SWVA Direct Primary Care
Quick Facts
| Membership Price Range | $79/individual/month | $172/family/month |
| Practice Type | Direct Primary Care |
| Location | Abingdon, Southwest Virginia |
| Doctors | Jarrod Couch DO, Family Medicine |
| Year Founded | 2022 |
| Telehealth Type | Telemedicine, 24/7 Text App |
| Telehealth Available | Yes |
About
At SWVA Direct Primary Care, Dr. Jarrod Couch delivers family medicine with a clear philosophy: honest care, transparent pricing, and a genuine long-term relationship with every patient. He founded the Abingdon, Virginia practice in 2022 to serve Southwest Virginia families. His guiding principle is what he calls "medical minimalism" -- doing less when it works better, favoring lifestyle over pharmaceuticals, and questioning over-treatment.
The practice runs on a straightforward monthly membership with no co-pays, no deductibles, and no surprise bills. Dr. Couch limits his patient panel to ensure every member receives real time and direct access. Members reach him through a 24/7 text app and can book same-day appointments. The clinical scope goes well beyond routine primary care. Dr. Couch performs osteopathic manipulative treatment, manages metabolic and hormone health, and addresses conditions like tension myositis syndrome and functional bowel disorders. An annual lab panel comes included with membership.
Details
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$79/monthly
Membership Details
One clear monthly membership. No co-pays, no deductibles, no surprise bills. $79/individual/month or $172/family/month. Three-month minimum commitment.
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Frequently Asked Questions
Individual membership at SWVA Direct Primary Care runs $79 per month. Family membership runs $172 per month. The practice requires a three-month minimum commitment. The membership includes no co-pays, no deductibles, and no surprise bills. An annual lab panel is also included.
No, SWVA Direct Primary Care does not accept insurance. The practice operates outside the insurance system entirely, which keeps pricing clear and direct. Some patients use a health savings account to cover membership fees. Many members carry a low-cost catastrophic plan alongside their DPC membership for specialist or hospital needs.
Yes. SWVA Direct Primary Care offers same-day appointments for members. The practice intentionally limits its patient panel so Dr. Couch can provide timely access when patients need it.
Yes, SWVA Direct Primary Care offers telemedicine visits. Members also have direct access to Dr. Couch through a 24/7 text app for questions and communication outside of scheduled appointments.
Membership covers comprehensive family medicine care, same-day and telemedicine visits, direct physician access via a 24/7 text app, and an annual lab panel. Dr. Couch also provides metabolic syndrome management, cardiovascular prevention, hormone-informed care, cortisol management, and treatment for functional bowel disorders and tension myositis syndrome.
Yes, Dr. Couch performs osteopathic manipulative treatment at SWVA Direct Primary Care. Members and non-members can book OMT visits. A single OMT visit costs $56. An OMT package of four adjustments costs $200 and stays valid for six months.
Yes, SWVA Direct Primary Care performs DOT physical examinations for commercial vehicle drivers. The exam costs $100 and meets FMCSA regulations. Patients should bring a valid photo ID, and some cases may require additional testing before certification.
SWVA Direct Primary Care serves individuals, families, the uninsured, and those with coverage that costs too much and delivers too little. The practice works well for patients who want a long-term relationship with one doctor, prefer a prevention-first approach, and value direct access over navigating an insurance-based system.
Prospective patients can contact the practice directly to join or get on the waitlist. The practice accepts new patients on a rolling basis and asks for a three-month minimum membership commitment to start.
Practice last updated April 10, 2026