My primary care doc and my distaste for medical bills is what kept me out of the ER. I have a direct care PCP also known as a concierge doctor. Instead of using my insurance I pay a monthly membership to be in his practice. The benefits are many but I have his cell # and I can text him anytime. He also comes out to my house if needed. It's pretty cool and we've become friends. When I make office visits he will spend an hour with me if needed. It's a totally different model than the traditional physician practice. He's not trying to see 20 patients in a day. I recommend this style of PCP if it fits into the budget.