Looking into it, I found it is a provision of Obamacare:
“Enter Direct Primary Coverage, a little known provision of the ACA, that has a growing following on the West Coast of the US, but has yet to be embraced everywhere. The concept is simple: people with no insurance at all, or those in Bronze or Silver ACA plans with large deductibles, enroll at a local physician or clinic, and for a monthly fee, patients get access to medical care that they otherwise would not have”.
https://www.prlog.org/12338899-direct-primary-care-finally-arrives-in-south-florida.html
For republican haters/cretins, and the like, ignorance has been bliss.
I guess even after voting against it, did not help them find out much about it. Head in the sand.