Why Nonprofits Are a Perfect Fit for ICHRAs

How flexible, affordable health benefits can help mission-driven organizations thrive

Running a nonprofit means striking a balance between heart and hustle. Every dollar matters, and every decision connects back to your mission. When it comes to employee health benefits, that balance can be challenging. Traditional group health insurance is expensive, unpredictable, and often a poor fit for the unique structure of nonprofit teams.

That’s why more nonprofit organizations are turning to Individual Coverage Health Reimbursement Arrangements (ICHRAs). It’s a modern, flexible way to offer meaningful health benefits without breaking the budget.

What Is an ICHRA?

An Individual Coverage Health Reimbursement Arrangement (ICHRA) enables employers to reimburse employees for their individual health insurance premiums and qualified medical expenses on a tax-free basis.

Instead of offering a one-size-fits-all group plan, the nonprofit decides how much it wants to contribute each month. Employees then select the health plan that best suits their needs, location, and family situation.

VP Member Services at HY-Vee Health Exemplar Care states that ICHRA “gives nonprofits the ability to control costs while empowering employees with choice.”

Why ICHRA Works So Well for Nonprofits

  1. Budget Predictability

For nonprofits that rely on grants or donations, financial predictability is crucial. Traditional group health plans often increase by 10–20% per year, and you’re locked into those rising premiums.

With an ICHRA, the nonprofit sets a defined contribution, a fixed dollar amount per employee, and can plan with confidence.

A recent article in NonProfit PRO explains that many organizations are moving away from group plans because they’re “simply not built for nonprofits,” citing double-digit premium increases and lack of transparency.

In other words, you decide your budget, not the insurance company.

  1. Flexibility for Diverse Teams

Nonprofits often employ a mix of full-time, part-time, seasonal, or remote staff. Traditional group plans can make this complicated with participation minimums and network restrictions.

With ICHRA, nonprofits can define “employee classes,” for example, offering different reimbursement amounts for full-time, part-time, or remote employees.

This flexibility ensures every team member, from the executive director to the part-time program coordinator, can access quality healthcare in their own community.

  1. A Strong Recruitment and Retention Tool

Many nonprofits compete with the private sector for top talent, but often struggle to match salaries. Offering modern, personalized benefits helps level the playing field.

By using ICHRA, nonprofits can say, “We value your well-being and trust you to choose what’s best for you.”

A NonProfit PRO analysis put it well: “Mission-driven employees still expect competitive benefits, and providing flexible healthcare options is one of the best ways to attract and keep them.”

  1. Simple Administration, Less Risk

Managing a group health plan requires negotiations, renewals, compliance checks, and risk management. For smaller nonprofits, that’s a heavy administrative lift.

ICHRAs lighten the load. Employees select their plans, and the nonprofit reimburses the costs on a monthly basis.

The result? More time for what really matters: advancing your mission.

  1. Alignment with Nonprofit Values

Every nonprofit exists to make an impact. But rising health costs can quietly drain resources meant for programs and services.

ICHRAs let you redirect funds from overhead to outcomes. You invest in people, not unpredictable insurance renewals.

Where to Start: A Smarter Health Plan Partnership

If your nonprofit is ready to modernize benefits while staying mission-aligned, consider pairing an ICHRA with a flexible, transparent health plan that gives employees real choice.

Conclusion

For nonprofits, an ICHRA is more than a health benefit. It’s a way to live your mission with fiscal responsibility and compassion.

It provides you with financial control, employee choice, and administrative simplicity, all while strengthening your ability to attract and retain passionate individuals who share your cause.

By moving away from traditional one-size-fits-all health plans, nonprofits can finally align their benefit strategy with their values, supporting both their people and their purpose.

For non-profits located in Des Moines, organizations can combine the power of direct primary care with network freedom and clear, upfront pricing through Hy-Vee Health with Oscar. It’s a simple, scalable way to bring healthcare back to what matters most: your people.

Learn more and explore your options at Hy-Vee Health with Oscar .

Hy-Vee Health Partners With Oscar To Offer New Employee Insurance Plan

 

Hy-Vee Health Exemplar Care Partners with Cara to Expand Patient Access & Provide Deeper Insights

Partnership aligns two healthcare innovators to enhance access, improve outcomes, and lower the cost of care through an AI-powered platform

WEST DES MOINES, Iowa, Oct. 22, 2025 – Hy-Vee Health Exemplar Care, the Midwest’s leading direct primary care (DPC) provider, today announced a partnership with Cara Medical to expand patient access, deliver better outcomes, and provide deeper insights for employer groups.

With 13 locations across the Midwest, DPC delivers a focused approach to price transparency, affordability, access, and quality, serving both individuals and employers through a flexible membership model.

“Patients today are taking a more active role in their health, and we’re committed to meeting them with greater access, price transparency, and quality care,” said Hy-Vee Health Exemplar Care CEO Jon Van Der Veer, DO, MBA. “Partnering with Cara helps us scale that mission, empowering our providers to focus on what matters most, taking care of patients, while expanding our reach to serve more patients in meaningful ways.”

With Cara, Exemplar Care will have a single platform to drive growth, consistently deliver high-quality clinical outcomes, and delight both patient members and employer clients.

Cara is a single, AI-powered platform that connects every step of the patient journey, from acquisition and scheduling, to intake, engagement, and reporting. By unifying these touchpoints, Hy-Vee Health Exemplar Care will provide patients with a digital-first experience, reduce administrative burden and provider burnout, and create a platform that helps the organization continue to scale across the Midwest efficiently and effectively.

“Exemplar Care is redefining how high-quality care can thrive outside the constraints of traditional insurance. By pairing their clinical and operational excellence with Cara’s AI-powered platform and expertise in agentic workflow automation and patient experience, our partnership will accelerate growth, improve outcomes, and deliver an experience that delights both members and employer partners,” said Cara Medical Co-Founder Seth Staton, MBA.

The partnership will scale with two phases:

  • Phase 1 will focus on patient acquisition and experience, with an emphasis on improved patient scheduling, streamlined onboarding, and enhanced patient communications.
  • Phase 2 will advance Cara’s agentic AI automation throughout Exemplar’s front desk and clinical workflows, enable employer clients to access real-time metrics on engagement, quality, and cost performance, and support the rollout of new clinical programs for targeted patient segments.

Hy-Vee Health Exemplar Care expects full integration with Cara by the end of the year, paving the way for Phase 2 in early 2026.

To learn more about Hy-Vee Health Exemplar Care, click here.

To learn more about Cara Medical or request a demo, click here.

About Hy-Vee Health Exemplar Care

Exemplar Care is solving modern healthcare challenges. Exemplar Care offers a wide range of medical services including Direct Primary Care and around-the-clock urgent care through a membership model. With clinics in five states and growing, Exemplar Care is focused on building strong patient-provider relationships to restore trust through easier access to care, convenient and personalized visits, and price transparency.

About Cara Medical
Cara Medical is building the future of connected patient care. As patient expectations evolve and healthcare costs rise, Cara helps growing specialty practices differentiate through better access and superior patient experience. Cara’s AI-powered platform unifies every step of the patient journey, from acquisition and scheduling to intake, engagement, and reporting, empowering providers to attract more patients, streamline operations, and scale efficiently. With automation that reduces administrative burden and provider burnout, Cara enables practices to grow with confidence while staying focused on what matters most: caring for patients.

What Everyone Should Know About Preventive Care

Most of us think about healthcare only when something goes wrong, such as a fever, an injury, or a sudden pain that won’t go away. But waiting until you’re sick can mean missed opportunities to catch health concerns early, when they’re easier and less costly to treat.

That’s why preventive healthcare matters. At Hy-Vee Health Exemplar Care, we believe care should be personal, proactive, and focused on keeping you healthy; not just treating you when you’re unwell. Our advanced primary care membership provides you with unrestricted access to providers who know you, understand your health goals, and help you stay ahead of potential problems before they become serious.

What Preventive Care Really Means

Preventive healthcare is about protecting your health today so you can live better tomorrow. It includes services and screenings designed to:

  • Catch risks early before symptoms develop.
  • Support long-term wellness by monitoring key health indicators.
  • Encourage healthy habits that reduce the risk of chronic conditions.

Think of it like maintaining your car — you don’t wait for the engine to break down before changing the oil. You take small, routine steps to keep everything running smoothly. Preventive care works the same way for your body.

Examples of Preventive Care

Preventive care isn’t just a single service — it’s a collection of healthcare activities that together build a stronger foundation for your health.

  1. Annual Physical Exams

Even if you feel healthy, a yearly physical provides a baseline for your health. During your exam, your provider checks your vital signs, reviews your medical history, and looks for subtle changes that might signal bigger issues ahead.

  1. Screenings for Chronic Conditions

Many conditions, such as diabetes, hypertension, high cholesterol, and cancer, develop quietly, without symptoms in the early stages. Regular screenings allow providers to identify risks early and recommend steps to manage or reverse them.

  1. Vaccinations

Vaccines protect you from preventable illnesses like the flu, shingles, or pneumonia. They also reduce the risk of spreading these illnesses to others — keeping families and communities healthier.

  1. Mental Health Screenings

Preventive care isn’t just about your body — it’s about your mind, too. Mental health screenings help identify signs of stress, anxiety, or depression early, so you can get support before it begins to affect your daily life.

  1. Lifestyle Counseling

Your daily habits have a profound effect on your long-term health. Providers at Exemplar Care focus on whole-person health, offering guidance in areas like:

  • Nutrition: Practical adjustments to support heart health, immunity, and energy.
  • Exercise: Personalized recommendations that fit your fitness level and lifestyle.
  • Sleep: Identifying habits that improve restorative rest.
  • Stress management: Tools to help you balance life’s pressures in healthy ways.

Why Preventive Care Matters

Making preventive care a priority has tangible benefits:

  • Better Long-Term Health: Early detection means easier treatment and better outcomes.
  • Lower Costs: Preventive services are typically included in most health coverage, and with Exemplar Care, many services are covered as part of your membership with no copays or deductibles.
  • Fewer Emergencies: Preventive care helps you avoid last-minute trips to urgent care or the ER.
  • More Peace of Mind: Knowing you’re taking proactive steps gives you confidence and control over your health.

Preventive Care + Advanced Primary Care = A Smarter Approach

At Exemplar Care, preventive healthcare is built into our advanced primary care membership. That means:

  • Unrestricted access: Same-day and next-day appointments, plus 24/7 provider availability.
  • More extended visits: Providers spend the time needed to get to know you and your health goals.
  • No copays or deductibles: Preventive visits, screenings, and routine care are included in your membership.
  • Whole-person focus: We address your physical, emotional, and lifestyle health needs.

This approach makes preventive care stress-free and straightforward, helping you stay ahead of problems and live healthier for years to come.

How to Take Action

Preventive care doesn’t have to be complicated. Here’s how to get started today:

  1. Schedule your annual physical — even if you feel fine.
  2. Talk with your provider about which screenings are right for your age, family history, and risk factors.
  3. Stay up-to-date on vaccines to protect yourself and those around you.
  4. Build healthy daily habits around sleep, exercise, nutrition, and stress management.
  5. Join Exemplar Care to make preventive care easy, affordable, and accessible with unlimited access to primary care.

Preventive healthcare is one of the most powerful tools you have to protect your health and your future. By focusing on prevention, you reduce the risk of serious illness, lower healthcare costs, and gain peace of mind.

At Hy-Vee Health Exemplar Care, our advanced primary care membership makes preventive care accessible, personal, and affordable. It’s healthcare designed to put you first — so you can live better today and tomorrow.

Take the first step toward better health: Learn more about membership and start making preventive care part of your everyday wellness.

Smarter Benefits Budget Planning

Managing Healthcare Costs Without Sacrificing Employee Care

As CFOs prepare for the next budget cycle, healthcare benefits continue to be one of the largest and most unpredictable expenses. The real challenge is balancing cost control with employee care. Too often, businesses are asked to choose between sustainable budgets and meaningful benefits. At Hy-Vee Health Exemplar Care, we believe you shouldn’t have to choose.

We’re reshaping the way employers think about health benefits by focusing on what truly matters: predictable costs, accessible care, and healthier teams.

Moving Beyond Reactive Cost Management

Traditional benefits planning can feel like a cycle of waiting for renewal increases, reacting to premium hikes, and shifting more costs onto employees. But forward-thinking CFOs are asking better questions:

  • Are employees relying on the ER because they can’t get timely primary care?
  • Are preventative services being skipped because of copays or deductibles?
  • Are rising claims tied to issues that could be addressed earlier with better access?

The answers come to the same conclusion: reactive cost-shifting isn’t sustainable. Instead, employers are looking to redesign benefits around access and prevention.

 Why Direct Primary Care is a Smarter Foundation

High-deductible health plans and HSAs offer predictability, but they don’t solve the biggest frustration for employees: actually, getting care when they need it. That’s where Direct Primary Care (DPC) changes the equation.

With Exemplar Care’s DPC membership:

  • Employees have 24/7 access to providers, including same-day and next-day appointments.
  • No copays or deductibles stand in the way of preventive or routine visits.
  • Longer appointment times mean providers focus on whole-person health, not rushed transactions.

For employers, DPC paired with HSA-eligible coverage means predictable costs, fewer high-cost claims, and stronger engagement in care. It’s a foundation for both healthier employees and healthier budgets.

Note for CFOs: Many organizations are taking this one step further by pairing DPC with innovative health plan designs such as the Aplos Health Plan. This approach combines DPC access with transparent pharmacy benefits, smarter referral networks, and simplified claims processing, resulting in even greater cost control and value.

Balancing Cost Control with Real Access

Raising ER copays or deductibles alone doesn’t change employee behavior; it just adds financial strain. The real solution is better pathways to care:

  • Urgent care and walk-in services are included in DPC membership, so employees don’t default to the ER for non-emergent needs.
  • 24/7 telehealth through Exemplar Care, so care is always within reach.
  • Coordinated specialty referrals when needed, keeping employees in trusted networks at transparent costs.

This approach ensures employees feel supported, not penalized, while still helping organizations avoid unnecessary, high-cost claims.

Streamlining the Experience for Employers

Healthcare should be easier for employees and employers. Exemplar Care simplifies administration with transparent pricing, clear communication, and proactive member engagement. That means:

  • Less paperwork and fewer surprises for HR and finance teams.
  • More employees are utilizing preventive care, which in turn reduces long-term costs.
  • A benefit that feels like care, not complexity.

Making It Work

Smart budget planning isn’t just about cutting costs; it’s about creating sustainable benefits that employees actually use. By building benefits around Direct Primary Care, preventive access, and predictable costs, employers can control budgets without sacrificing care.

At Hy-Vee Health Exemplar Care, we partner with businesses to deliver healthcare that is personal, accessible, and affordable. And when paired with innovative plan designs like Aplos Health, the results go even further: lower costs, simplified administration, and a benefits package that employees actually value.

Ready to see how Exemplar Care can support your next budget cycle?

Connect with us today to explore solutions that put people first and keep costs under control.

The Future of Health Savings Accounts: What Employers Need to Know for 2026

Health care is changing, and so are the tools that help employees pay for it. One of the most significant updates comes from the One Big Beautiful Bill Act (OBBBA), which has led to the most substantial expansion of Health Savings Accounts (HSAs) in over a decade.

At Hy-Vee Health Exemplar Care, we believe employers deserve clarity, employees deserve better access, and health benefits should work for both. These new HSA provisions open the door to greater flexibility, increased savings, and more effective benefits strategies.

What’s New with HSAs

Beginning in 2026, employees will have more opportunities to save and plan for health care expenses through HSAs. Key changes include:

  • Direct Primary Care (DPC) compatibility: Employees will be able to participate in a DPC membership and still contribute to an HSA, as long as the membership fee is $150/month or less for individuals, or $300/month for families.
  • Telehealth access before the deductible: Telehealth visits can be covered before employees meet their deductible without jeopardizing HSA eligibility. This provision, which was temporary during the pandemic, is now permanent.
  • More plan options qualify: Bronze and catastrophic ACA marketplace plans will now be considered HSA-eligible high-deductible health plans, providing employees with more choices that pair with an HSA.

Why This Matters for Employers

For employers, these changes provide:

  • Predictable costs: Pairing an HSA-eligible plan with DPC helps control spending while improving access to primary care.
  • Competitive benefits: Expanded HSA eligibility and flexibility make it easier to attract and retain top talent.
  • Stronger employee engagement: HSAs give employees more control over their health and financial planning, while DPC ensures they can actually see a provider when they need one.

How HSAs and DPC Work Together

Direct Primary Care and HSAs are a powerful combination:

  • DPC provides unlimited access to primary care, preventive services, and longer appointments without co-pays or deductibles.
  • HSAs allow employees to set aside pre-tax dollars for medical expenses, including DPC membership fees (within limits), prescriptions, and future healthcare needs.
  • Together, they create a benefit package that lowers barriers to care today and builds savings for tomorrow.

What Employers Should Do Next

As open enrollment approaches:

  1. Review your current plan design to ensure it aligns with the new HSA rules.
  2. Communicate clearly with employees about the changes and how they can benefit.
  3. Explore integrating DPC memberships into your benefits strategy to maximize value and access.

Our Commitment

At Hy-Vee Health Exemplar Care, we’re committed to helping employers build benefits that are personal, accessible, and sustainable. The expansion of HSAs is a significant step toward giving employees more choice and control. When you add Direct Primary Care, it makes healthcare easier, more personal, and better for both employees and employers.

To learn more about how we can help your business design benefits that work better, contact us today.

Part 2: The Future of Health Savings Accounts: What Employees Need to Know for 2026

Hy-Vee Health Partners With Oscar To Offer New Employee Insurance Plan

Hy-Vee has partnered with Oscar Health to introduce Hy-Vee Health with Oscar, a health insurance plan to save employers money and give workers concierge care at an affordable fixed price.

Hy-Vee has more than 270 retail pharmacies, nearly 300 grocery stores and concierge primary and urgent care through its joint ownership of Hy-Vee Health Exemplar Care.

Launching in Des Moines, Iowa, the new plan will be available to 400,000 workers in the metro area through their employers on the individual marketplace starting Nov. 1 for coverage effective Jan. 1.

Employer-backed coverage in the individual market, also known as ICHRA, can save businesses 20-30 percent and employees $500 to $1,000 per year. Hy-Vee and Oscar plan to bring the healthcare benefit to other markets over time.

“Finding the right healthcare coverage should be as easy as buying milk at Hy-Vee,” said Mark Bertolini, CEO of Oscar Health.

“We are shaping the future of healthcare for consumers and employers. Everyone deserves healthcare that is affordable, convenient and simple. Our partnership reflects the innovation we are driving in the individual market to exceed expectations across the country.”

Employees who enroll in the Hy-Vee Health with Oscar plan have a full suite of healthcare and shopping benefits:

  • $0 care at Hy-Vee Health Exemplar Care clinics: Unlimited access to primary care, 24/7 urgent care, labs, x-rays, select medications – at no cost. This service normally retails for $2,400 for a family of four per year.
  • Top-rated specialists: Direct access to the best specialists at MercyOne – close to home.
  • Low-cost medications: Affordable prescriptions available at Hy-Vee pharmacies while shopping.
  • One-on-one support: A team of Oscar Care Guides to find the right care, understand benefits and take the hassle out of healthcare.
  • A cart full of perks: Hy-Vee rewards for everyday savings on groceries, in-store health and nutrition support.

“Our mission at Hy-Vee is making lives easier, healthier, and happier – and we are taking that commitment to the next level through our partnership with Oscar,” said Aaron Wiese, president of Hy-Vee. “Together, our teams are bringing a healthcare solution to the greater Des Moines community that meets the needs of every lifestyle and budget.”

6 Reasons You Should Have a Primary Care Physician (PCP)

While urgent care clinics, pharmacies, and emergency rooms provide quick fixes for specific issues like infections, broken bones, or vaccines, having a dedicated primary care physician (PCP) is crucial. Dr. Jon Van Der Veer, founder and CEO of Exemplar Care, explains that having a consistent doctor who knows your medical history leads to better, more personalized care.

Here are six reasons to have a primary care physician:

1. Comprehensive, Holistic Care

Your PCP provides regular checkups and monitors your health over time. They track your vital signs (such as blood pressure, cholesterol, and weight) and consider mental health and stress levels. Dr. Van Der Veer explains, “Our bodies are complicated… and a lot of times, more than one thing is going on, so we need to consider your care holistically.”

2. In-Depth Medical History

Your primary care doctor keeps detailed records of your treatments, medications, and test results. This allows them to avoid unnecessary repeats and identify patterns in your health. As Dr. Van Der Veer puts it, “When you have a relationship with a doctor who knows you, then you have consistent care over time.” They’ll remember past issues, which can help them spot recurring symptoms more quickly.

3. Medication Management

Your PCP keeps track of your current and past medications, helping prevent harmful drug interactions. Dr. Van Der Veer notes, “Your doctor can help you reduce the number of medications you’re taking… Some medicines may have the same impact as others or counteract the benefits of other medications you are taking.” Your doctor can adjust your prescriptions based on your health and lifestyle.

4. Referrals to Specialists

Your PCP can refer you to the right specialist if you need expert care. Whether it’s a cardiologist for heart issues or a pulmonologist for lung problems, your PCP knows who to trust. Dr. Van Der Veer explains, “If you see a specialist, that doctor won’t treat other medical conditions you have. You will go back to your PCP for general care.”

5. Easier After-Hours Care

Health issues don’t always happen during regular hours. Having a PCP means you can often get after-hours care, as their team will have access to your medical records. “Even if your usual doctor isn’t available, his or her colleagues will have access to your medical records,” says Dr. Van Der Veer. This ensures you get informed care, no matter the time.

6. Efficient Telehealth Visits

Virtual visits have become more common, and they’re most effective when your doctor already knows you. Dr. Van Der Veer states, “It’s easier to see if something is unusual about the patient if you’ve seen them before.” Telehealth visits also give your doctor a chance to observe your home environment, which can provide valuable insights into your health.

If you don’t already have a primary care physician, consider finding one near you for more personalized and consistent care.

New Clinic Locations Bringing Direct Primary Care Closer to You

At Hy-Vee Health Exemplar Care, we believe that great care starts with access. That’s why we’re excited to share some big news: we’ve expanded to serve even more communities!

Our model of direct primary care combined with convenient walk-in services has already changed the healthcare experience for thousands of individuals and families. And now, with new clinics opening across the Midwest, that same level of accessible, personalized care is coming to a neighborhood near you.

New Locations Now Open

Cedar Rapids, Iowa
Affordable, relationship-driven healthcare has arrived in Eastern Iowa. This location offers both walk-in care and membership options, with a compassionate provider ready to serve.

Coralville, Iowa
Located near the heart of the Corridor, our Coralville clinic is a convenient location, just off the I80 interstate. Whether you’re a member or just need walk-in services, we’re here for you.

Omaha, Nebraska

Currently focused on members only, this clinic is open Monday through Saturday, 7 a.m. – 7 p.m., offering extended hours and personalized care for every visit

Sioux Falls, South Dakota
South Dakota, we’ve arrived! Our Sioux Falls location is now welcoming new members. Come and experience healthcare without the hassle—same-day visits, transparent pricing, and a provider who personalizes care for you.

Overland Park, Kansas

One of our newest locations officially opened in Overland Park in June 2025. Offering the same trusted care model with extended hours, 7 am – 7 pm, Monday through Sunday.

Lee’s Summit, Missouri
We’re open and welcoming new member patients! This location brings our model of care to the Lee’s Summit community.

Coming Soon:

Lincoln, Nebraska
St. Joseph, Missouri

 

What You Can Expect at Every Hy-Vee Health Exemplar Care Clinic

  • Direct Primary Care Memberships – Unlimited visits, longer appointments, and access to a provider when you need them.
  • Walk-In & Urgent Care – No appointment needed. Come in for same-day care.
  • Transparent Cash Pricing – One monthly membership fee includes all in-clinic services.
  • Compassionate Providers – A team that listens, supports, and guides your health journey.

Why We’re Expanding

We continuously hear that healthcare should be simple, convenient, and personalized. Our growth is driven by a commitment to meet you where you are, right in your own community. No rushed visits, no hidden costs, no red tape. Just real care that fits your life.

Whether you’re managing a chronic condition, need same-day care, or simply want a better relationship with your provider, we’re here to help you feel your best—every day.

Visit Us

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Urgent Care vs Primary Care

What You Need to Know at Hy-Vee Health Exemplar Care

The terms “urgent care” and “primary care” are often confused, especially since some services overlap. However, understanding the key differences can help you decide when to visit urgent care or primary care.

What is Urgent Care?

Urgent care is for conditions that require immediate attention but don’t warrant an emergency room visit. Hy-Vee Health Exemplar Care offers walk-in urgent care for both non-members and members, ensuring timely treatment for non-life-threatening conditions, such as infections, minor injuries, and sprains. For non-members, we accept most insurance plans and offer transparent cash pricing, making it easy for you to access the care you need.

Urgent Care vs Primary Care at Hy-Vee Health Exemplar Care

Patients often skip primary care for a variety of reasons:

  • They don’t have a primary care provider (PCP)
  • They don’t want to deal with copays
  • They have limited time for appointments
  • They can’t wait for an appointment that might take days or weeks

For many, urgent care appears to be the quicker and more convenient option. However, it can be more costly, with the potential for surprise bills and long wait times. In contrast, Hy-Vee Health Exemplar Care offers a membership-based model with same-day or next-day appointments and no copays, ensuring that care is both affordable and accessible.  Additionally, our walk-in urgent care option provides members with priority access to urgent care when needed.

When to Visit Urgent Care vs Primary Care

Key Differences Between Urgent Care and Primary Care

Direct Primary Care at Hy-Vee Health Exemplar Care
Goal   Long-term care, prevention, and management of chronic conditions.
Treatment   Routine checkups, screenings, and chronic disease management.
Availability   Open Monday-Friday, offering same-day and next-day appointments. 24/7 access to a provider.
Relationship   Ongoing relationship with your PCP for continuity of care.
Cost   $89/month membership with most on-site services included.
Urgent Care
Goal   Immediate care for non-life-threatening conditions.
Treatment   Treatment of minor injuries and illnesses (e.g., sprains, burns).
Availability   Offers same-day access. Reserve your slot. Check locations for extended hours or 24/7 in-person or telehealth access.
Relationship   Short-term visits with no long-term continuity.
Cost
    Potentially higher fees for each visit and surprise bills when utilizing insurance.
Walk-In Care
Goal   Immediate care for non-life-threatening conditions without an appointment.
Treatment   Treatment for minor illnesses such as strep throat, urinary tract infections (UTIs), ear infections, etc.
Availability   Walk-in access or reserve your slot is available during business hours or extended hours, including 24/7 access at select locations.
Relationship   Short-term visits with no long-term continuity.
Cost   Potentially higher fees for each visit and surprise bills when utilizing insurance.

What is Primary Care?

Primary care is the cornerstone of your health. It involves preventive services, chronic disease management, immunizations, and regular screenings. At Hy-Vee Health Exemplar Care, we focus on long-term relationships with your healthcare provider, allowing us to understand your medical history and provide personalized care

When to Visit Primary Care

Members should visit their primary care provider at Hy-Vee Health Exemplar Care for:

  • Routine checkups include screenings, blood work, and physical exams.
  • Chronic condition management: Diabetes, asthma, high blood pressure, etc.
  • Preventative care: Annual physicals and wellness checks, weight management, cholesterol management.
  • Follow-ups: Medication adjustments, monitoring after an illness.
  • Referrals to specialists: If needed, your PCP can direct you to the right specialist for further care.

When to Visit Urgent Care/Walk-In Care

For conditions that need immediate attention but aren’t emergencies, you can visit Hy-Vee Health Exemplar Care’s walk-in urgent care. Conditions include:

  • Minor injuries: Sprains, cuts, burns, and fractures.
  • Infections: Sinus infections, colds, sore throats, etc.
  • Flu symptoms: Fever, chills, fatigue.
  • Allergic reactions: Mild allergic reactions that require immediate treatment.

For non-members, we accept most insurance plans and offer transparent cash pricing, ensuring you know exactly what you’ll pay for care.

FAQs

Can Urgent Care Replace Primary Care?

Urgent care can be a temporary solution for immediate needs, but for ongoing health management and personalized care, primary care is essential. Your PCP at Hy-Vee Health Exemplar Care will provide long-term care and continuity of care for any health concerns.

Is Urgent Care More Expensive than Primary Care?

Through insurance,  urgent care typically costs more than primary care, especially since each visit requires a copay, and you may face additional charges for prescriptions and services. In contrast, with Hy-Vee Health Exemplar Care, there are no surprise bills, and most services are covered under your membership. Membership covers both primary and urgent care visits.

What Services Does Urgent Care Provide?

Urgent care centers provide extended hours and offer minor services, including stitches, X-rays, and immediate treatment for injuries or infections. Walk-in care offers diagnostic and lab services for minor illnesses such as strep, UTI, ear infections, etc.  However, for comprehensive care, such as blood tests, managing chronic conditions, and preventive care, your primary care provider at Hy-Vee Health Exemplar Care is your best resource.

Primary Care vs Urgent Care: What’s the Best Option for You?

Both urgent care and primary care are essential, but you should consider Hy-Vee Health Exemplar Care’s Direct Primary Care membership model for an all-inclusive healthcare experience. We offer access to both walk-in urgent care and primary care services under one roof, ensuring you get the care you need without the hassle of navigating multiple facilities.

For an alternative to traditional care, reach out to Hy-Vee Health Exemplar Care. We offer a membership-based model that covers both primary and walk-in urgent care, providing affordable and accessible healthcare for you and your family.

Understanding Hypertension

What You Need to Know (And How Direct Primary Care Can Help)

Hypertension, also known as high blood pressure, is one of the most common chronic conditions affecting adults in the United States. According to the Centers for Disease Control and Prevention (CDC), nearly 1 in 2 U.S. adults has hypertension, yet only about 1 in 4 have it under control. When left unmanaged, hypertension can silently increase your risk of heart disease, stroke, and kidney problems.

So, with such a high number of people affected, why is hypertension still so often misunderstood or ignored?

Let’s explore the basics of hypertension, how to recognize the risks, and how Direct Primary Care (DPC) can offer a better approach to managing it.

What Is Hypertension? 

In simple terms, blood pressure is the force of your blood pushing against artery walls. Over time, if this force remains too high, it can damage your blood vessels and organs. The American Heart Association (AHA), defines normal blood pressure as below 120/80 mm Hg, while hypertension begins when readings consistently exceed 130/80 mm Hg

There are two main types of hypertension: 

  • Primary (essential) hypertension develops over time with no identifiable cause. 
  • Secondary hypertension, is linked to other medical issues like kidney disease, thyroid conditions, or side effects from medications. 

 

What Increases Your Risk?

While some risk factors are genetic, many are lifestyle-related. Common contributors include:

  • A family history of high blood pressure
  • Lack of physical activity
  • High-sodium or processed foods
  • Smoking or excessive alcohol use
  • Stress and poor sleep habits
  • Chronic conditions like diabetes, kidney disease, or high cholesterol

The good news? Many of these are manageable through early intervention and supportive care—especially with the right provider by your side.

Symptoms: What to Watch For

Hypertension is often called the “silent killer” because it typically presents no obvious symptoms until significant damage has been done. That’s why routine monitoring is key. 

In rare cases, people with extremely high blood pressure may experience: 

  • Headaches 
  • Chest pain 
  • Abnormal Heart Rhythm / Heart Pounding 
  • Shortness of breath 
  • Vision Changes / Blurred Vision 
  • Nosebleeds 
  • Dizziness 
  • Confusion 
  • Anxiety 

But these signs usually appear only when blood pressure has reached a dangerous level. Regular screenings and check-ins with your provider are essential. 

 

Diagnosing and Managing Hypertension 

High blood pressure is diagnosed through a simple, non-invasive test using a blood pressure cuff. Once diagnosed, treatment typically includes: 

  • Lifestyle changes: A heart-healthy diet (anti-inflammatory/Mediterranean/Wahl’s protocol), regular exercise, stress reduction, limiting sodium and alcohol, and a consistent sleep schedule. 
  • Medication: Prescribed when lifestyle changes aren’t enough on their own 
  • Ongoing monitoring: Keeping track of your numbers regularly 

Learn more about hypertension diagnosis and care from the National Institutes of Health (NIH). 

 

How Direct Primary Care Helps You Manage Hypertension 

Managing high blood pressure isn’t a one-time appointment, it’s a long-term partnership. That’s where Direct Primary Care (DPC) comes in. 

With DPC, you get: 

  • Longer appointments that allow time to talk about lifestyle, medication, and your overall health 
  • Unlimited visits and 24/7 access to your provider for questions, medication adjustments, or symptom concerns 
  • A relationship with a provider who knows your history and goals 
  • Preventive care that catches issues before they become emergencies 
  • Chronic condition management without the rush, red tape, or hidden fees 

At Hy-Vee Health Exemplar Care, we support our members with personalized care plans that fit their lives, not the other way around. From nutrition guidance to stress management and medication refills, our care team is here to help you take control of your blood pressure and overall health. 

 

Take the First Step 

High blood pressure can be managed—and even prevented—with the right support. If you haven’t had your blood pressure checked recently, now is the time. And if you’re looking for a better way to manage your health long-term, consider Direct Primary Care. 

Learn more about how DPC works at Exemplar Care
Or contact us to schedule your first visit and get started with personalized care today. 

 

“Our greatest asset in life is our health. Focus on what you can do now to keep your body healthy before the ‘check engine’ light comes on.”
— Jason Gillespie, Provider at Exemplar Care – Omaha

Let’s make caring for your health easier—together.