RoMo Direct Primary Care

01/16/2026

-Age 21-29 years-
🩵 If you are in this age group, USPSTF recommends getting your first Pap test at age 21, followed by Pap testing every 3 years. Even if you are sexually active, you do not need a Pap test before age 21.

-Age 30-65 years-
🩵 If you are in this age group, USPSTF recommends getting screened for cervical cancer using one of the following methods:

HPV test every 5 years
HPV/Pap cotest every 5 years
Pap test every 3 years

🩵 Updated cervical cancer screening guidelines from ACS recommend starting screening at age 25 with an HPV test and having HPV testing every 5 years through age 65. However, testing with an HPV/Pap cotest every 5 years or with a Pap test every 3 years is still acceptable.

-Older than 65 years-
If you are in this age group, talk with your health care provider to learn if screening is still needed. If you have been screened regularly and had normal test results, your health care provider will probably advise you that you no longer need screening. However, if your recent test results were abnormal or you have not been screened regularly, you may need to continue screening beyond age 65.

-Exceptions to the cervical cancer screening guidelines-
🩵 Your health care provider may recommend more frequent screening if:
• you are HIV positive
• you have a weakened immune system
• you were exposed before birth to a medicine called diethylstilbestrol (DES), which was prescribed to some pregnant women through the mid 1970s
• you had a recent abnormal cervical screening test or biopsy result
• you have had cervical cancer

If you would like to schedule an appt to see me, please send us a message on Facebook, the Sigma portal app, call the office at 573-995-2213, or visit us at www.romodpc.com

01/16/2026

📢 Attention HSA users! 👀

HSA DPC services refer to new rules starting January 1, 2026, allowing individuals with Health Savings Accounts (HSAs) to use their tax-free funds for Direct Primary Care (DPC) fees, provided the monthly fees are under $150 (individual) / $300 (family) and for primary care services, eliminating past disqualifications. This means you can now contribute to an HSA and pay for DPC memberships with pre-tax dollars, making DPC a more accessible option with high-deductible plans.

Key Changes for HSA & DPC (Effective Jan 1, 2026):
☆ HSA Eligibility Maintained: Joining a DPC practice no longer disqualifies you from contributing to an HSA.
☆ HSA Funds for DPC Fees: You can use HSA funds to pay monthly DPC membership fees as qualified medical expenses.
☆ Fee Limits: Monthly DPC fees must not exceed $150 for individuals or $300 for families (limits adjust annually).
☆ Qualifying Services: Payments must be for primary care services (e.g., office visits, vaccines) by a primary care practitioner.
☆ Exclusions: Fees for prescription drugs (except vaccines), procedures needing general anesthesia, or out-of-office labs are generally not covered by HSA.

What is Direct Primary Care (DPC)?
☆ A model where you pay a fixed monthly fee directly to a primary care provider (P*P) for unlimited access to primary care services, often bypassing insurance.

Benefits of Combining HSA & DPC:
☆ Reduced Out-of-Pocket Costs: Use pre-tax HSA dollars for membership fees.
☆ More Choice: Pair DPC with a high-deductible health plan (HDHP) or HSA-compatible Bronze/Catastrophic plans.
☆ Simplified Care: Access your P*P easily without copays for many services.

How to Get Started:
☆ Find a Qualifying DPC Practice: Look for providers offering primary care for a fixed fee.
☆ Confirm HSA Eligibility: Ensure the DPC practice meets the IRS requirements and your HSA provider supports these payments.
☆ Pay with HSA Funds: Use your HSA debit card or reimbursement process for qualifying fees.

✨️ Why am I telling you this info? ✨️
If you don't know already, I am Direct Primary Care & I fall under this new benefit 🤗

If you would like to schedule an appt to see me, please send us a message on Facebook, the Sigma portal app, call the office at 573-995-2213, or visit us at www.romodpc.com

01/15/2026

Tasty Thursday 😋

Ham and Cheese Omelet Roll:

-Ingredients-
4 ounces cream cheese, softened
3/4 cup 2% milk
2 tablespoons all-purpose flour
1/4 teaspoon salt
12 large eggs
2 tablespoons Dijon mustard
2-1/4 cups shredded cheddar cheese, divided
2 cups finely chopped fully cooked ham
1/2 cup thinly sliced green onions

-Directions-
• Line the bottom and sides of a greased 15x10x1-in. baking pan with parchment; grease the paper and set aside.
• In a small bowl, beat cream cheese and milk until smooth. Add flour and salt; mix until combined. In a large bowl, whisk eggs until blended. Add cream cheese mixture; mix well. Pour into prepared pan.
• Bake at 375° until eggs are puffed and set, 30-35 minutes. Remove from the oven.
• Immediately spread with mustard and sprinkle with 1 cup cheese. Sprinkle with ham, onions and 1 cup cheese.
Roll up from a short side, peeling parchment away while rolling. Sprinkle top of roll with the remaining cheese; bake until cheese is melted, 3-4 minutes longer.1 piece: 239 calories, 17g fat (9g saturated fat), 260mg cholesterol, 637mg sodium, 4g carbohydrate (2g sugars, 0 fiber), 17g protein.

01/15/2026

What is your favorite bagel flavor?
Favorite way to have your bagel?

01/14/2026

🩵 The U.S. Food and Drug Administration (FDA) has approved three vaccines—Gardasil, Gardasil 9, and Cervarix—that prevent infection with certain subtypes of HPV including 16 and 18, two high-risk HPVs that cause some 70% of cervical cancers.

🩵 For the most part, cervical cancer is a preventable disease. Nearly all cases of cervical cancer are caused by infections with high-risk strains of the human papillomavirus (HPV). Fortunately, the HPV vaccine currently used in the United States, Gardasil 9, can protect against seven high-risk HPV strains responsible for causing cancer and two known for causing ge***al warts.

🩵 The HPV vaccine is approved for males and females ages 9 to 45, with recommendations that they should get the first dose at age 11 or 12. Research has shown that cervical cancer incidence is declining rapidly in young women who were most likely to have received the HPV vaccines. For instance, a study showed that in women under 25 years old in the United States, cervical cancer incidence decreased by 65% from 2012 to 2019.

🩵 Screening includes the well-known “Pap test” or “Pap smear.” This can detect cells that might indicate that cancer is present. Another test can detect an infection with high-risk HPV.

🩵 Screening recommendations:
The U.S. Preventive Services Task Force (USPSTF) recommends that women should start getting Pap tests every three years, beginning at age 21. From 30 to 65 years of age, the USPSTF recommends either the Pap test alone every three years; a high-risk HPV test alone every five years; or “cotesting” with both every five years. Testing isn’t recommended for most women over 65.

If you would like to schedule an appt to see me, please send us a message on Facebook, the Sigma portal app, call the office at 573-995-2213, or visit us at www.romodpc.com

01/14/2026

Now, I know Ms. Cheryl has some cute outfits on her pups, anyone else?

post a picture below ⬇️

01/13/2026

Tidbit Tuesday: 📖

🩵 Cervical cancer usually develops slowly over time. Before cancer appears in the cervix, the cells of the cervix go through changes known as dysplasia, in which abnormal cells begin to appear in the cervical tissue. Those abnormal cells may become cancer cells and start to grow and spread more deeply into the cervix and to surrounding areas.

🩵 Infection of the cervix with human papillomavirus (HPV) is almost always the cause of cervical cancer. Not all women with HPV infection, however, will develop cervical cancer. Women who do not regularly have tests to detect HPV or abnormal cells in the cervix are at increased risk of cervical cancer. The vast majority of cervical cancers could be prevented with Pap tests and HPV vaccination.

🩵 Cervical cancer, an often preventable cancer, was estimated to be diagnosed in 13,360 women living in the United States in 2025, with about 4,320 women expected to have died of the disease, according to the National Cancer Institute (NCI).

If you would like to schedule an appt to see me, please send us a message on Facebook, the Sigma portal app, call the office at 573-995-2213, or visit us at www.romodpc.com

01/13/2026

Who doesn't love stickers?!

Fun fact: When traveling, we put stickers on our water bottles and suitcases ☺️

01/13/2026

Alright you Jeep drivers... Let's see those ducks!

01/12/2026

YESSSS! Just got done donating blood!

If you have time today before 4:30pm, they would love your support! 👏 Happening at First Baptist Church on Cedar Street in Rolla!

01/12/2026

Motivation Monday: Preventative Screening 🩵

Women's Health: Cervical Cancer

If you would like to schedule an appt to see me, please send us a message on Facebook, the Sigma portal app, call the office at 573-995-2213, or visit us at

RoMo Direct Primary Care is a membership-based primary care practice in Rolla, Missouri. We treat patients ages six and up and provide comprehensive and inclusive care for one flat monthly fee. Our members enjoy enhanced access to their family physician via texts, calls, or video chats, as well as f

01/12/2026

National Pharmacy Day is celebrated annually on January 12th to honor pharmacists' crucial role in healthcare, recognizing their work beyond dispensing meds, including patient counseling, immunizations, and health monitoring, with related events like National Pharmacy Week in October highlighting pharmacy technicians and broader impacts. 🤗

Thank your pharmacist!