Direct Care

Traditional Care vs Direct Care

Direct Care Benefits, Direct Pay, patient focused, available
Direct Care is a revolutionary approach to healthcare that puts you, the patient, at the forefront.

Unlike traditional healthcare models, where patients often face long wait times, limited access to specialists, and a lack of personalized attention, Direct Care offers a unique solution that prioritizes your individual needs.
At its core, Direct Care removes the barriers that often hinder timely and comprehensive healthcare. By establishing a direct relationship between you and your specialist, this model enables you to bypass unnecessary layers of bureaucracy and streamline your healthcare experience.

"Seeing how consistent care transforms my patients' lives drives me to focus on more than just quick fixes. I'm dedicated to ensuring we manage your condition for the long haul, so you can enjoy lasting health and vitality."

~ Sylvia Rivera MD

Santa Barbara Endocrinology is a Direct Care Endocrinology practice. The first of its kind in Santa Barbara County. We see patients with a multitude of endocrine conditions including diabetes, thyroid disease, reproductive conditions in women (including PCOS and menopause) and men (low testosterone), as well as adrenal and pituitary disease. We also provide weight management care.

Direct care is a healthcare model that places the patient at the forefront by eliminating the intermediary, typically the insurance company, from the doctor-patient interaction. In direct care, patients make direct payments to their healthcare provider for the services they receive. Unlike traditional healthcare models, where patients often face long wait times and a lack of personalized attention, Direct Endocrinology Care offers a unique solution that prioritizes your individual needs.

With Direct Endocrinology Care, you can expect comprehensive care that goes beyond just addressing symptoms. Dr. Rivera can spend more time with you during appointments, leading to thorough examination, detailed discussions, and comprehensive treatment strategies. This approach fosters a deeper understanding of your health and promotes proactive measures to maintain your well-being.

We do not participate with any insurance plan.

Additionally, Dr. Rivera is opted out of Medicare. Our services will be billed directly to you and cannot be submitted to Medicare for reimbursement.  

We will see anyone regardless of insurance coverage or lack thereof.

It is advisable that you call your insurance company to determine eligibility and requirements for reimbursement prior to your visit.

You may be able to use your insurance to cover the costs of labs, imaging, or other tests to the extent that your insurance regularly reimburses these services. You are responsible for understanding your plan’s policies.

Yes. Because your membership agreement with us is not insurance, you will want insurance coverage for those services not included in your membership. 

Membership Unlocks Exclusive Benefits!

Not only will you work towards your health goals, but you’ll also have unlimited access to Dr Rivera, a board certified endocrinologist. This means you can easily track progress, monitor glucose levels, update food logs, and get answers to any questions you have—all at your fingertips. Moreover, membership is great for addressing and preventing metabolic conditions such as high cholesterol, hypertension, obesity, fatty liver disease, heart diseases, diabetes mellitus, along other conditions.

Additionally, Dr Rivera is dedicated to providing constant communication, support, and educational resources to guide you on your health journey.

Learn more in our SERVICES section.

Yes! We encourage you to maintain a close relationship and regular follow-up with your primary care provider.

We look forward to hearing from you.