Below you will find answers to our most frequently asked questions. If you cannot find the answer to your question, please feel free to contact us.

Membership Questions

What does the membership fee cover?

The fee covers excellent primary care through annual wellness exams, sports physicals, school physicals, basic office procedures, treatment of acute illness or minor injuries and increased access to your doctor, all with minimal wait times in the office.

Our patients also have access to wholesale labs and prescriptions.

Is there a sign-up fee to join?

No, we do not require a sign-up fee for any household, family or individual.

Does Direct Access see patients of all ages?

Direct Access currently provides care for patients of all ages. We also work closely with an experienced Pediatrician if you prefer for your children to see him.

What if I decide to cancel?

We expect to have an open, honest, respectful relationship with you. If you have voiced a complaint that we cannot satisfy together, we will gladly allow you to terminate your membership. You can cancel your membership by giving a 30 day notice. If you choose to rejoin, fees will be applied.

General Questions

What does the membership fee cover?

Under the Direct Primary Care (DPC) model, the patient (you) receives comprehensive primary health care directly from their DPC physician (Dr. Cianciolo, Dr. Purcell, Dr. Straughn, or Dr. Jones). The patient pays for this care through a monthly fee, paid directly to Direct Access.

Because DPC practices do not participate in any insurance or plans, the providers are able to avoid the ever-increasing and costly documentation demands and administrative intrusions that come with accepting insurance.  DPC practices also avoid the onerous patient data collection responsibilities which many plans impose. These require staff, time, and money, often amounting to substantial intrusions on patient privacy.

Because DPC physicians avoid these obligations to insurance companies, they are free to spend that time listening to and treating patients. And because DPC physicians eliminate the significant overhead costs of participating in insurance, they can pass the savings on to you, the patient – and give compassionate, attentive and timely care at an affordable cost.

What are your prices?

Please find a complete list of our prices here.

Do you see nursing home patients?


Yes! Dr. Cianciolo & Dr. Straughn see members who are nursing home patients.

What medical conditions do you care for?

We treat acute and chronic health problems.

What about treatment for chronic pain or anxiety?

Chronic pain and anxiety are serious medical problems that require specialized training to properly dose, monitor and manage pain and/or anxiety treatment.


Also, government agencies are requiring more regulations for physicians who prescribe anxiety and/or pain medications. For these reasons, our family physicians DO NOT prescribe, or manage, long term pain or anxiety medications.  There are specialists in our community that manage these serious conditions.

What if I'm hospitalized?

Our doctors will help coordinate care in the hospital, but patients will be cared for by a hospitalist –doctors who only see patients in the hospital.  Dr. Cianciolo, Dr. Purcell, Dr. Straughn, and Dr. Jones will resume care as the patients transition out of the hospital.

Dr. Cianciolo will remain on courtesy hospital staff at AnMed Health, but will work with patients at any hospital they choose for their care.

Are my medical records ever shared with insurance carriers or government agencies?

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 them to do so or if Direct Access is subject to subpoena or search warrant.

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

In the age of telemedicine, many conditions can be diagnosed and treated via a simple conversation by phone or webcam. If appropriate, we will locate the nearest pharmacy and order medication most suited for your circumstance. If you need to go to the hospital or seek other medical attention while away from home, we can advise you on that as well.

May I contact Direct Access after hours? How?

Absolutely, yes! It’s how we do custom healthcare. After normal office hours our members can reach our doctors via cell phone.

When do I pay my fees for non-covered labs and procedures?

Charges will be added on the next month's invoice and will be applied to your preferred method of payment on file.

Medicare & Insurance Questions

Do I still need insurance?

We recommend that you do have insurance to comply with Federal Law.  Direct Access does not replace insurance, and ideally we encourage our patients to carry a high deductible or major medical plan or a plan with a health savings account, thereby ensuring financial help should hospitalization or referral to a specialist be necessary. You should consult with your insurance provider to help you find a plan that works best with our medical model and that will meet your specific needs.

What if I want to continue my current insurance? Can I use it?

Not for our services, but Direct Access will be able to order your labs, x-rays and medications at the facilities preferred by your insurance if you would like.

If I have Medicare, can I join as a patient?

Yes. However, your monthly membership fee cannot be submitted to Medicare for reimbursement. You must sign a waiver every two years that declares that neither you nor your doctor will directly bill Medicare for your membership fee.

Medicare and medicare supplemental insurance will still cover medical costs that you incur outside of Direct Access. For example, prescriptions that you fill at an outside pharmacy, or labs run at an outside lab, or hospital charges, physical therapy, x-rays and scans are covered, just to name a few. You do not lose your Medicare coverage for other medical needs just because you are a patient of Direct Access.

How can I save on insurance costs by being a patient of Direct Access?

Many times patients purchase expensive “Cadillac” plans that require little or no co-pay and that cover all lab costs and prescription costs. However, with Direct Access your monthly fee covers all office visits, in office basic labs and there are no copays. Our patients may find it worthwhile to change from a “Cadillac” health insurance plan to a basic health insurance plan to save money.

Are Direct Access' monthly fees eligible for HSA or FSA reimbursement?

We recommend discussing this with your financial advisor and CPA as this is a very complex and ever changing issue.

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1208 Ella St. Anderson, SC 29621