About Direct Care
What is Direct Primary Care?
Direct primary care (DPC) is a growing model of healthcare that puts patients first. DPC practices do not bill or file insurance claims; instead, the patient pays directly for the services provided. This model of care provides freedom for both the physician and the patient, allowing us to provide personalized, patient-centered medicine. This model also allows physicians to have substantially fewer patients, so we can better individualize your care and provide comprehensive, reliable access to care.
What is Internal Medicine?
Internal Medicine is the medical specialty that focuses on the prevention, diagnosis, and treatment of adult diseases. We provide preventative care, treat acute illnesses, and help manage chronic diseases. With our experience and training we are equipped to handle a broad and comprehensive spectrum of illnesses. We will also refer you to specialists and work closely with them to provide comprehensive care when needed.
Do I still need insurance?
Although we do not accept insurance, we still believe insurance is important to help cover hospitalizations and severe illnesses. Many patients in direct primary care practices have high-deductible, catastrophic insurance plans. We think our model is best compared to car insurance. We use our car insurance for major accidents and large expenses, not for routine oil changes and maintenance services. It is important to note, though, that the direct primary care model is not insurance and does not meet the criteria for insurance as set forth in the Affordable Care Act.
What if I need labs, imaging, or specialist care?
We offer discounted labs and imaging, but we are also able to bill your insurance for these services, if desired. We will work with your insurance to obtain necessary imaging (x-ray, ultrasound, CT scan, or MRI) and to refer you to the specialists needed to assist in your care.
Can you pay the monthly or annual fee from a Health Savings Account (HSA)?
Almost! In July, 2018 the U.S. House of Representatives passed “The Primary Care Enhancement Act” (H.R. 365). If passed by the U. S. Senate, this bill will allow patients to use their HSA for our fees. We are hopeful this will be in effect by December 31, 2018.
Will we really be able to contact our physician directly?
Yes! We will readily be available by phone, email or text. We will work to accommodate your schedule. You will always be able to reach a doctor in case of emergency, both after hours and on the weekend. We will also work to help you avoid urgent care or the emergency room if we can. If emergency care cannot be avoided, we will help you navigate your emergency and determine if the emergency room is the best place for you. All in all, direct care means that we are here for you, no matter what the health-related circumstance.
Have another question for us?
Please email us with other questions you may have about Direct Primary Care!
DR. SIOBAHN HRUBY (SHA-VON RUBY)
Dr. Hruby was born in California and grew up in New Mexico. She attended College of St. Mary in Omaha, Nebraska where she graduated summa cum laude in 2003 with a triple major in Math, Biology, and Chemistry. She attended Creighton University School of Medicine graduating in 2007 and completing her Internal Medicine Residency in 2010. The following year, she served as Chief Resident of the Veterans Affairs primary care clinics, managing schedules and the education of both students and residents. Subsequently, she worked as an outpatient Internist at Boys Town National Research Hospital in Omaha, Nebraska. She then cared for patients at Jupiter Family Medicine Clinic near Grand Rapids, Michigan where her husband started his first practice. In the spring of 2015, Dr. Hruby and her family moved to Little Rock. Prior to being a founding physician at Pinnacle Internal Medicine, Dr. Hruby worked at the UAMS neighborhood clinic in Maumelle where she provided comprehensive primary care.
Dr. Hruby is board certified by the American Board of Internal Medicine, and she is a member of the American College of Physicians. Dr. Hruby’s professional interests include health and wellness through diet and exercise, cancer prevention, and chronic disease management. She and her husband, Dr. Paul Hruby, have two daughters and are excited to call Arkansas their home. Her parents, Dr. Stephen Mason and Dr. Sharron Mason, both practice in Hot Springs. When she’s not caring for patients or her children, you can find her curled up with a book or running her neighborhood trails.
DR. ANNA KENDRICK
Dr. Kendrick was born and raised in Little Rock, Arkansas. She graduated magna cum laude from Texas A&M University where she received a degree in biology with a minor in business and participated in the honors program. She received her medical degree from UAMS and was a member of the Alpha Omega Alpha honors medical society. Dr. Kendrick completed her internal medicine training at University of Colorado Health Sciences Center in 2010 where her training focused on primary care and comprehensive women’s health. After residency, she worked in private practice at Denver Internal Medicine Group. Prior to being a founding physician at Pinnacle Internal Medicine, Dr. Kendrick worked at the UAMS neighborhood clinic at Rahling Road where she served as medical director and provided comprehensive gynecologic and primary care.
Dr. Kendrick is board certified by the American Board of Internal Medicine. She is a member of the American College of Physicians and a certified menopause practitioner with the North American Menopause Society. Dr. Kendrick’s professional interests include primary care, comprehensive healthcare for women and complementary/alternative medicine. She is thankful to be back in Arkansas with her family and to serve her home community. During her free time, she enjoys traveling with her husband and daughter, reading on her back porch, and learning new ways to stay healthy!
- $125/month, discounted to $1200/year if paid in advance.
- One time registration fee of $125
- Annual wellness visit with routine yearly lab
- Routine gynecologic exam and pap test
- Chronic disease management
- Acute visits and urgent care
- Coordination of specialty care, emergency room and hospital care
- Joint Injections, incision/drainage, and other office based procedures