An employer with offices in three towns, or staff who work from home in another state, will ask whether everyone can join. Some can be served well by text and video. Some can't. Decide who you can serve, write it into the contract and bill only for them.
Start with the census
Ask for each employee's work location and home zip code. Sort them by drive time to the practice. The census columns you need.
Three groups of employees
- Close by: the normal offer.
- Farther away: they can use text, phone and video, and come in for some visits. Agree on what that looks like.
- Out of state: you may not be able to treat them at all. Telehealth across state lines depends on licensing. Ask your attorney before you offer it.
Price for what you can deliver
Don't charge for members you can't serve. In a made-up example, 60 employees, 45 within 30 minutes, 10 within an hour, 5 in other states. You offer membership to the 55 and write the 5 out of the contract.
Write it down
- Who is eligible, by location or distance.
- What happens if an employee moves away mid-year.
- Whether new offices are added automatically or by agreement.
Watch use by location
Track use by location. If a location shows low use after six months, talk with the employer before renewal. How to raise use.
What I'd do this week
- Set a distance you can serve well.
- Ask your attorney about patients in other states.
- Add an eligibility section to your contract template.
Common questions
Can I partner with another DPC practice for far locations?
You can. Agree in writing on who bills, who is paid and who is responsible.
Should far members pay less?
You can charge the same and accept lower use, or offer a virtual-only tier. Pick one and be consistent.
What if an employee moves out of state?
Follow the contract.
Want each group's revenue and use side by side?
We reconcile every account every month and send your P&L and Balance Sheet by the 15th, so decisions like this start from real numbers. If that's what you need, apply to work with us.