Portola Direct Primary Care

Membership costs $100 per month for adults 18 and older. Children ages 0 to 17 pay $25 per month with a parent membership. Portola also charges a one-time enrollment fee of $100 per person, with a family maximum of $200. There are no copays and no long-term contracts.

Yes. Portola Direct Primary Care does not require long-term contracts or commitments. Members may cancel at any time without penalty.

Members receive unlimited office visits, same-day or next-day scheduling, extended appointments ranging from 30 minutes to two hours, telehealth visits, chronic care management, annual exams, well-child exams, sports and school physicals, acupuncture, health and lifestyle coaching, and nutrition consulting. The membership also includes discounted pricing on labs, imaging, supplements, advanced cardiovascular screening, whole body MRI, and Galleri Cancer Screening.

No. Portola does not participate in insurance networks. Members pay the practice directly through their monthly fee. Most members carry separate insurance for services outside the practice, such as hospitalizations or specialist care.

Yes, Portola sees Medicare patients. However, the practice has opted out of Medicare, so the monthly membership fee cannot go toward Medicare reimbursement. Members must sign a waiver every two years confirming that neither patient nor physician will bill Medicare for the membership fee. Medicare and supplemental insurance still cover costs incurred outside the practice.

Many members use their HSA or FSA accounts to cover DPC fees. Starting in 2026, HSA funds officially qualify for DPC monthly membership payments. FSA eligibility depends on individual employer plans. Portola recommends consulting a tax advisor for guidance specific to your situation.

Members contact their physician by phone, text, email, or through Spruce, the practice's secure messaging platform. Portola provides direct physician access as a core benefit of membership.

Yes. The practice offers secure video visits alongside in-office appointments. Members can manage many health concerns remotely through ongoing virtual care.

Office visits at Portola typically run 60 minutes, with a range of 30 minutes to two hours depending on the visit type. The practice schedules same-day or next-day appointments and members report no wait times in the office.

Prospective patients can enroll online through the practice's website. After Portola reviews the enrollment request, new members receive an invitation to Spruce, the secure messaging platform, to schedule their first appointment and complete their medical history.