The Membership: One Page, All of It

The full pricing page goes deep. This is the version we send people who just want to understand the membership in one sit-down read.

What you get

The membership covers four things, in plain language.

1. Unlimited access to your doctor. No copays, no per-visit billing for our care. Direct text, video, or in-person with Dr. Ash. Same-day visits when something flips. Home visits in the city when it makes sense.
2. A 90-minute annual physical. Not 12 minutes. A real deep-dive on history, exam, labs, wearable data, family risk, and the plan for the next year.
3. Advanced labs, read with you. ApoB, Lp(a), fasting insulin, hs-CRP, full thyroid, A1c, vitamin D, ferritin, B12, complete blood count and metabolic panel as the standard. We add or subtract based on your goals and history. You see the numbers and the plan, together, at the records visit.
4. Care coordination outside primary care. When you need a specialist, we find one we trust in Philadelphia, send a referral with a clinical briefing, and read what comes back. Hospital navigation if you are ever admitted. Prescription refills handled directly.

What it costs

Billing	Price	Savings versus month-to-month
Monthly	$250 / mo	Baseline
Quarterly	$685 / qtr	Roughly one month free over the year
Annual	$2,500 / yr	Roughly two months free

Household and partner pricing is on the full pricing page. HSA / FSA dollars may apply to membership under recent federal guidance; rules vary by plan, so confirm with your plan administrator or tax advisor.

What stays with your insurance

Membership does not replace insurance. The line is clean and worth being explicit about.

Goes through your insurance	Covered by membership
Hospital, ER, surgery	Acute care up to that level
Specialists	Coordination + the referral conversation
Imaging (MRI, CT, ultrasound)	The decision about when to order
Labs (drawn at a partner lab)	The interpretation + the plan
Prescriptions (filled at your pharmacy)	The decision + the refills

The mental model: your insurance covers things that bill big. Membership covers the time and continuity that the insurance system has stopped paying primary care to provide.

Where we are not the right primary care

We will be honest about this on the call, and it is worth being honest about here. The practice is for adults (18 and up). The following are outside what we do well, and when we see one of these we will say so warmly and point you to a practice that is built for it:

• Active cancer treatment (we co-manage, we do not lead).
• Pregnancy / OB / delivery care.
• Pediatric care (under 18).
• Chronic opioid or benzodiazepine maintenance prescribing.
• Medicaid-only patients (the billing model is incompatible).

Medicare-eligible patients can join, but Medicare cannot reimburse the membership fee.

What the first 90 days look like

This is the part most membership explainers leave out. The first 90 days are the activation period. Week 1 — Orientation. You send whatever records you have to records@. We schedule the records visit. Communication rules covered (when to text, when to call, urgent versus routine). Weeks 2 to 3 — The records visit. No timer. We read your history, prior labs, specialist notes together, usually 60 to 120 minutes. Most patients tell us this is the first time a physician has read their whole story in one sitting. Weeks 3 to 6 — Labs and the deep dive. Labs ordered specifically for you (advanced markers, not a default panel). When they return (usually 7 to 10 days), we sit down again and read them. The plan that comes out of that conversation is the working document for the next year. Weeks 7 to 12 — Execution. Specialist referrals when needed. Medication adjustments. Follow-up labs. The check-ins that make sure the plan is actually moving.

The next step

A free 20-minute call. We figure out together whether this is the right fit. If it is, you join and we schedule the records visit. If it is not, we will say so and point you to a great fit.