Direct Care

Unlimited access to your doctor!

One of the biggest (and most important) differences you’ll find between us, a direct care medical practice, and other traditional family or internal medicine practices is the number of patients we see. With Madsen Medical, you’ll be part of an intimate primary care practice (not lost in the current model of standard 4,000+ patient load). With this solid foundation, the advantages are inevitable, and plentiful.


Madsen Medical Direct care is very simple. We're making ourselves more available to you and your family. How? Because most primary care docs provide care for 3,000 - 5,000 patients. At Madsen Medical you’ll be part of a limited group of patients cared for like family. In this atmosphere, the advantages are inevitable and plentiful. With Direct Care you have extended office visits, at-cost prescriptions, same day & next day scheduling, wholesale labs and a whole lot more (seriously read below)!


Benefits Of Direct Care


Unlimited access to your doctor.

Literally.  After hours, weekends, holidays – there’s no bad time to receive excellent medical care.


Extended visits.

You won’t feel rushed through an appointment and there’s never a question you won’t have time to ask. Part of the relationship you have with your doctor is based on your understanding of your care. That’s what we call personal healthcare.


Same day and next-day service scheduling.

Because Dr. Madsen has reserved his time for you as a direct care panel member, there will be no “squeezing you in.” You’re a priority and you’ll feel like one.


House calls.

We understand that there may be times that making it into the office can be physically challenging and that a home visit would be beneficial… in these circumstances, Dr. Madsen and/or a nurse will come to you.


Full access via technology.

You’ll be able to reach our team via phone, e-mail, text, webcam and more. The sky is the limit.


An annual physical.

This exam will be fitted to your personal medical needs. It’s all about you and your specific goals for wellness.


Diagnostic tests & procedures at no extra costs.

EKG, Holter Monitor, Body Fat Analysis, Bladder Scan, Arterial Flow Studies, Spirometry, Breathing Treatments, Cryotherapy, Lesion Removal, Laceration Repair, just to name a few.


Wholesale labs and medication costs.

We pass the savings right to you. When we say they're no hidden costs–we mean it. You'll benefit from our ability to work directly with labs and to offer at cost-prescriptions. 


How Direct Care Benefits You & Your Family ...

I went to Medical School to take care of patients. To sit down, one on one; look them in the eye so we can discuss what’s going on. Not to sit down in front of my computer and fill out endless forms for insurance requirements. Direct Care provides me, Dr. Madsen, the ability to spend quality time with you without jumping through the hoops of insurance. 


Your Concerns About Direct Care, Answered


Costs, Benefits, & Practical Examples

Thinking different for your healthcare can feel overwhelming, but it doesn't have to be. Roxy & Dr. Madsen explain very practically your costs, benefits and some real life examples of how Madsen Medical Direct Care actually works. 

Direct Care VS Traditional Care

Wish you had more access to a doctor? Wouldn't it be great if it felt like you had a doctor in the family? With Direct Care that's the feeling we strive to provide. You'll have your doctor's personal phone number that you can use at anytime. 


FAQs & Helpful Answers

What sets Madsen Medical apart from other practices?

We have shrugged the bureaucracy. We have shredded red tape. In refusing to recognize any interference with the sanctity of the patient/physician relationship, we have returned primary practice medicine to its root values of clinical excellence for and compassionate knowledge of every patient. In every aspect of primary health care, and custom health care, we promise accessibility, convenience, and affordability.

Is concierge medicine the same as direct primary care?

The terms are often used interchangeably and CAN refer to the same thing. However, it can also mean payment in addition to insurance payments, providing the patient with convenience for that additional fee.  Direct primary care that Madsen Medical is providing is a healthcare model focused on putting every patient first for a consistent predictable monthly fee. That means treating them when they need it, never rushing patients through appointments, and being proactive with healthcare treatment plans. The doctor-patient relationship is just as the name suggests – direct. Direct primary care clinics don’t accept insurance, rather they choose to work directly with the patient, providing wholesale labs and prescription prices along the way.

Will I benefit from Madsen Medical if I don’t require frequent medical attention?

Of course. We might argue that everyone benefits from a service tailored directly to them. That’s why we offer custom healthcare. Our practice is devoted to the maintenance of your good health, to the enhancements of your daily experience that only physical well-being can bring.

In wellness and therapeutic care alike, Madsen Medical Direct Care’s great ally is time. Large amounts of precious, irretrievable time given to you as you wish. Every visit, for whatever reason, will be easy-going in its absolute thoroughness, relaxed in answering your questions and addressing the need of the moment. Then, as the months and years go by, we’ll build a comprehensive, intimate knowledge of your health, invaluable understanding available in no other regimen of care.

What happens if I need to go to the hospital or see a specialist?

In providing superb care with unprecedented sorts of access, we seek to prevent or reduce hospitalizations and specialty referrals. In instances where those types of care are required, we will certainly continue to treat you during your hospital stay or work closely with any specialist. In some cases, depending on the level of care and the sorts of expertise required, we may rely on those specialized caregivers to manage your treatment.

Is my membership to Madsen Medical tax deductible?

Unfortunately, no. Your retainer is not yet defined as a “medical expense” in most states and as such is not deductible. The American Academy of Private Physicians, however, is lobbying hard to win rightful deductibility for these expenses. In the meantime, consult with your tax consultant to clarify tax consequences in your particular circumstances.

If I have Medicare, can I still join Madsen Medical?

Yes. You need only sign a one-time waiver declaring that neither you nor Dr. Madsen will directly bill Medicare for our services. Medicare will still cover any laboratory testing, imaging, medications, or hospitalizations prescribed by our offices.

Can children become members of Madsen Medical?

Yes. We are happy to accept the children (starting at 13 years of age) of our enrolled clients. 


How do I order prescriptions if I don't have insurance?

With the Direct Care model we're able to give you at-cost prescriptions. We carry the top 200 drugs used in America. You'll save each month on your prescriptions with your direct care membership.

What if I need medical attention while I’m away from home?

Naturally we provide such care – yet another freedom we enjoy together as a result of Madsen Medical's independence from the restrictions of third-party payment. Because we know you well, we can streamline your care when you’re sick away from home. Many illnesses can be diagnosed and treated with a simple conversation by phone, email, text or webcam. We’ll locate the nearest pharmacy and order the medications most appropriate for your circumstances.

Can I contact my physician after hours? And how?

By all means, yes! Because illness and injury do not respect regular office hours, you may call your physician any day, at any hour. If you prefer, you may also use our secure patient portal to access your medical record and then e-mail your physician. It’s how we do custom health care.

Are my medical records ever shared with insurance carriers or pharmaceutical companies?

We maintain scrupulous standards of privacy. We are never obligated to provide any third party with a copy of your records, unless you specifically ask that we do so.


What's the cost?

Our pricing system is very straightforward – which probably isn’t what you’re used to. If you have questions, don’t hesitate to ask. In the meantime, be sure to read this page in detail so you fully understand how Madsen Medical Direct Care operates!

  • $10 - Children 13-19 (With At least 1 Parent Enrolled)
  • $50 - Adults 20-44 Years Old
  • $75 - Adults 45-64 Years Old
  • $100 - Adults $65+ Years Old



"In all of our years, this is the most exciting time to be a part of Madsen Medical!" - Dr. Madsen

Having access to your doctor when you actually need them is how healthcare should work. With Madsen Medical Direct Care we can provide a higher level of care for a more affordable cost. Why? No jumping through insurance hoops; immediate access to your doctor on your terms; and personalized treatment plans. 


How do I know if this is right for me?

Schedule a free, unconditional visit to discuss your health care needs. It’s the only reasonable way to begin or continue what, we trust, will be a long, productive, healthy relationship. Call the office today to schedule an appointment  740-947-8602.