Same-day Direct Primary Care

Yes, and that's exactly what we're built for. Unlike some functional or integrative practices that only focus on one niche and send you to urgent care for everything else, Dr. Ash is a board-certified internist who handles the full picture. Sinus infections, back pain, blood pressure management, annual physicals, referrals, prescription refills, all of it. The difference is that we also go deeper: advanced diagnostics, preventive strategy, and the kind of proactive care that keeps you out of the ER in the first place. You're not choosing between a primary care doctor and a longevity-focused one. You're getting both.

Yes, for members living within our Philadelphia neighborhood footprint. When an in-person physical exam, sick visit evaluation, or clinical assessment is appropriate, Dr. Ash comes directly to your home. Living-room care means zero waiting rooms, zero travel time, and no rushing. Routine questions, follow-ups, and lab reviews are handled directly by text, phone, or secure video across 40 states.

We are a direct primary care (DPC) practice. Traditional concierge medicine often charges an annual retainer fee on top of billing your health insurance for office visits. In our direct model, your membership covers all visits, direct texting, and calls with Dr. Ash with zero copays and zero visit fees. Your insurance is kept for outside services like labs, imaging, and prescriptions.

Insurance is designed to cover 'Medically Necessary' care for existing diseases, but it rarely covers proactive prevention. We bridge the space between both worlds. For our direct care (consults, texts, video calls, home visits), we function outside the insurance system to ensure you get unhurried time and depth. For everything else - medications, labs, imaging, and specialist referrals - we make your insurance work for you. Dr. Ash leverages his background in Internal Medicine and Value-Based Care to ensure your existing benefits cover your diagnostics while maintaining Medicine 3.0 standards. Your membership is HSA/FSA eligible.

We order your routine and advanced diagnostic labs (through Quest, LabCorp, or local hospital labs), imaging studies, and prescription medications through your existing health insurance or Medicare, just like a conventional doctor's office. Prescriptions are sent directly to your preferred pharmacy under your plan. For patients without insurance or with high deductibles, we also pass through discounted wholesale cash lab rates so you always know costs before ordering.

Yes. Many members keep their existing specialist or primary care doctor and use Fishtown Medicine for rapid access, direct messaging, and proactive health planning that traditional practices cannot fit in. Dr. Ash collaborates directly with your outside doctors, reviews outside recommendations with you, and forwards notes so your team stays coordinated.

Yes! Virtual primary care and longevity medicine are available across 40 states: Alabama, Arizona, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Dakota, Ohio, Oklahoma, Pennsylvania, South Dakota, Tennessee, Texas, Utah, Vermont, Washington, West Virginia, Wisconsin, Wyoming. Dr. Ash provides direct virtual consultations, proactive health roadmaps, lab ordering, and ongoing care to patients residing in any of these licensed jurisdictions. In-person home visits are focused on our Philadelphia neighborhood service footprint.

Yes. Your Medicare coverage continues to pay for your laboratory tests, diagnostic imaging, specialist visits, and medications ordered by Dr. Ash. Fishtown Medicine operates outside Medicare billing for Dr. Ash's direct consultations and unhurried primary care management. Membership fees are eligible for HSA and FSA funds.

You can securely upload prior lab results, specialist notes, and doctor's records directly through our records portal or inside your patient hub before your first consultation. Dr. Ash reviews your background personally before you speak. No active membership is required to share records for preliminary evaluation.

Our membership is designed for ongoing primary care and prevention, though members receive prompt same-day or next-day attention for acute concerns like infections, rashes, or urgent questions. If you are looking for a focused diagnostic evaluation without ongoing monthly membership, we also offer structured clinical packages like The Reset and Strategic Roadmap.

No. No deductibles. No copays. No co-insurance. No visit fees. No initiation fees. No cancellation fees. Everything is included in the terms of your membership: unlimited access to Dr. Ash, consults, texts, video calls, all of it. Labs, imaging, and specialist referrals are ordered through your insurance. Pharmacy medications and treatments are subject to your plan's copay, co-insurance, or deductible.

The best time to protect your health is before things shift. We use our time together to establish deep baselines (metabolic, hormonal, immune, cardiovascular) and uncover the small signals and risk factors that matter most. We're not waiting for you to get sick; we're actively working to keep your health strong. Get measured, and stay ahead of real world health issues instead of waiting for them - it's exactly what membership is built for.

Absolutely. We coordinate your care, send your records ahead of you, and - crucially - we debrief with you afterwards to translate the jargon. We often 'curbside' specialists for you, getting expert opinions without you needing to book a separate appointment unless a procedure is required.

Yes. Always. No catch. The introductory call is a conversation with Dr. Ash himself, not a receptionist screening you. He'll ask about what's going on, what you've tried, and what you're hoping to find. If we're the right fit, you'll know by the end of the call. If we're not, he'll tell you that too. Book your free call here.

No. Dr. Ash is a real human physician living in Fishtown. Over fifteen years ago when they first started dating, his wife told him he wrote poetry and prose like someone from the 1950s. Nowadays, she jokes that he sounds like an AI. After spending more than a decade steeped in medical literature, clinical trials, and physiology papers - while staying away from pop culture tropes and 99% of social media (outside of following evidence-based clinician colleagues) - his phrasing can lean formal, structured, or even robotic. But behind the clinical precision is a physician with a big heart who loves this craft, loves our Philadelphia neighborhood, and cares deeply about the people who trust him with their care. Nothing beats the moment a patient's numbers turn around and the plan clicks into place. Every message, visit note, and lab review comes directly from him.

We know how much you care about the people you love. While you can certainly initiate the process, proactive medicine works best when the patient is fully engaged. We encourage you to join them on the first introductory call so we can all get on the same page. If they feel comfortable and ready to take ownership, we can get them started immediately.

We believe you should stay because you see value, not because you're trapped in a contract. There are no initiation or cancellation fees. Memberships (monthly, quarterly, or annual) renew automatically. If you cancel, your access continues through the end of the current billing cycle and you won't be charged again. You'll always have a link to manage your plan: upgrade, downgrade, or cancel anytime you want.