Direct Primary Care removes insurance from everyday primary care. You pay a flat monthly membership fee directly to your doctor — no co-pays, no deductibles, no surprise bills. This lets us see fewer patients, spend more time with each one, and eliminate administrative burden. Your membership covers all primary care visits and in-house procedures, plus significantly reduced rates on labs. We also work with you to provide options for reduced cost prescriptions and imaging.
DPC restores what medicine is supposed to feel like. At Aurora, you get same- or next-day appointments, 30–60 minute visits, and a doctor who knows your history. In traditional care, patients typically wait weeks for a 15-20 minute appointment where the actual time spent speaking with the doctor is 7-10 minutes. This comes with the cost of co-pays on top of premiums. With Aurora, you pay one flat monthly fee, communicate directly with Dr. Malhotra by text or phone, and receive care organized around you — not an insurance billing cycle.
DPC works well for most patients, with or without insurance. If you have insurance, Aurora complements it — you get same- or next-day access and longer visits without per-visit costs. Many patients with high-deductible plans save significantly. Without insurance, DPC is one of the most cost-effective ways to access high-quality primary care, with reduced lab rates, wholesale prescription access, and unlimited visits.
We accept patients from age 12 and up across three tiers: Teen (12–19), Young Adult (20–29), and Adult (30–64). We also offer Aurora TogetherCare — a household membership that includes discounts for teens enrolled alongside an adult or young adult member. We cannot currently see patients covered by Medicare or other government insurance programs, though we maintain a waitlist and hope to welcome those patients in the future. Aurora does not provide pediatric care for children under 12 at this time.
You can request your medical records at any time by contacting us via the SigmaMD app or emailing Dr. Malhotra at doctor@auroraprimarycare.com or by calling the office at (240) 744-7400. We process records requests promptly and will work with you to transfer information to any provider or specialist you are working with.
Aurora membership is priced by age tier with no enrollment fee and no per-visit charges. Teen Individual (12–19): $55/mo. Teen TogetherCare (12–19): $35/mo. Young Adult (20–29): $75/mo. Adult (30–64): $95/mo. The TogetherCare rate applies when a teen is enrolled alongside an adult or young adult member who takes responsibility for payments and follow-up. Membership renews monthly; 30 days notice required to cancel.
Your membership covers all primary care visits — no per-visit fee, no co-pay, no billing after the fact. It also includes in-house procedures, direct access to your doctor by phone, text, or messaging, and same-day and next-day appointment availability. Members also benefit from dramatically reduced lab rates (typically 60–85% below standard billing). We also work with you to provide options for reduced cost prescriptions and imaging.
Yes. You can cancel at any time with a minimum of 30 days' written notice. There are no long-term contracts and no cancellation penalties. Membership renews automatically each month until you choose to cancel.
None. Aurora does not charge an enrollment or activation fee. Most DPC practices nationally charge between $50 and $350 to start — we've eliminated that entirely. You simply pay your first month's membership and you're in.
Your Aurora membership is designed to reduce the need for specialist visits through proactive, comprehensive primary care. If you need care beyond what we can provide, we will help guide you to the right specialist. You won’t be left to figure it out on your own. We will recommend an appropriate specialist for your needs and provide any necessary referrals and medical records to help ensure a smooth transition of care. Our goal is to make the process as seamless as possible and to remain your partner throughout your healthcare journey. Even after you have seen the specialist, we will help you understand their recommendations, coordinate your ongoing care, and make sure all the pieces fit together. Having one physician who knows your whole health story can make a meaningful difference.
We prescribe to your pharmacy of choice just like any other provider. As an Aurora member, we will work with you to provide you options for reduced cost medicines whenever possible. We do not manage chronic pain conditions, and we do not keep controlled substances on the premises.
Routine lab work is not included in the membership fee, but Aurora members pay dramatically less than standard rates — typically 60–85% less for the same tests, with no surprise bills. Imaging is handled through referral, and we connect members with cash-pay options wherever available. You will always know the cost before you proceed.
Same-day and next-day appointments are standard for Aurora members — not an exception. For urgent concerns, members can reach Dr. Malhotra directly by phone or text without waiting for an appointment slot. If your situation calls for an immediate visit, we make it happen.
For after-hours needs, members can text or call Dr. Malhotra directly. When she is away, coverage is arranged with a trusted covering physician, and you will know how to reach care before she leaves. For true emergencies, always call 911 or go to the nearest ER.
No. Aurora does not participate with or accept health insurance — this is intentional. Removing insurance from the equation is what allows us to offer more time with your doctor, lower costs, and a far less frustrating experience. You pay your membership fee directly to the practice with no additional charges per visit, no co-pays, and no unexpected bills. We recommend members maintain insurance to cover hospitalizations, specialists, and emergencies. Note: we currently are unable to see patients covered by Medicare or other government programs but we do expect to in the future. You are welcome to contact our office and join our waitlist.
Having insurance does not mean you are getting the most out of your healthcare. Most insured patients still pay out-of-pocket co-pays for routine visits, labs, and prescriptions — and these can add significant cost above your insurance premium. With Aurora, you get unlimited same- or next-day visits, direct doctor access, and 60-85% lower pricing on labs. We also work with you on options for reduced cost prescriptions and imaging, all included in a flat monthly fee. Aurora and insurance work together: your membership handles primary care; your insurance handles hospitalizations, specialists, and emergencies.
Yes. Since January 1, 2026, the federal One Big Beautiful Bill Act (OBBBA) and IRS Notice 2026-05 made DPC membership fees like Aurora's HSA/FSA-eligible — up to $150/month for individuals and $300/month for families. You can use pre-tax HSA or FSA dollars to pay your Aurora membership; check with your benefits manager or CPA to confirm the details for your specific plan.
If you couldn't find the answer you were looking for, we'd love to chat. Our team is here to help you understand how Aurora can transform your healthcare experience.