Breakthrough Direct Care

Membership fees at Breakthrough Direct Care depend on age. Newborns and infants up to age two enroll at $200 per month. Children and teens ages 2 through 18 pay $150 per month. Adults 18 and older pay $100 per month. Families pay a one-time enrollment fee of $150, and the practice caps monthly costs at $300 for families with up to three children.

Membership covers all office visits, telehealth appointments, and remote care. Members can reach their provider by text, phone, or video at no extra charge. The practice also provides significant discounts on labs, imaging, and medications when insurance is not in use or would cost more than the discounted rate.

Breakthrough Direct Care does not accept insurance for membership fees or visits. The practice operates outside the insurance system entirely. Members pay a flat monthly fee and can use insurance separately for services like specialist referrals or hospital care if they choose to maintain a plan.

Yes, members can reach Dr. Watson and other providers directly by text. This is one of the most-valued features of the membership, particularly for parents of newborns and young children. Direct provider access means families avoid phone trees and nurse callbacks for routine concerns.

Yes, Breakthrough Direct Care offers house calls. Dr. Watson has conducted home visits for newborns and young patients, particularly during illness seasons when bringing an infant into an office setting felt risky. House calls are available as part of the practice's commitment to meeting families where they are.

Yes, Breakthrough Direct Care offers autism testing using the ADOS-2 protocol. This is a standardized diagnostic assessment that Dr. Watson conducts in-house. Families with questions about a potential autism diagnosis can schedule a consultation to discuss the evaluation process.

Prospective patients start by booking a meet-and-greet appointment with Dr. Watson for patients ages 0 through 18, or with the family medicine provider for adults. The practice uses that visit to discuss your needs and confirm it is a good fit. If everyone agrees to move forward, enrollment typically completes within 24 to 48 hours.

Yes, Breakthrough Direct Care recently expanded to include family medicine for adults 18 and older. Adult patients enroll at $100 per month and have access to the same direct-care model as pediatric members.

Breakthrough Direct Care is located at 22 Bridge Street, Suite 5, in Concord, New Hampshire, inside the Ralph Pill Marketplace. The practice serves families throughout the Concord area.