There are zero co-payments for medical visits, including: establish care, continuity of care, urgent, and annual visits. Lab and procedure costs are at wholesale pricing. You can view our most common service fees and savings here. Common wholesale medication and supplement costs are here. If you have specific questions or concerns about pricing please feel free to contact us at (828) 519-5445. Full price transparency is one of our foundational values.

The Integrative Life Membership is a commitment for one full year from the enrollment date. However, members have a seven-day grace period after their establish care visit to determine if our clinic is the right fit. Those rare patients who opt to cancel in this window will only owe the difference between fees paid and the non-member rate of services received. (For example, the establish care visit non-member rate is $350). Beyond this period, if membership is cancelled prior to the end of the contract year we reserve the right to apply an early termination fee of $250 to cover the cost of care delivered. 

In many cases, yes. Members often have access to labs and medications at discounted or near-wholesale pricing, which can be significantly less than insurance-based rates — especially before a deductible is met. While not all procedures are included, we’re committed to transparency and helping you understand costs upfront so there are fewer surprises.

I have insurance.

• Can I still use my insurance to pay for outside referrals and prescriptions?
  • Yes! Except for Medicaid recipients, patients may submit costs paid outside of our office—invoices for referrals, specialists, and prescriptions—to their insurance companies for out-of-network reimbursement. *We are not enrolled in Medicaid, so patients with that coverage will not be able to receive those benefits for any orders from our office.
• What is the benefit of having insurance if I’m a member of your practice? Should I keep it?
  • Yes, we recommend everyone have insurance or medical cost sharing to cover unexpected, major medical costs.
• Can you just send my lab orders to Labcorp/Quest/etc., so that I can use insurance?
  • Orders to our Labcorp account bill our clinic directly to ensure our members receive wholesale prices. So, labs ordered from our office cannot be billed through insurance; however, our wholesale prices are very low, and by paying directly there’s no risk of claims being denied.
• Itemized invoices to bill insurance: How can I submit these?
  • Although insurance companies do not reimburse for monthly membership fees, we can provide itemized invoices for other billable services such as labs and procedures.

I do not have insurance.

• Will membership be enough to cover me/my family? Do I still need insurance?
  • We recommend everyone have insurance or medical cost sharing to cover unexpected, major medical costs.
• What happens if I need care outside your office, like imaging or something else?
  • We refer to imaging like Xrays and MRIs to locations that offer discounted, self-pay rates to our members. For specialty referrals, it would need to be discussed with that office whether they have special rates or payment plans.

The Integrative Life Membership—a one-year contract commitment—may be paid in 12 monthly installments or in-full annually. Payments can be drafted directly from a checking account or charged to a credit/debit card. 

For continuity of care, membership payments continue beyond the one year contract unless you notify the office otherwise to cancel. For those paying in-full annually, the membership renewal payment will be processed one year after your sign-up date. This keeps you as an active member with your established provider.

Wholesale fees associated with labs, procedures and other charges that are not covered by the membership are due in full at the time of service. Click here to view the most common service fees. 

That’s completely normal — and encouraged. Choosing healthcare is a big decision, and you don’t have to do it alone. If you have questions about membership, how Direct Primary Care works, or whether it’s a good fit for you, you’re welcome to reach out before enrolling. Our team is happy to answer questions, talk through your situation, and help you decide what makes the most sense.

Have questions? Learn more before enrolling. Call us at (828) 575-9600

Children age 17 and under receive the discounted rate of $60/month in households with one or more full-paying, age-tiered adult membership.

Yes — many of our members join because they’re healthy and want to stay that way. Direct Primary Care allows for a more proactive approach to health, with time for prevention, nutrition, lifestyle support, and early identification of issues before they become bigger problems. Members also value having easy access to care when something unexpected comes up, rather than scrambling for appointments or urgent care.