For Members

Good people, great coverage

Your Decent plan provides unlimited primary care visits, allowing your Direct Primary Care (DPC) provider to truly understand your needs and give you the care you deserve. When you follow your DPC’s guidance, all covered services are free, removing financial barriers to getting the care you need.

Learn more

how it works

Your guide to getting $0 care

We match you with a dedicated Direct Primary Care Provider (DPC)

We can help schedule all the appointments you need, often same or next day

Get your care for free. No deductible, no copays, no coinsurance

Your DPC provider provides most of your care and coordinates the rest

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everything you need

Your member portal

Everything you need to take advantage of your Decent plan. Log into your member portal to:

01
Download ID cards
02
Find plan information
03
Search claim details
04
Check plan coverage & eligibility

We are here to help

Our support team is here to help with all of your benefits questions. For best-in-class service, reach out to the Decent team at 1-888-DECENT9.

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You have questions. We have answers.

Q&A

FREQuently asked questions

What is Decent?

Decent is a third-party administrator headquartered in Austin, Texas. We specialize in administering level-funded health plans for groups down to 5 lives, designed around the Direct Primary Care (DPC) model.

What is Decent?

At Decent, we build health plans around the most important relationship in healthcare: the one between you and your primary care provider. We specialize in administering level-funded health plans for groups down to 5 lives, designed around the Direct Primary Care (DPC) model.

What is the Direct Primary Care model?

Direct Primary Care (DPC) is a healthcare model that focuses on a direct relationship between patients and their primary care providers. Gaining tremendous popularity in recent years as a way to address some of the challenges in the traditional healthcare system and provide more patient-centric, value-based care. Typically patients pay a monthly fee or subscription directly to their primary care provider, however, with a Decent Health plan, DPC is included. No deductibles, no copays, no claims.

What is the Direct Primary Care model?

How does DPC work in a Decent plan?

With a Decent plan, your care starts with seeing an in-network Direct Primary Care provider or DPC. Think of it like having a doctor in your family who will get to know you and your health. When you get your care through your DPC, it's free to you.

How does DPC work in a Decent plan?

WIth a Decent plan, your care starts with seeing an in-network Direct Primary Care provider or DPC. Think of it like having a doctor in your family who will get to know you and your health. When you get your care through your DPC, it's free to you.

Why are Decent plans built around the DPC model?

To provide better healthcare at a lower cost. Your DPC is paid to focus on you. This way, they can truly act as your quarterback of care.

The DPC model leads to healthier members. Healthier members mean Decent is able to administer health plans at a lower cost. That means lower costs and better care for all our members.

Why are Decent plans built around the DPC model?

To provide better healthcare at a lower cost. Your DPC is paid to focus on you. This way, they can truly act as your quarterback of care. The DPC model leads to healthier members. Healthier members mean Decent is able to administer health plans at a lower cost. That means lower costs and better care for all our members.

What if I don’t use a DPC?

If you seek care outside of a DPC, your Decent plan will still work like a good traditional health plan with a deductible. You can still get all of the coverage you need, but at additional cost.

If you continue to seek care that isn't coordinated through a Direct Primary Care provider (outside of your Pediatrician and OBGYN), your Decent plan offers the following standard coverage: decent.com/plan

What if I don’t use a DPC?

If you seek care outside of a DPC, your Decent plan will still work like a good traditional health plan with a deductible. You can still get all of the coverage you need, but at additional cost. If you continue to seek care that isn't coordinated through a Direct Primary Care provider (outside of your Pediatrician and OBGYN), your Decent plan offers the following standard coverage: decent.com/plan

What are my out of pocket costs?

Members who choose preferred options can get all their care for free ($0 out of pocket). If you prefer to work with an out-of-network provider, you may, and a $3000 deductible, coinsurance, and Rx copays will apply.

See our plan page for more information: decent.com/plan

What are my out of pocket costs?

What's the difference between a DPC and a Primary Care Physician (PCP)?

PCPs typically see a large number of patients each day, and spend less time with their patients on average than a DPC.

DPCs can treat and manage all the same medical issues that PCPs do. They do not submit claims to your insurance. (That’s us!) Instead, we pay your DPC a part of your monthly premium simply to be your primary care provider, regardless of how often you need to see them.

What's the difference between a DPC and a Primary Care Physician (PCP)?

What do I do if I get a bill from my doctor or a hospital?

You are only responsible for any applicable copays, deductibles and coinsurance of your plan. If you have questions regarding a bill you have received, please contact us immediately by calling 1-888-Decent-9.