Wyoming

Quick Facts

Key Provisions

• A Direct Primary Care arrangement must be established through a written agreement between the patient (or their representative) and a healthcare provider.
• Under Wyo. Stat. Ann. § 26-1-104(a)(vi), DPC agreements are not considered insurance and are therefore exempt from the Wyoming Insurance Code.
• The patient agreement must include a conspicuous and prominent disclosure stating that the agreement is not health insurance and does not meet federal individual health insurance mandates.
• The agreement must clearly describe the scope of healthcare services included in the membership, specify the amount of the periodic fee, and detail any potential additional fees for non-covered services.
• Providers are prohibited from billing or receiving any additional compensation for services that are already covered by the patient's periodic fee.
• Either the provider or the patient may terminate the agreement in writing. The agreement cannot require a notice period longer than 60 days, and no penalty or termination fee may be charged.
• The law applies broadly to licensed "health care providers," which includes physicians (MD/DO), as well as nurse practitioners and physician assistants, who have independent practice rights in Wyoming.
• The statute expressly permits the periodic DPC fee and any additional charges to be paid by a third party on the patient's behalf.