A new approach.
Most modern healthcare is built around insurance codes and 10-minute time slots. At our practice, the model is simple: we work for you, not an insurance company.
By moving to a membership-based model, we remove the middleman. This allows us to provide a level of accessibility and depth that is impossible in a traditional office.
The Membership Model
Instead of co-pays and surprise bills, you pay a flat membership fee (available quarterly, semi-annually, or annually). This fee covers your primary care and gives you a direct line to your doctor.
What’s Included:
Comprehensive Annual Physicals: A "deep dive" into your health, not a rushed check-up.
Preventive Strategy: Advanced screenings for cancer prevention, heart health evaluations, and long-term longevity planning.
Chronic Condition Management: Expert, ongoing care for hypertension, high cholesterol, diabetes, arthritis, and more.
Mental Health & Focus: Dedicated support for depression, anxiety, and ADHD.
Sick Visits: When you’re ill, you shouldn't have to wait weeks. Members receive priority same-day or next-day scheduling.
Performance Coaching: Beyond just "not being sick," we focus on health optimization and lifestyle coaching to help you perform at your best.
Why No Insurance?
When a doctor bills insurance, they spend nearly half their day on paperwork. By not billing insurance, we can spend that time with you.
No Co-pays: Your membership covers your visits.
Transparent Pricing: You’ll never receive a "mystery bill" in the mail months later.
Longer Appointments: Most visits are 30 to 60 minutes, ensuring we actually solve problems.
HSA Eligible: Direct Primary Care membership fees can be reimbursed through your HSA ($150/month for individuals).
Note: We recommend that patients maintain a high-deductible insurance plan or health share for major emergencies, specialist surgeries, or hospitalizations. My membership covers your everyday, proactive, and preventive healthcare.
Common Questions
What is a Direct Primary Care medical practice?
This is a membership-based medical practice designed to provide more time, access, and continuity than traditional primary care. By working outside of the insurance and Medicare system and limiting the number of patients we work with, we’re able to respond personally, spend more time on complex questions, and focus on thoughtful medical decision-making rather than volume.
Is this a replacement for my primary care doctor?
Some members use this practice as their main source of primary care; others use it as a complement to existing care. I help interpret results, think through options, and coordinate when appropriate, but I do not replace hospital, emergency, or specialty care.
What does the membership fee cover?
The annual membership fee covers:
Direct access for scheduled visits and secure messaging
Longer, unrushed visits when needed
Care planning, ordering and interpretation of labs and imaging, and second opinions
Coordination and communication with other clinicians when appropriate
The fee does not cover:
Fees for lab tests, imaging, medications, or procedures
Specialist, hospital or emergency care
Services billed through insurance
Do you accept insurance?
No. This practice does not bill insurance.
Insurance can still be used for labs, imaging, medications, and specialty or hospital care. The membership fee covers access and availability, not insurance-billable services.
Can I use my HSA to pay for my membership?
Yes! You can get reimbursed from your HSA up to $150/month or $1800/year per individual. We are happy to help you navigate this process.
How many visits can I have?
Visits are not capped, but they are reasonable and appropriate to the size of the practice and your medical needs.
If an issue requires more time or depth than messaging allows, we’ll schedule a visit so it can be handled thoughtfully.
How does messaging work?
Secure messaging is available for focused clinical questions, updates, or follow-up.
Messages are typically reviewed during business hours, with responses within one business day. If a question requires more back-and-forth or complex discussion, we’ll move it to a visit.
Do you offer 24/7 access?
This practice does not provide 24/7 coverage. For urgent or emergent concerns outside business hours, members should contact urgent care or emergency services. I will follow up during regular business hours as needed.
Clear boundaries help ensure thoughtful, sustainable care.
What kinds of patients is this practice best suited for?
This practice tends to work best for people who:
Value time and continuity
Prefer thoughtful discussion over rushed decisions
Want help navigating uncertain health questions
Are comfortable using secure messaging and telehealth
It may not be a good fit for those seeking:
On-demand, 24/7 access
High-frequency in-person visits
A replacement for emergency or hospital care
What if this isn’t a good fit?
Either of us may decide the practice isn’t the right match.
Members may terminate their membership with notice. Likewise, I may end the relationship if care needs fall outside the scope of this practice. Any applicable refund terms are outlined in the membership agreement.
Clarity and mutual fit are important to good care.
How do I get started?
Prospective members begin with a brief introductory conversation to ensure the practice is a good fit. Enrollment is limited to maintain access and quality.