Direct Primary Care Membership in Frederick and Mount Airy, MD

DPC membership with Dr. Christian Smith. No insurance, no middlemen.

Just direct access to your doctor—paid in dollars or Bitcoin.

  • Most primary care is built for insurance companies, not patients. Our membership model removes them entirely. You pay a flat monthly fee directly to the practice for unlimited access, same-day visits, and proactive care.

  • Included in Membership

    • Comprehensive intake visit and annual physical

    • Same-day or next-business-day acute visits when available

    • Scheduled home visits within the service area when clinically appropriate

    • Direct physician communication for appropriate non-emergency needs

    • Extended office, home, or virtual visits

    • Routine point-of-care testing and procedures listed below

    • Care coordination and assistance navigating outside services

    ‍ ‍

    Not Included, but Coordinated when Needed

    • Hospital, emergency-department, and surgical care

    • Imaging and pathology

    • Specialist services

    • Prescription medications

    • Advanced or specialty laboratory testing

    • Services performed by outside facilities

  • 1. Apply
    A $100 nonrefundable application and onboarding fee is due with submission, and deducted from the first payment. Membership billing begins only after acceptance and completion of the membership agreement. We review every application personally.

    2. Onboard
    Sign your membership agreement and schedule your comprehensive intake visit. This is where we establish your baseline and health goals.

    3. Access
    Text, call, or message via Proton Mail. Need a visit? You’ll be seen same-day or next-day.

  • This is for you if:

    • You want direct access to your physician without navigating a portal

    • You value privacy in both your medical and financial life

    • You’re self-employed, between jobs, or simply opt out of traditional insurance

    • You believe healthcare should have transparent, upfront pricing

    This is not for you if:

    • You want a hospital system with a cafeteria and valet parking

    • You prefer insurance companies to negotiate your bills in secret

    • You need 24/7 emergency room care (for emergencies, call 911 or go to the ER)

Payment and Privacy.

Your Data, Your Money

We e-mail exclusively through Proton Mail—encrypted, zero-access, no scanning for ads. Your clinical records are stored on HIPAA-compliant, encrypted infrastructure.

For payment, we accept traditional methods, but we also welcome Bitcoin and Lightning Network payments. No financial surveillance. No reporting to third parties.

FAQs

Do I still need insurance?
Yes, but for catastrophic coverage only. We recommend a high-deductible plan or health share organization (Sedera, CrowdHealth) for hospitalizations and major events. Your membership covers the everyday events, i.e., sick visits, chronic care, prevention, lab checks.

Can I really pay in Bitcoin?
Yes. Membership dues and visit fees can be paid via Lightning Network or on-chain Bitcoin. We use Zaprite for secure, non-custodial invoicing.

What if I move or need to cancel?
Memberships are month-to-month after a minimum six-month commitment. Cancel anytime with 30 days notice.

Is my information secure?
All e-mail messaging is handled through encrypted Proton Mail. Your records are never stored in a commercial cloud accessible to advertisers or data brokers.

Do you see Medicare/Medicaid patients?
Dr. Smith has opted out of the Medicare program. Services are provided via private contract. Patients may not seek Medicare reimbursement for DPC membership fees. We do not currently enroll Medicaid beneficiaries.

What geographic area do you serve?
We service a 20 mile radius around Mount Airy. Certain services may be available via telehealth where appropriate.

“Having your own personal doctor come to your home has been such a blessing for us. When my husband was very sick and couldn't hardly stand, Dr. Smith came to him and treated him in our own home. Plus we can call or text him anytime and you actually get to talk directly to the doctor - not some office where you rarely talk to the doctor directly on the phone. You can call or text Dr. Smith for any questions or concerns or refills. It’s all very convenient. We would highly recommend Dr. Smith to anyone thinking of having your own personal doctor that you can trust and get answers and appointments quickly.” - Testimonial from “L”

Ready to Join?

Membership is limited to ensure every patient gets the time they deserve. Apply today to secure your spot.

Application fee: $100 | Monthly membership billed after approval

Get Started