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Pricing & Packages: No Insurance? No Problem.
Fishtown Medicine•2 min read

Pricing & Packages: No Insurance? No Problem.

On This Page
  • What care packages does Fishtown Medicine offer?
  • Why packages instead of insurance?
  • Actionable Steps for Philly
  • Common Questions
  • Can I use my HSA or FSA to pay for a package?
  • If I do the audit, can I join the membership later?
  • Do I need insurance to get the labs?
  • Are package prices fixed or do they change?
  • What happens if I need follow-up after a one-time package?
  • Can a package replace primary care?

Get a preventive doctor that knows you.

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TL;DR · 30-second take

Fishtown Medicine offers transparent, one-time care packages for non-members. You can book a deep diagnostic audit, a second opinion, or an acute visit without a monthly subscription. All packages are HSA/FSA eligible, with no hidden fees and no insurance hassles.

No Insurance? Transparent Packages.

Not everyone needs a "medical quarterback" on retainer. Sometimes you need a problem solved, a second opinion, or a deep look under the hood. Fishtown Medicine offers transparent one-time packages for patients who want high-quality care without the monthly membership. No hidden fees. No insurance hassles. HSA/FSA eligible.

What care packages does Fishtown Medicine offer?

We offer specific packages built for deep diagnostics, acute issues, and second opinions, with no ongoing commitment. View all available care packages and current pricing on our dedicated Packages page.

Why packages instead of insurance?

Insurance companies are great for catastrophes (car accidents, cancer). They are not built for health optimization. By paying directly:
  1. Speed: We skip the prior authorization games.
  2. Privacy: Your diagnosis is not permanently logged in an insurance database unless you want it to be.
  3. Quality: We spend 60 to 90 minutes with you, not the insurance-mandated 7 minutes.

Actionable Steps for Philly

Use a one-time package wisely.
  1. Define Your Question: Decide what you want to walk away with. A second opinion? A full lab interpretation? A treatment plan for a specific symptom?
  2. Gather Your Records: Upload labs, imaging reports, and specialist notes ahead of your visit so we can use the time well.
  3. Pick the Right Package: Browse the Packages page and message us if you are unsure which fits. We will only book what is appropriate for your situation.

Frequently Asked Questions

Common Questions

Yes, you can use your HSA or FSA to pay for a Fishtown Medicine package. All clinical services are medical expenses and are fully eligible for HSA and FSA reimbursement.
Yes, if you do the audit you can join the membership later. If you decide to continue with ongoing support, we apply $200 of your audit fee toward your first month of membership.
No, you do not need insurance to get the labs. We have negotiated cash-pay rates for blood work that are often 80 to 90% cheaper than hospital pricing. We can also bill your insurance if you prefer.
Package prices are fixed at the time of booking. We update the Packages page when pricing or scope changes, and existing bookings are honored at the original rate.
If you need follow-up after a one-time package, you can book another package, transition into membership, or take the written plan to your existing physician. There is no obligation to continue with us.
A package does not replace primary care. Packages are designed for specific clinical questions, second opinions, or focused diagnostics. Ongoing primary care is delivered through membership.

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*Dr. Ash is a board-certified internal medicine physician specializing in preventive medicine and healthspan optimization at Fishtown Medicine in Philadelphia.*

Medical Disclaimer: This resource provides clinical context for educational purposes. In the world of Precision Medicine, there is no "one size fits all"; the right care plan must be matched to your unique lab work, physiology, and goals. Consult Dr. Ash to determine if this approach is right for you, especially if you have chronic health conditions or are taking prescription medications.

Still have a question?

He answers personally. Usually within a few hours.

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Philadelphia Primary Care
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