Frequently Asked Questions

Here are answers to some of the most frequently asked questions. If your concern does not find an answer here, please contact us!


Why do I have to pay a membership fee?
The membership fee allows you to budget your health care finances better, and allows to provide services at affordable prices.
Since there is a contract or commitment, what happens if I decide to cancel?
We require individual members to sign for a 12-month commitment. Please contact us 30 days in advance if you move from our geographical area.
Is this medicine "concierge"?
No. In concierge medicine, the rates only cover access to your doctor, and he or she will continue billing your insurance.

In Direct Primary Care (DPC), you pay not only for access; you are paying for medical care without additional co-payments or insurance billing.

Also, DPC comes without the high price tag… We make things affordable for people of all incomes, with or without insurance.

Does ALLIANCE DPC accept members with existing medical problems?
Absolutely! Often these are the members who receive the most significant benefit of our services.
What happens if I am healthy? So I rarely go to the doctor?
Awesome! Our main goal is to keep members to their optimal health. As such, we can devote more time to educate on prevention, and lifestyle.When you need attention, we are available 24 hours a day, 7 days a week, to help you get back on track.

Most unexpected visits to the emergency room or urgent care that would have emptied your pocket can easily be covered in a same-day appointment, online visit or phone call with the doctor, often saving the member enough to justify the cost of one year of membership!

Can you provide memberships (virtual visits, etc.) to people "out of state"?
Our doctors are only licensed in the state of Florida and cannot practice medicine in other states.

If a member establishes care in person, we can provide problem monitoring over the phone or the Internet for some time. Some care (visits due to illness, etc.) must be provided in person, so we do not recommend people to join our plan unless they can visit us in person regularly.


Are there hidden fees?
No. We are always transparent with our prices and will inform you of any additional charge upfront. If we recommend external services, we try to find a reasonable self-pay price.
What about laboratories and other tests?
All members have access to many basic laboratory and diagnostic tests at no additional charge.For laboratory tests not covered, we offer wholesale prices with significant discounts, 50-90% less than the prices based on insurance.
When do I pay for medications, laboratories, etc.?
For any charges for non-covered services, we expect full payment at the time of the service, including medications, laboratories, procedures, etc.


What are your regular hours of care? Nights or weekends?
The schedule of our clinic is
Monday- 8:30 a.m. to 5:30 p.m.
Tuesday- 8:00 a.m. to 4:00 p.m.
Wednesday- 8:30 a.m. to 5:30 p.m.
Thursday- 8:30 a.m. to 5:30 p.m.
Friday- 8:30 a.m. to 3:00 p.m.

However, all members have access to the doctor 24/7 by phone/text message/email/video, and after-hours visits if necessary.

Do I need an appointment?
While we can always offer visits the same day or the next day to our members (even the new ones), we do need to schedule all appointments in advance.
All you need to do is give us a call, or a send us a text message through our secure app to set up your next appointment.
What happens if I need external care? Specialists, diagnostic tests, emergency room, hospital?
We have agreements with the most commonly referred specialists, and services for self-pay at discounted prices.

However, we recommend having a HealthShare plan or a high-deductible insurance plan for unexpected and catastrophic events, such as surgery, emergency room visit, or hospitalization.


Is ALLIANCE DPC health insurance?
No. Fortunately, no!
Can Dr. Rengifo bill my insurance plan?
No. Dr. Rengifo or ALLIANCE DPC has NO contract with any private commercial insurance plan.
What's happens with Medicare?
At this time, we accept Medicare plans with which we are contracted.
Can I use my insurance elsewhere if I sign up for ALLIANCE DPC?
If you wish, you can use your insurance for any additional labs, x-rays, and medications.
Can I use my FSA or HSA accounts with ALLIANCE DPC?
Contact your accounting professional to discuss this matter. At a minimum, ancillary services (laboratories, medications, images, etc.) can be paid with FSA or HSA dollars.


Do you offer women care services? Cytology? Papanicolaou?
Yes. We can provide gynecological and preventive services, including pelvic exams, Pap tests, birth control, and menopause management.
Can ALLIANCE DPC work for children? Pediatrics?
Absolutely! We can provide all standard child health care services, including annual physical exams, sick child care (sore throats), and chronic disease control asthma, allergies, etc
Are vaccines provided?
At this time we only offer tetanus vaccine, and seasonal flu.
What about the management of chronic pain? Do they prescribe narcotics?
No. There are many modalities available to help minimize the pain of chronic conditions, and we work with patients to achieve adequate comfort.
What about mental health problems? Depression, anxiety?
Dr. Rengifo is comfortable providing primary care for most mental health problems, including the prescription of medications related to these problems. He generally has a conservative and careful approach when using controlled medications (particularly benzodiazepines such as Xanax or Valium).
Can you write ADD / ADHD prescriptions, amphetamines and/or Adderall?
Dr. Rengifo does not prescribe or administer the use of amphetamine medications (Ritalin, Adderall, etc.). If someone requires pharmaceutical assistance for ADD / ADHD, we can refer them to a specialist for medication management.
Do you share my medical records with anyone?
No. Patient privacy is a natural benefit of this medical model. We will never provide any third party with a copy of your records unless you specifically ask us to do so.
What happens if I need medical care while out of town?
In the age of technology, many conditions can be diagnosed and treated through a simple conversation by phone, or online visits. If necessary, Dr. Rengifo locates the nearest pharmacy, and will order the most appropriate medications for your case.

Contact Form

ALLIANCE DPC: Primary care with you in mind.



    We look forward to meeting you! We strive to achieve your maximum health, and overall well-being with Alliance Direct Primary Care. For that reason, we do not prescribe medications for chronic pain management (Opioids, Oxycodone, Hydrocodone, etc.) We also do not write controlled medications for ADHD ( Adderall XR, Concerta, Ritalin, etc.)

    All new individual members will pay a one time Fee of $80/ $40 (adult/child) at the time of enrollment along with the first-month billing.

    Adults 22 to 64 years old:
    $79/ month
    Children from 7 to 21 years old: $39/ month
    Children from 7 to 21 enrolled without an adult member of the family: $79/ month
    *Adults 65+: $99/ month
    *Not available to Medicare Eligible individuals