affordable prices to save you a trip to the pharmacy.

shutterstock_278360522
Procedures
  • pathology fee additional

Phlebotomy, EKG, Spirometry, Minor Laceration Repair, Incision & Drainage, Nebulizer, Pap Smear, Pregnancy Test, Flu/Covid/Strep testing, Urinalysis, Basic Vision & Hearing screening, Testosterone Injections, IV Hydration Therapy, and BHRT (Testosterone & Estrogen replacement if needed).

  • pathology fee additional
shutterstock_1597894894
Sick Visits
  • Same day or next day Urgent Care visits for members.
  • Telehealth visits complimentary

Urgent Care visits for eye pain/infection; mild to moderate Asthma; Cold; Flu; Covid; Migraine; Skin conditions like warts, acne, rashes, eczema, abscess, Shingles; Abdominal Pain, Constipation, Nausea, Vomiting, Diarrhea, Minor Lacerations (stitches); Sore throat/Strep Throat; Cough/Bronchitis; Ear Pain/Infection; Muscles Sprains/Strains; Fatigue; Hangover; urinary tract infection (UTI); yeast infection

IV Therapy Treatment

IV hydration is a safe method of delivering vitamins directly into the bloodstream through a small intravenous (IV) catheter, when dietary intake is not enough, or the daily grind has taken its toll. In addition to intravenous delivery, some nutrients can be delivered through an intramuscular (IM) injection. These injections work synergistically with the IV infusion to help replenish lost nutrients, flush the body of toxins, and restore the body’s natural balance. IV/IM nutrient therapy is available to Members and Non-Members of Marion Direct Primary Care, however, please note Marion DPC Members receive concierge level service with Member pricing, preferred access for appointment times/walk-in availability, and mobile services directly in their home, office, boat, and more.

Resist

Immune Booster

Restore

Myer's Cocktail

Revitalize

Energy Kick

Reconnect

Mental Clarity

Resist

Athletic Performance and Recovery

Rescue

Migraine Demolisher

Rewind

Anti-Aging

Release

Mood Booster (depression/anxiety)

Remedy

Pain Annihilator

Resuscitate

Hangover

IV Therapy Treatment

IV hydration is a safe method of delivering vitamins directly into the bloodstream through a small intravenous (IV) catheter, when dietary intake is not enough, or the daily grind has taken its toll. In addition to intravenous delivery, some nutrients can be delivered through an intramuscular (IM) injection. These injections work synergistically with the IV infusion to help replenish lost nutrients, flush the body of toxins, and restore the body’s natural balance. IV/IM nutrient therapy is available to Members and Non-Members of Marion Direct Primary Care, however, please note Marion DPC Members receive concierge level service with Member pricing, preferred access for appointment times/walk-in availability, and mobile services directly in their home, office, boat, and more.

shutterstock_1660394968
Resist

Immune Booster

Restore

Myer’s Cocktail

Revitalize

Energy Kick

Resist

Athletic Performance and Recovery

Reconnect

Mental Clarity

Rescue

Migraine Demolisher

Rewind

Anti-Aging

Remedy

Pain Annihilator

Release

Mood Booster (depression/anxiety)

Resuscitate

Hangover

Interested in Direct
Primary Care?

Call us today at (352) 833-6372 and we will answer any question you have including building you a custom quote based on your employee or individual needs.

Interested in Direct
Primary Care?

Call us today at (352) 833-6372 and we will answer any question you have including building you a custom quote based on your employee or individual needs.

About Marion Direct
Primary Care

Susan M. Damien is an Autonomous Practice Advanced Practice Registered Nurse (APRN). With the education and training to provide you with excellent primary care that is affordable, personalized, and available when you need it.

Services

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Preventative Care
matthew-jackson-A6SpB6kkP30-unsplash
Comprehensive
well visits
christin-hume-0MoF-Fe0w0A-unsplash
Diagnosis and management of acute & chronic health conditions
dominic-galeon-dZKVfp9TZIM-unsplash
Coordination of Care with specialists, hospitalists, and ER providers
jared-rice-NTyBbu66_SI-unsplash
Personalized Wellness Plan
jen-p-FoG8lotg7AA-unsplash
Behavior & Lifestyle
Coaching
mahmud-thorif-QC6Cbu104-E-unsplash
Sports Physicals (with EKG)
green-chameleon-s9CC2SKySJM-unsplash
Pre-Employment
Exams
spencer-davis - lZk0QrsrV8-unsplash
Annual Flu Vaccine complimentary to members

About Marion Direct
Primary Care

Susan M. Damien is an Autonomous Practice Advanced Practice Registered Nurse (APRN). With the education and training to provide you with excellent primary care that is affordable, personalized, and available when you need it.

Services

annie-spratt-yyXw1lGJypI-unsplash
Preventative Care
matthew-jackson-A6SpB6kkP30-unsplash
Comprehensive
well visits
christin-hume-0MoF-Fe0w0A-unsplash
Diagnosis and management of acute & chronic health conditions
dominic-galeon-dZKVfp9TZIM-unsplash
Coordination of Care with specialists, hospitalists, and ER providers
jared-rice-NTyBbu66_SI-unsplash
Personalized Wellness Plan
jen-p-FoG8lotg7AA-unsplash
Behavior & Lifestyle
Coaching
mahmud-thorif-QC6Cbu104-E-unsplash
Sports Physicals (with EKG)
green-chameleon-s9CC2SKySJM-unsplash
Pre-Employment
Exams
spencer-davis - lZk0QrsrV8-unsplash
Annual Flu Vaccine complimentary to members

Benefits

We believe in an individual and comprehensive approach to healthcare. It’s what people deserve.

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Faster appointments.

Same day or next-day appointments in-office or via our telehealth platform. No waiting at your appointment. Members are scheduled one at a time with no overlapping appointments.

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On-demand, accessible healthcare.

Call, text, or use our telemedicine platform- A direct connection to your provider for questions & clarifications when a full appointment is not necessary.

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Personalized
care.

A smaller patient panel means more time with patients- more time to listen to you & collaborate with you on your healthcare

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Affordable prescriptions &
procedures.

With in-house medication dispensing, Marion DPC is able to provide you with a variety of affordable prescriptions and procedures. Medications are at cost to members and dispensed to you during your visit. These prices are lower than retail pharmacy prices, and can even be less costly than using your insurance plan. In-office procedures are complimentary with your membership.

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Proactive healthcare.

Benjamin Franklin told us “an ounce of prevention is worth a pound of cure”. Together, we’ll look at ways to improve your health & wellness using a whole body approach to encompass your spiritual & emotional needs.

Group 79
Clear pricing & communication.

Never wonder how much your visit will cost you. It’s simple, your visit is included in your monthly membership. No copays or deductible to meet. Some procedures may have an additional cost (e.g. Pathology for Pap Smear, medication cost for Testosterone injection, IV hydration therapy) but the procedure is performed complimentary to members.

Choose your package

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Individual

What's included
  • Initial, Comprehensive History & Physical exam with labs and in-house diagnostics (if prescribed)
  • Annual wellness exam
  • Collaborative health planning tailored to your personal health needs and goals
  • Direct communication with your Primary Care Provider via phone, email, text
  • Management of chronic conditions Ex. Diabetes, COPD, High Cholesterol, Low Testosterone
  • Urgent Care visits for acute concerns included
  • Annual Flu Shot (if prescribed)
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Employer Sponsored

What's included
  • Initial, Comprehensive History & Physical exam with labs and in-house diagnostics (if prescribed)
  • Annual wellness exam
  • Collaborative health planning tailored to your personal health needs and goals
  • Direct communication with your Primary Care Provider via phone, email, text
  • Management of chronic conditions Ex. Diabetes, COPD, High Cholesterol, Low Testosterone
  • Urgent Care visits for acute concerns included
  • Annual Flu Shot (if prescribed)

Choose your package

shutterstock_2060312366

Individual

What's included
  • Initial, Comprehensive History & Physical exam with labs and in-house diagnostics (if prescribed)
  • Annual wellness exam
  • Collaborative health planning tailored to your personal health needs and goals
  • Direct communication with your Primary Care Provider via phone, email, text
  • Management of chronic conditions Ex. Diabetes, COPD, High Cholesterol, Low Testosterone
  • Urgent Care visits for acute concerns included
  • Annual Flu Shot (if prescribed)
yangfan-gan-8LKMfAq_UPI-unsplash

Employer Sponsored

What's included
  • Initial, Comprehensive History & Physical exam with labs and in-house diagnostics (if prescribed)
  • Annual wellness exam
  • Collaborative health planning tailored to your personal health needs and goals
  • Direct communication with your Primary Care Provider via phone, email, text
  • Management of chronic conditions Ex. Diabetes, COPD, High Cholesterol, Low Testosterone
  • Urgent Care visits for acute concerns included
  • Annual Flu Shot (if prescribed)

Reviews

FAQ

Primary care- a comprehensive physical exam with lab work, sick visits, and an annual exam with labs each year thereafter. Medications administered or dispensed to you during your visit are your responsibility, however, you will find the charge to be quite affordable.

 Absolutely, but Medicare does not cover care received at Marion DPC and you must agree to not use Medicare to pay for any care received under your membership. Medicare can be used to cover your prescriptions*, lab work*, and diagnostic imaging, if ordered. Members with Medicare must sign a one-time agreement indicating you will not submit claims to Medicare for any services received from Marion DPC.     *Medicare may only be billed for prescriptions & lab work received outside of Marion DPC.

Marion DPC uses a revolutionary, non-traditional approach to providing exceptional health care through the direct primary care model. This model of care places emphasis on restoring the relationship between patients and their medical providers by reducing barriers to receiving great health care that are often associated with the traditional health care model and use of health insurance for primary care services.

Marion DPC provides primary care for all ages for an affordable monthly membership and does not accept or bill any type of insurance plans.

In traditional insurance-based practices, most providers are rushed to care for a patient panel of 2000 or more. Susan has limited her patient panel to 600 members to give her time to communicate, educate, collaborate, and advocate for each member.

The short answer: no.

The “logic”: The IRS classifies Direct Primary Care as an insurance plan, despite Federal and State agencies’ opposition to this labeling. Current legislation is working to change this, but until then, your HSA funds should not be used for membership. FSA funds may be used for services outside of membership fees like labs and medications, but please check with your tax specialist for the most recent tax guidelines.

Marion DPC is not an urgent care clinic, but rather provides sick care urgently to enrolled members as needed. This benefit is provided at no extra charge to members to promote continuity of care during times of illness and minor injury. Unfortunately, one-time urgent care visits do not allow for a patient and their provider to develop a therapeutic relationship, one of the cornerstones in family medicine, and it is because of this, Susan has chosen to limit sick visits to members of Marion DPC.

No, however, Marion DPC offers a way for you to receive exceptional primary care at an affordable price. Susan strongly encourages her members to pair their membership with a High Deductible Health Plan or medical sharing ministry like MediShare, Liberty, or Sedera.

Marion DPC does not routinely prescribe opioids for chronic pain, benzodiazepines for chronic anxiety, or stimulants for the treatment of ADHD. Marion DPC will work to find a pain management specialist or mental health professional to assist you with this aspect of your care.

Whether your health insurance is non-existent, mediocre, or amazing, Marion DPC’s non-traditional membership model helps you achieve control over your health care. Around 85-90% of typical health care needs can be cared for by your primary care provider. At Marion DPC you receive care when both well and sick, when it makes sense for you. Same-day/next-day appointments are available, along with non-traditional clinic hours to accommodate most members’ schedules.

With a monthly membership, it’s like having your medical provider in your back pocket. Members have direct access to Susan and can email, text, or call her with medical questions that don’t require a visit. Members can also send pictures to help aid in diagnosis. Telemedicine is included with membership (no matter where you are), to save you a trip to the office when feasible.

One patient at a time scheduling means no overlapping appointments and no waiting at your appointment. Care personalized to your needs with visit lengths that range from basic and quick to more complex and lengthier. The recommended appointment duration is 30 minutes for routine needs or 45-60 minutes (or more, if needed) for complex health needs.

Members receive year-round care that begins with a comprehensive medical history and physical exam with a full panel of lab work, sick visits throughout the year, and annual wellness exams with labs. In-office procedures are performed complimentary, and members are responsible for the nominal fee for any medication administered.

Marion DPC provides in-office medication dispensing of a variety of generic medications prescribed for common conditions like Diabetes Mellitus, Hypertension (high blood pressure), high Cholesterol or Triglycerides, migraine, depression, and more along with over-the-counter medications Susan prescribes most. Even those with insurance are pleasantly surprised to learn how much they could save without using their insurance benefits. Susan will work diligently to reduce any financial barriers her members face in affording medications.

At Marion DPC, your membership includes e-consults through RubiconMD, where you could be evaluated within hours of sending our consultation versus waiting weeks for an in-person appointment. With specialty consults ranging from allergies to urologic concerns, RubiconMD is a great resource to connect with Board-Certified specialists to help build your plan of care. Should further evaluation be needed, some insurance companies will require you to see their “in-network” provider for a referral.