If you've put off a doctor's visit because of cost or insurance, you're not alone. Nearly half a million South Carolinians have no health coverage, while many more have high-deductible plans that leave them paying out of pocket for routine care. At Palmetto Proactive, our direct primary care membership gives individuals and families another way to access a primary care doctor.
Instead of billing insurance for each visit, you pay a flat monthly membership fee for ongoing primary care. That means more time with your physician, predictable costs, and access to care without worrying about the price of every office visit.
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Direct primary care removes the insurance company from the middle of your healthcare. Instead of billing a claim for every visit, you pay one predictable monthly fee. That fee covers many of the primary care services individuals and families use throughout the year, including:
Annual physicals
Chronic disease management
The membership model allows our physicians to care for fewer patients, giving them more time for each visit. That means more time to discuss symptoms, ask questions, and work through a diagnosis without rushing to the next patient.

You can still carry health insurance alongside your membership. Many members keep insurance for expenses outside routine primary care, such as hospitalizations and specialist care. Others pair their membership with a high-deductible health plan, using Palmetto Proactive for everyday primary care while keeping insurance for larger medical expenses.
Palmetto Proactive's Proactive Patient Program, or P3, is a flat-rate primary care membership starting at $80 per month per adult. Your membership covers many of the everyday healthcare needs individuals and families use throughout the year, without a separate bill for each office visit.
There are no copays for covered office visits, and you know your membership cost upfront. Other services, including certain labs, procedures, and imaging, may be available at included or discounted rates depending on the service and location.

You don't need traditional health insurance to become a Palmetto Proactive member. For people who are uninsured, self-employed, between jobs, or enrolled in a high-deductible health plan, membership provides a predictable way to access routine primary care.
Instead of deciding whether an office visit is worth another out-of-pocket expense, members can use their primary care benefits when they need them. This can include sick visits, preventive care, medication management, and ongoing care for chronic conditions.
Direct primary care may be a good fit if:
You're uninsured and need ongoing access to a primary care doctor.
You have a high-deductible health plan and pay out of pocket for many routine visits.
You're self-employed or a 1099 worker without an employer health plan.
You want consistent primary care for yourself or your family without paying separately for every covered visit.
If any of these situations sound familiar, a P3 membership can make routine primary care easier to plan for and easier to use. You'll know what your membership costs and have an established primary care team when you need to use it.
Interested in Becoming a Member? Let's get started!
Your P3 membership covers the primary care services individuals and families use most, all through one predictable monthly rate. Depending on your healthcare needs, your membership may include:
Same-day or next-day sick visits
After-hours access to your care team
Urgent care for minor injuries and illnesses
Annual physicals and preventive screenings
In-house lab work at reduced rates
Flu shots and other available immunizations
Chronic disease management for conditions such as diabetes and high blood pressure
Prescription savings
These are the kinds of healthcare needs that come up throughout the year, from a persistent cough or minor injury to prescription management and routine preventive care. With an established primary care team, you have somewhere to turn when those needs arise.
When additional testing is needed, members also have coordinated access to Palmetto Proactive's Imaging Center for MRI, CT, and X-ray services. Your primary care team can coordinate testing and follow-up so your imaging results can be considered alongside your symptoms, health history, and ongoing care.

Your membership establishes Palmetto Proactive as your primary care practice for both routine healthcare and the health concerns that come up throughout the year. You don't have to start from scratch with a different provider each time you need care.
Your physician can get to know your health history, medications, ongoing conditions, and preventive care needs over time. When you're sick, managing a chronic condition, due for a physical, or concerned about a new symptom, you have an established care team that already knows your health history.
That continuity also matters when your care extends beyond the primary care office. If you need lab work, imaging, or a specialist, your physician can help determine the appropriate next step and continue managing your primary care as other providers become involved.
Primary care isn't only for the days when you feel sick. Regular visits give you and your physician an opportunity to monitor changes in your health, review medications, keep up with recommended screenings, and address risk factors before they become more difficult to manage.
For members living with conditions such as high blood pressure, diabetes, or thyroid disorders, an ongoing primary care relationship also makes it easier to follow changes over time. Your physician can review symptoms, medications, lab results, and treatment progress as part of your broader health history rather than treating each appointment as an isolated visit.
The same relationship can continue through different stages of life and changing healthcare needs, giving individuals and families a consistent place to turn for everyday primary care.

P3 members can receive primary care at Palmetto Proactive locations in Spartanburg, Greenville, and Cayce. Choose the location most convenient for you to learn more about its physicians, services, and local care.
Spartanburg — Westside
Spartanburg — Drayton Mills
No matter which location you choose, your membership gives you an established Palmetto Proactive primary care team for routine, preventive, and ongoing healthcare needs.
Palmetto Proactive was built around a simple idea: your primary care doctor should have the time to know you, your health history, and what matters to you. The membership model gives our physicians more time to build those relationships while focusing on preventive care, everyday health needs, and ongoing conditions.
You can learn more about our commitment to relationship-based primary care and the physicians who care for our members.
We also offer direct primary care for employers who want to provide this model of care to their workforce.

Finding a primary care doctor shouldn't depend on whether you have traditional insurance or how much of your deductible you've met. With Palmetto Proactive, individuals and families can establish ongoing primary care through one predictable monthly membership.
P3 membership starts at $80 per month per adult. No insurance is required, and covered office visits do not have a separate copay. When you need care, you already have a physician and care team to call.
If you're ready for a more direct relationship with your primary care doctor, request an appointment and learn more about becoming a P3 member.
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Membership & Pricing Information |
|
|---|---|
| P3 Monthly Membership (per adult) | $80/month |
| Skin Procedures | $40 + Pathology if necessary |
| Lab | Significantly discounted near wholesale cost |
| Radiology | Two X-rays included at Greenville and Spartanburg locations. Discounted pricing from local imaging partners. |
| Immunizations | Flu shots included. Other - check for availability |
Your P3 membership covers a wide range of primary care services — all included in your monthly rate.