Direct Primary Care for Individuals and Families

If you've put off a doctor's visit, you're not alone. Maybe you don't have insurance. Maybe your deductible makes every visit feel like a financial decision. Close to half a million South Carolinians have no coverage at all. Plenty more carry high-deductible plans that barely touch a routine visit. At Palmetto Proactive, we built our practice around direct primary care. We watched too many neighbors put off care until a small problem turned serious.

Our primary care membership replaces confusing insurance billing. Instead, you pay one flat monthly rate for real time with your physician. Ready to see what unhurried, transparent care looks like for your family? Let's set up your first visit this week.

Interested in Becoming a Member? Let's get started!

How Our Direct Primary Care Model Works

Direct primary care removes the insurance company from the middle of your healthcare. Instead of billing a claim every visit, you pay one predictable monthly fee. That fee covers most of the primary care services families use all year, including:

• Sick visits

• Annual physicals

• Chronic disease management

Why Visits Run Longer Here

This model lets our physicians limit their patient panels. Fewer patients per doctor means longer visits. It also means more time to think through a diagnosis instead of rushing to the next room. Most patients don't realize this until they join. A same-day sick visit here typically runs twenty to thirty minutes. Most urgent care clinics budget closer to eight or ten.

The National Shift to DPC

Nationally, this shift is accelerating. Direct primary care membership grew 837 percent per capita between 2017 and 2025. That is far ahead of U.S. population growth. The model now operates in all 50 states, according to industry data from Hint Health. We've watched that same demand play out in our own waiting rooms. More families ask about membership-based care every year.

Keeping Insurance as a Backup

You can still carry insurance alongside your membership. Many members want it for hospitalizations or specialist referrals. Many of our members pair self-pay primary care with a high-deductible plan. They use their membership for everyday visits. They keep insurance in reserve for the bigger stuff.

Straightforward Pricing. No Surprise Bills.

Palmetto Proactive is built to serve people, not insurance companies. Our Proactive Patient Program, known as P3, is a flat-rate primary care membership. It starts at $80 a month per adult. That single rate covers the everyday healthcare most families need. There is no stack of separate bills arriving weeks later.

There are no copays for office visits. There are no surprise charges waiting in your inbox. You know your cost before you walk in the door. A single X-ray can run several hundred dollars through traditional billing. That kind of upfront pricing stands out here.

Interested in Becoming a Member? Let's get started!

Built for Uninsured, High-Deductible Families

South Carolina has one of the highest uninsured rates in the country. Roughly 9 percent of residents lack coverage entirely. That's close to 469,000 people, according to state health coverage data. Many more are enrolled in high-deductible plans. Those plans don't kick in until they've already spent thousands out of pocket. If either describes you, an affordable primary care membership can help. It covers the visits you'd otherwise pay full price for, from a sick visit to routine bloodwork.

We also see patients who technically have insurance but avoid using it. A single office visit can cost $150 or more out of pocket. That's before the deductible resets each January. For those households, a flat $80 monthly membership often costs less than two uncovered visits. It also covers far more than two visits over a year.

Direct primary care tends to fit well if you recognize yourself in a few situations:

• You're uninsured or between jobs and need a primary care doctor you can see this week, not after weeks of paperwork

• You're on a high-deductible health plan and already pay out of pocket for nearly every visit

• You're self-employed or a 1099 worker without an employer health plan

• You're a South Carolina family who wants one dependable doctor for both parents and kids

Here's something a general search won't tell you. High-deductible plans often exclude the visit types people need most, until the deductible is met. Routine bloodwork. Sick visits. Medication management. A P3 membership fills that exact gap, without duplicating coverage you already have.

What's Included in Your Membership

Your primary care membership covers a wide range of services, all included in your monthly rate.

1. Same-day or next-day sick visits

2. After-hours access to your care team

3. Urgent care for minor injuries and illness

4. Annual physicals and preventive screenings

5. In-house lab work at reduced rates

6. Flu shots and other immunizations

7. Chronic disease management for conditions like diabetes and hypertension

8. A prescription savings program

Most of what shows up on that list are the visits people actually use throughout a normal year. They aren't rare add-ons buried in fine print. A sprained ankle. A persistent cough. Renewing a prescription. Getting a school physical done before the fall deadline. These are the everyday moments that shape a normal year. Handled early, they're quick and affordable. Put off too long, they can turn into a $200 urgent care bill.

Sometimes you need imaging beyond what we offer in office. Our direct primary care patients get coordinated access to our dedicated imaging center for MRI, CT, and X-ray. Pricing follows the same upfront philosophy as your membership. Referrals move faster too. Your primary care physician and your imaging team already share the same chart.

Primary Care Across the Upstate and Midlands

Where We See Patients

We see patients in Spartanburg and Greenville, in the heart of South Carolina's Upstate. We also care for families in Cayce. Cayce sits right along the Congaree River. Our Cayce clinic serves the greater Columbia area without the drive downtown.

• Spartanburg, including our Westside and Drayton Mills clinics

• Greenville

• Cayce, serving the greater Columbia area

Searching for direct primary care near me? One of our clinics is probably closer than you think, whether you're in the Upstate or the Midlands.

Patients near the mill villages in Spartanburg get the same membership. Patients near the State House in Columbia get it too. Same pricing. Same standard of care.

Ready to Become a Member? Request an Appointment

A Practice Built on Relationships, Not Claims

We started Palmetto Proactive because we believe there's a better way to practice medicine. It's built on relationships instead of paperwork. You can read more about our commitment to that model and the physicians who carry it out every day.

For employers who want this same standard of care for their teams, we also build direct primary care partnerships. These cover businesses across South Carolina under the same membership model that works for individual patients.

The Right Primary Care Doctor Starts Here

Choosing a primary care doctor shouldn't require decoding an insurance policy first. Maybe you're uninsured or stuck with a high deductible. Maybe you're self-employed, or just tired of ten-minute appointments. Either way, a primary care membership with Palmetto Proactive meets you where you are.

Our physicians already care for families across Spartanburg, Greenville, and Cayce. We'd like to add yours to that list. Membership starts at $80 a month. No insurance is required. There are no surprise bills waiting after your visit.

Maybe finding a doctor has always felt complicated. Here's the simple version. Join our Proactive Patient Program. Get a same-day appointment when you need one. Let us handle your primary care the way it was meant to work.

We're Ready to Meet You! Get Started Today.

What's Included in Your Membership

Your P3 membership covers a wide range of primary care services — all included in your monthly rate.

• Same-day or next-day sick visits
• After-hours access to your care team
• Urgent care
• Physicals
• Lab work
• Office visits
• EKG
• X-rays
• Flu shots
• Sick visits
• Prescription program
• Chronic disease management