The Direct Primary Care (DPC) model is directly paid by the patient for both access and primary medical care. Vitality Direct Primary Care does not accept or bill third party payers. You cannot pay the DPC monthly fee with your Health Savings Account (HSA), Flexible Spending Account (FSA), and/or Health Reimbursement Account (HRA). Following your visit, a receipt will be given to you with a date of service, a diagnosis, and with the standard office charge posted. You may submit this receipt to your HSA for reimbursement. Due to regulatory restrictions, the DPC model is not available to patients who are eligible for or enrolled in Medicare, Medicaid, or other government healthcare programs.