top of page
Brian Hiller Rainier Direct Medicine.jpg
Mt Rainier Direct Medicine.JPG


Check out our Frequently Asked Questions

to learn more about our Practice

  • Welcome!
  • What changes is Rainier Family Medicine & Pediatrics making to the practice & when will they be effective?
    Starting on April 1st, Rainier Family Medicine & Pediatrics will be converting his practice to a membership practice. The membership practice provides specialized preventive health services on highly convenient terms to a much smaller group of patients than other practices. Patients pay an annual or monthly fee to make this type of care possible.
  • What is "Direct Care" or "Concierge Medicine?"
  • What services will you provide?
  • How is direct care medicine different from our current health care?
  • How many patients does Rainier Family Medicine & Pediatrics have currently?
    Rainier Family Medicine & Pediatrics currently has about 6,000 patients and they will accept no more than 2,500 members.
  • Why is Rainier Family Medicine & Pediatrics making these changes?
    As you may know, in the last few years, the Team at Rainier Family Medicine & Pediatrics has invested significant time gaining additional knowledge in preventive strategies that can make a real difference in the lives of patients. Given the constraints of the current insurance system they have only been able to utilize these strategies with a select few patients. They feel strongly due to the results he and these few patients have achieved that he needs to provide this approach to ALL his patients. This approach to optimal care can only be provided in a non-rushed setting utilizing the most advanced technologies unlocks new potential to protect and optimize your health.
  • Is the entire practice moving to a subscription model?
    Yes, beginning April 1, 2024 only patients enrolled in our subscription model will be seen for Primary Care. Patients who are receiving stem cell or Botox treatment are not required to be enrolled in membership at this time.
  • Is the practice closing or moving?
    No. The practice will continue at its current location with the current group of providers that you know and appreciate and will continue to be under the management of Brian Hiller, PA-C.
  • How do I find a concierge medicine provider?
  • Bonus Podcast Length
    Bonus: Want a podcast-style Q&A video? Here's a fun, highly listenable interview featuring Brian Hiller and Beau Chevassus.
  • How does the subscription model work? What's the cost?
    The Team at Rainier Family Medicine and Pediatrics have decided to transition the practice into a subscription-based model. This model allows the Providers to focus on the needs of their patients and become their partner for all of their health and wellness needs. Patients that wish to remain under their care will subscribe to the plan for a monthly or annual fee.
  • How do I benefit from joining this plan?
    In return for your enrollment to Rainier Direct Care you will be receiving many benefits, including: Convenient Appointment Times. Due to our lower patient panel size and detachment from healthcare insurance plan restrictions, you will experience rapid scheduling and office visits unhurried by plan requirements. Complete health perspective. Your Provider now has the ability to work closely with you throughout the entire course of any health issues, including: follow up with your specialists, discussing results from tests or diagnostic procedures, reviewing additional treatment options, admissions to the hospital for a surgical procedure, and more. More convenient direct contact: Our ongoing routine exams support communications will provide you immediate care communication connection all year. You can contact your provider directly via phone, or secure text, and they will respond promptly.
  • What are the negatives to this model?
  • How did you come up with pricing?
    Our goal is to make the program fee affordable for patients and their families, while providing providing proactive routine wellness exams supported by modern communication. Due to the reduction in our patient panel size our patients experience longer appointments, increased access and more comprehensive care. In order for this new model of care to be feasible we designed this subscription-based program. Contact our team with additional questions or for pricing information at 360-762-3445.
  • I can't pay the fee, what should I do?
    We offer several different payment options; our Team can speak with you personally to find a solution that fits your needs. For those patients who are not interested in investing in this higher-focused care model, we understand and thank you for trusting us with your care all these years. We have a list of local providers who are accepting new patients. Please let our team know by calling 360-762-3445 or email us at, as we want to ensure everyone is cared for during our transition.
  • What if I decide, in several months, that I don’t want to stick with the program? What happens next?
    Given the demand, it’ s smart to sign up now. If, after a period of time, you decide the program isn’t right for you, you can terminate with a 30 day written notice anytime after the first 90 days of membership. However, we are asking our patients to commit to a minimum of 12 months.
  • I don’t want to join this program. I need to find another doctor. Can you help me?
    Please let our team know by calling 360-762-3445 or email us at, as we want to ensure everyone is cared for during our transition.Contact us at for that list.
  • How many patients is Rainier Direct Medicine planning to take on with this high care model?
    The Care Team at Rainier Family Medicine & Pediatrics are caring for over 6,000 patients currently. We anticipate each provider will have no more than a few hundred patients enrolled in each of their respective patient panels. The Team is committed to limiting the total size of the practice, so that patient are able to enjoy the benefits of the program. It’ s another reason why you should sign up quickly, as we are accepting patients on a first-come/first serve basis.
  • What's access like? Any rules and restrictions about contacting the care team?
    One of the great benefits of this program is that it’ s actually much easier to connect with your provider- especially in the manner that you prefer – by text, video, in person, phone, or patient portal. Your provider will be available during business hours. All inquiries received after hours or on the weekends would be responded to on the next business day. At this time we are not offering home visits to our patients. Additionally, our providers do not provide any services at the hospital.
  • What happens when I need a specialist?
    First, you’ll see your primary care provider to discuss your health issue (same as your current situation). If needed, your provider will refer you to a specialist. What’ s different is that your provider is able to remain actively involved in your health issue. The provider can follow up with the specialist, is available to discuss your treatment options, and can work with you to schedule follow-up visits and/or coordinate discussions with the specialist. Having your primary care provider, a trained clinician who knows your entire health situation in detail, at your side as an active advocate can be enormously comforting and helpful to you, as you make important medical decisions.
  • When do I pay the subscription fee?
    We offer two payment options: monthly or annually. You will not be charged until your program begins. Fees are charged on the 1st or 15th of each month should you elect to pay monthly. Our new subscription program will launch on April 1st, 2024.
  • Can I submit my subscription fees to a healthcare insurance plan for reimbursement?
    No, Rainier Direct Medicine private fee services are designed to be for services entirely outside of Medicare or any private plan coverage. You must not submit any subscription fees to Medicare for reimbursement, and Medicare will not reimburse any portion of those fees. And, similarly, private plans will also decline to reimburse subscription fees because those fees are for services designed to be entirely outside of and in addition to the services plans cover.
  • How does the membership fee work with my HSA/FSA/HRA?
    Rainier Direct Medicine designed their private fees to be eligible medical expenses such that HSA/FSA/HRA funds are eligible to pay those fees. That said, check with your tax expert regarding your HSA fees, and check with your FSA/HRA plan administrator, to ensure eligibility: tax situations/plans may vary. Please find the attached document for your convenience.
  • Is membership tax-deductible?
    While Rainier Direct medicine designed their private fees to be eligible medical expenses, the US tax code does not normally allow for medical expense deduction.

More FAQs Over On

Rainier Direct Med on TikTok.jpg
Rainier Direct Med on IG.jpg

Contact Information

Call or Text



853 Watson St N Suite 201, Enumclaw, WA 98022

bottom of page