Direct Primary Care
One simple monthly membership for you and your adult family members. No insurance red tape — just unhurried time with your provider and care focused on keeping you performing at your peak.
Care on your terms — not the insurance company's
Insurance mandates, decreasing reimbursements and endless administrative paperwork have taken more and more of our time away from what we do best — taking care of you.
Direct Primary Care lets us opt out of those restrictions, protect your provider's time and focus entirely on you, our 1st Responder patients and your adult family members. Hormone optimization remains the foundation of your health, and it remains the foundation of our care.
What your membership includes
Transparent pricing: No co-pays, no hidden fees and zero surprise bills.
Same or next-day sick visits: Acute appointments with little or no time in the waiting room.
Unhurried visits: 30 to 60 minute appointments — no rushed conversations.
Pelleting at cost: Hormone pellet pricing drastically reduced for both men and women.
Lab work: Labs still go through your insurance. Self-pay lab fees are a fraction of what they are today.
Choose the membership that fits
Three options for you and your adult family members.
Core Membership
Elite hormone replacement plus complete primary care
$129/month
$1,548 annually
- Complete hormone optimization and testosterone management
- Routine 90-day reviews
- Comprehensive annual physical
- Full primary care access whenever you are sick or injured
- Lab work continues to be sent through your insurance
- Self-pay lab work at greatly discounted prices
- Male pellets: $339 · Female pellets: $199
Complete Primary Care
For a spouse or adult family member of a current member, ages 18 and up
$85/month
$1,020 annually
- For adult family members who don't require hormone therapy
- Direct access to our provider for annual checkups and routine health monitoring
- Access whenever you are sick or injured
- Lab work continues to be sent through your insurance
- Self-pay lab work at greatly discounted prices
Adding family members*
- Ages 18 & up$85/month
- Ages 13–17$39/month each
- Adult child (college age) of a member$149/office visit
*Memberships are available for patients 13 and older. For children under 13, we're happy to recommend a trusted pediatric provider.
Family pricing covers 2 adults and one child ages 13–17; additional children ages 13–17 are $39/month each. Family pricing is capped at $300/month — the maximum the IRS allows for HSA-compatible family memberships.
Wellness & Longevity
Preventive care without hormone therapy
$134/month
$1,608 annually
- Focus on preventive care, longevity and chronic disease management
- Optimize your baseline health through non-hormonal avenues
- Lab work continues to be sent through your insurance
- Self-pay lab work at greatly discounted prices
Add-on: Medical Weight Management
Quarterly weigh-ins and measurements to track your progress, plus access to our nursing staff for questions or concerns. Available to patients 18 and older.
$49/month with any adult membership
$588 annually · ideal if you're still working toward your goal and need medication every month
$125 per prescription without a membership
Pay only when you need a refill — ideal for maintenance patients who reorder a few times a year. Sent to the pharmacy of your choice, with progress monitoring and staff access included.
*40% discount from our local pharmacy for FTW members
HSA/FSA accounts have been approved for DPC fees.
Additional cash pay services
Fitness, Performance & Stamina Assessment
$229· 45 min session
Measurements for strength, muscle performance and VO2 Max stamina, followed by a wrap-up and coaching session with Performance Physical Therapist Paul Sienkiewich, DPT.
Ultrasound Imaging
Specific exams are based on body location.
- Thyroid & Parathyroid$149
- Complete Abdomen — liver, gallbladder, spleen, pancreas, kidneys, abdominal aorta$149
- Complete Pelvis (Male) — bladder, ureters & prostate$149
- Complete Pelvis (Female) — bladder, ureters, uterus, fallopian tubes, ovaries$149
- Testicles — outside the pelvic cavity, so viewed as an additional exam$149
“Neck to Groin” — Men
4 exams: $596 $506 (15% off)
“Neck to Groin” — Women
3 exams: $447 $379 (15% off)
Common questions
You pay a simple, affordable monthly membership fee — similar to a gym membership or streaming service — that covers your primary care and/or hormone needs. Under this model we no longer accept or bill commercial health insurance plans.
Keep your commercial health insurance or high-deductible plan. It will still work exactly as it always has for services outside our clinic, including specialist visits, hospitalizations, surgeries, ER visits, X-rays and prescription medications. Lab work also continues to be sent through your insurance.
Yes! Our monthly membership fees are designed to align with IRS guidelines. Because our individual and family rates fall within federal safe-harbor limits, your membership is compatible with a High-Deductible Health Plan (HDHP) and will not jeopardize your ability to contribute pre-tax dollars to your HSA.
Yes. Under current tax rules, you can use your HSA debit card or request reimbursement from your HSA provider to pay your monthly membership fees. HSA/FSA accounts have been approved for DPC fees.
To keep your HSA active and compliant, the IRS requires that individual memberships stay at or below $150/month and family memberships at or below $300/month — our plans are capped within these limits. Care must also remain primary: your membership covers comprehensive primary, preventive and urgent care, not major surgeries, hospitalizations or specialist care. If you need specialty care, we'll refer you out, and those services can be billed to your insurance or paid out-of-pocket toward your deductible.
Yes — family members 13 and older can join. Family pricing covers 2 adults and one child ages 13–17, and each additional child ages 13–17 is $39/month. Adult family members 18 and up join the Complete Primary Care tier at $85/month, and college-age children of members can be seen for $149 per office visit. Total family pricing is capped at $300/month. Our practice cares for adolescents and adults, so for children under 13 we're happy to recommend a trusted pediatric provider.
Established patients have priority enrollment starting now. If you choose not to transition, we will continue to see you under your current insurance until December 31, 2026, and will gladly help transfer your medical records to another clinic.
Disclaimer: While we structure our fees for HSA compatibility, every insurance plan and employer setup is different. We always recommend confirming your specific plan rules with your CPA or tax professional.
Secure your spot
We're capping our practice at 700 total members. Established patients have priority enrollment starting today — open enrollment to the general public begins December 1, 2026.
