HI Direct Primary Care

Membership at HI Direct Primary Care begins with a $250 evaluation visit, which applies toward your membership if you join. A one-time enrollment fee of $150 applies at sign-up. Founding members pay $150 per month for the first three months, then $200 per month. Members who prefer to pay annually can save 15% on their first year, an option available through December 31, 2026.

Start by booking your initial evaluation, a one-on-one visit with your provider to discuss your health history, goals, and what you want from a primary care relationship. If the practice is a good fit, you enroll online and pay the one-time $150 enrollment fee. From there, you schedule appointments online and message your care team directly whenever you need to.

Members can typically schedule in-person appointments within two to three business days. For non-urgent questions, you can reach your care team via MyChart messaging, email, or phone and expect a response within 24 to 48 hours.

HI Direct Primary Care does not bill insurance for primary care services, and membership fees are not typically covered by insurance. You can still use your insurance for prescriptions, diagnostic testing such as blood work and imaging, and referrals to specialists outside the practice.

The practice welcomes Medicare patients as members. Both providers have opted out of Medicare, so membership and visit fees go directly to HI Direct Primary Care rather than to Medicare. Your Medicare coverage for care outside the practice, including hospital stays and specialist visits, remains in place. The practice does not yet see patients enrolled in Medicaid (Med-QUEST), including those with both Medicare and a QUEST plan, though that may change.

Yes. Telehealth visits and direct provider messaging are included in every membership. Members can use telehealth for follow-up appointments, prescription refills, and questions that do not require an in-person visit. You can reach your care team through MyChart messaging, email, or phone between appointments.

Yes. HI Direct Primary Care recommends at least one initial in-office visit on Oahu to establish your care relationship. After that, the practice uses telehealth for ongoing follow-up. If you live on a neighbor island, mention it when you book your evaluation and your provider will discuss the best approach for your situation.

No. A DPC membership covers your primary care relationship, including routine visits, preventive care, telehealth, and direct provider communication. You still need a traditional health insurance plan to cover hospitalizations, emergency care, surgeries, specialist visits, imaging, and lab work outside the practice.

HI Direct Primary Care provides evidence-based lifestyle medicine guidance across six pillars: nutrition, physical activity, sleep, stress, social connection, and avoiding risky substances. Dr. Okabe leads this work, weaving lifestyle factors into care plans alongside conventional primary care.

Yes. The practice holds an affiliation with the Body and Mind Research Institute, LLC, an independent hub for clinical research. From time to time, the practice may inform eligible members about studies they qualify for. Participation is entirely voluntary and plays no role in a member's care or membership status.