Medicine Built Around You.
Not Your Insurance Plan.

A membership-based practice where you pay your physician directly through a monthly fee rather than billing through insurance. This removes administrative overhead and allows your physician to maintain a smaller patient panel and spend more time with each patient.

No. This is a membership model, not an insurance-based practice. You pay a flat monthly fee that covers all primary care visits and direct physician access. You will receive itemized receipts that can be submitted to your HSA or FSA for reimbursement.

Yes. As of 2026, DPC memberships up to $150/month are fully HSA-eligible. Our membership ($149/mo) qualifies in full. The $299 enrollment (initial evaluation + first two months) is also HSA/FSA eligible. You’ll receive itemized receipts for everything.

Yes. This membership covers your primary care — visits, labs, direct access to your doctor. You should maintain a health plan for hospital stays, emergencies, specialist visits, and prescriptions. Many members pair this membership with a high-deductible or catastrophic plan and find their total annual cost is lower than a full-coverage plan alone. The membership handles the care you actually use; the health plan covers what it should: major events. For most healthy adults, the math works out.

It might. Health insurance premiums are climbing again, and most of what you pay for — the office visits, the labs, the routine care — doesn’t require insurance at all. Our members pay $149/month for all of their primary care: same-day visits, wholesale labs, and direct access to a board-certified internist. Paired with a catastrophic or high-deductible plan for hospitalizations and emergencies, the total is often significantly less than a full-coverage plan — and the care is incomparably better. We’re happy to walk you through the numbers during a free introductory conversation.

Yes. We offer in-person visits at our El Dorado Hills location as well as virtual and phone visits when you don't need to come in. Your physician will recommend an in-person visit when a physical exam is needed.

Yes. We prescribe semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound). For members with type 2 diabetes, insulin resistance, or other metabolic conditions, GLP-1 prescribing and monitoring are included in your membership. For weight management, we offer a dedicated GLP-1 weight management program ($99/mo add-on for members, $249/mo standalone) with medical evaluation, monthly monitoring, dose titration, and metabolic lab work. Medications are prescribed and filled through licensed pharmacies at cash-pay pricing.

Many of our members transition from Kaiser or other health systems. We can request records from your previous doctors electronically or by fax. For systems like Kaiser that use separate patient portals, we ask that you download your records and bring them to your first visit. Your physician will review everything and build your care plan from there.

We order labs at wholesale physician rates through Quest and LabCorp — both located near our office. A typical annual wellness panel (metabolic, cholesterol, thyroid, blood count) costs $17–25 through us, compared to $200–400 at retail cash prices. You pay only our wholesale cost with no markup. Your membership includes the ordering and interpretation — you just pay for the lab draw itself.

If you have insurance, imaging is billed through your plan as usual. For uninsured patients or those on high-deductible plans who want to stay under their deductible, we route to local cash-pay imaging centers where prices are typically 50–80% less than hospital outpatient rates. Your physician orders exactly the imaging you need, coordinates with the center, and reviews the results with you directly.

Yes. We find the lowest price for every prescription. For most generics, we direct you to pharmacies like Cost Plus Drugs or Amazon Pharmacy, where common medications like blood pressure, cholesterol, and diabetes drugs cost $4–8/month instead of $20–40 at retail. For same-day needs, we’ll help you find the best discount at a local pharmacy. For GLP-1 and specialty medications, we work with manufacturer programs (NovoCare, LillyDirect) to find the lowest available price.

If a medication requires prior authorization from your insurance, we write and submit the clinical justification directly — no phone trees, no runaround, no weeks of waiting.

This membership does not cover hospital care, emergency room visits, specialist referrals, advanced imaging, or prescription medications. Procedures like colonoscopy and mammography are coordinated by your physician but performed at outside facilities. Lab work is available at wholesale pricing through Quest and LabCorp.

The GLP-1 weight management program is available as an add-on ($99/mo for members, or $249/mo standalone). Hormone evaluation and management (TRT, HRT) are handled as part of your primary care when clinically indicated — no extra fee for members.

Yes. A one-time consultation is $300 and includes a full visit with one of our physicians. No membership required. If you'd like to schedule one, let us know and select “One-Time Visit.”

Yes, for members in El Dorado Hills. Home visits are available for patients with mobility limitations or those who prefer care at home. Pricing is discussed at enrollment. If this interests you, let us know and select “Home Visit.”

Yes. There is no long-term contract. You may cancel at any time with 30 days' written notice. There are no cancellation fees.

This practice serves adults aged 18 and older. Internal medicine focuses on adult health, including complex and chronic conditions. For pediatric care, we can recommend a trusted provider in the area.