Enrollment now open for founding memberships

HI Direct Primary Care in partnership for your health.

HI Direct Primary Care is a membership-based practice offering prompt scheduling, thorough visits, and a provider who knows you.

Book Your Initial Evaluation See how it works

What HI Direct Primary Care is

A time-tested, proven model for you and doctor.

HI Direct Primary Care was built for a comprehensive experience. You'll have a provider who knows you, understands your health objectives, and is ready to walk along beside you on your healthspan journey, combining longevity and wellness.

Hawaii has a serious primary care shortage. For many residents, establishing care with a new provider may take months — and when the appointment finally happens, it can feel rushed. Direct Primary Care emerged in the 90's to preserve the sacred art of medicine.

Time to know you, your history and your goals.

Time to see you within days, not months.

Time for a thorough analysis and comprehensive treatment plan in collaboration for your health.

Getting Started

Three steps to becoming a member

We begin every patient relationship with a thorough conversation. Here's how it works.

Book your initial evaluation

Sit down with your provider to talk through your health history, your goals, and what you're looking for in a primary care relationship.

Determine fit

Become a member

If HIDPC is the right fit for you, enroll online — no paperwork, no waiting-room forms. Your evaluation fee is applied toward your membership.

Online enrollment

Start scheduling

Schedule appointments online whenever you need to and message your care team directly for quick questions or follow-up.

Easy access

Membership Includes

Convenient provider access. A collaborative primary care relationship.

Every membership includes the services most patients actually need — without insurance billing overhead, rotating providers, or rushed appointments.

Book Your Evaluation

Schedule appointments within 2–3 business days No months-long waits. Members can typically see their provider within a few business days of requesting an appointment.

Comprehensive care coordination Your provider reviews specialist recommendations, navigates referrals, and ensures nothing falls through the cracks.

Lifestyle medicine support Evidence-based guidance from Dr. Okabe across the six pillars of lifestyle medicine — nutrition, physical activity, sleep, stress, social connection, and avoiding risky substances.

Six comprehensive in-person visits per year as needed Visits to discuss health goals, needs, and Telehealth and direct provider messaging for follow up.

Convenient Telehealth and provider messaging Reach your care team for prescription refills, quick questions, or follow-up — without scheduling a full appointment.

Membership

Straightforward pricing. No surprise bills.

Membership starts with a paid evaluation — a two-way conversation to make sure it's the right fit, for you and for your provider.

At your evaluation

$250

One-on-one visit with your provider — applied toward your membership if you join.

If it's a fit

$150

One-time enrollment fee.

Ongoing

$150/mo

For your first 3 months as a founding member, then $200/month.

Prefer to pay upfront? Save 15% on your first year — available through 9/30/26.

Book Your Initial Evaluation

See what's included in your membership Questions about fees or insurance? See our FAQ

Your Care Team

Providers who take the time to actually know you.

HI Direct Primary Care is built on the foundation of some of the most experienced, deeply trained providers from Manakai O Malama — one of Hawaii's most respected integrative medical homes for over two decades.

Rachel Okabe, MD

Internal Medicine, Lifestyle Medicine

HI DPC Assistant Medical Director, Board Certified Internal Medicine Primary Care

Dr. Okabe is a board-certified internal medicine physician and the clinical lead at HI Direct Primary Care. She graduated from NYU Grossman School of Medicine and completed her residency at NYU Langone Hospital in Brooklyn, where she also practiced primary care before returning to Hawaii.

Dr. Okabe is the co-author of 19 peer-reviewed publications in journals including Cancer Cell and Nature Medicine, and holds additional training as an Integrative Nutrition Health Coach. Patients consistently describe her as someone who listens deeply.

Ira Zunin, MD, MPH

HI DPC Medical Director

Integrative and Preventive Medicine

Dr. Zunin co-founded and led Manakai O Malama for nearly 25 years, caring for hundreds of thousands of families across the islands through a team-based, multidisciplinary model. A graduate of the UCLA School of Medicine with additional training in preventive medicine and public health, he curated a referral network of trusted specialists throughout his career. Dr. Zunin has stepped back from that role to offer the kind of in-depth, unhurried care that a smaller practice makes possible.

Meet Your Care Team

Hear directly from Dr. Zunin and Dr. Okabe about why they built HI Direct Primary Care.

Research Affiliation

Body and Mind Research Institute

HI Direct Primary Care is affiliated with the Body and Mind Research Institute, LLC, an independent hub for clinical research. From time to time, members may be told about studies for which they might be eligible. Participation is entirely voluntary, plays no part in your care or your membership, and is always your choice.

Common Questions

What you need to know about HI Direct Primary Care.

We designed this practice so that most questions are answered before your first visit. If something isn't covered here, the best next step is to book your evaluation.

What is Direct Primary Care?

Direct Primary Care (DPC) is a membership model where you pay a flat monthly fee for access to a primary care physician — no per-visit billing, no insurance middleman for primary care services. Your membership covers routine visits, preventive care, Telehealth, direct and timely communication with your provider.

Is this a replacement for health insurance?

No. DPC is not a substitute for health insurance. You'll still need a traditional plan to cover hospitalizations, emergency care, surgeries, specialist visits, imaging, and other lab work. HI Direct Primary Care covers your primary care relationship — the ongoing, day-to-day connection with a provider who knows you.

How many in-person visits are included?

Your membership includes up to 6 comprehensive in-person visits per year as needed. Convenient Telehealth appointments and direct communication with your provider is included for prescription refills or other inquiries that may not require a full comprehensive visit.

What happens at the initial evaluation?

The initial evaluation is the first step to becoming a member of HIDPC. The evaluation is a one-on-one visit with your provider to discuss your health history, goals, and what you're looking for in a primary care relationship. Your provider can answer remaining questions you may have to determine whether HI Direct Primary Care is the right fit for you. If it is, the $250 evaluation fee is applied toward your membership.

Is there a fee to join, separate from the monthly rate?

Yes — a one-time Enrollment Fee of $150 applies when you join as a member, separate from your membership rate. If a membership is ever cancelled and later reinstated, the Enrollment Fee applies again at the time of re-enrollment.

How quickly can I get an appointment as a member?

Members can typically schedule in-person appointments within 2 to 3 business days. For non-urgent questions, you can reach your care team directly via MyChart messaging, email, or phone and expect a response within 24-48 hours.

Can I communicate with my provider between visits?

Yes. Direct communication with your care team — by direct messaging via MyChart, email or phone — is included in your membership. We're not a 24/7 on-call service, but you'll have easy access to your provider for non-emergency questions and follow-up between visits. Expect a response within 24-48 hours from your provider.

Do you see patients on the neighbor islands?

Yes. We typically recommend at least 1 initial in-office visit on Oahu to establish your care relationship, with Telehealth for ongoing follow-up. If you're on a neighbor island, mention that when you book and we'll discuss the options that work best for you.

Does my insurance cover DPC membership fees?

HI Direct Primary Care does not bill insurance for primary care services, and membership fees are not typically covered by insurance. Your insurance can still be used for prescriptions, diagnostic testing such as blood work and imaging, and referrals to specialists outside of this practice.

Ready to get started?

The first step is your initial evaluation to determine whether this practice is the right fit for you.

Book Your Initial Evaluation