Membership & Pricing
Here are the prices. No copays, no hidden fees, no surprise bills.
So here are the prices, all of them, up front. So here’s all of it. What’s listed is what you pay.
Monthly membership
Membership is priced by age, because a healthy twenty-five-year-old and someone managing three conditions at seventy use very different amounts of my time over a year. Kids are cheap to add. And no matter how big your household gets, there’s a cap on what you pay.
| Who | Monthly membership |
|---|---|
| Child, ages 0 to 17 (with an enrolled adult) | $30/mo |
| Young adult, ages 18 to 25 | $55/mo |
| Adult, ages 26 to 44 | $75/mo |
| Adult, ages 45 to 64 | $95/mo |
| Adult, ages 65 and up | $110/mo |
Household cap: $250 a month.
Add up your whole family and the total never climbs past $250 a month. A couple with three kids pays $250, and that’s the most you’ll ever pay.
Enrollment
A one-time enrollment fee of $75 per adult, and nothing for the children. So an individual pays $75 once, a couple pays $150 once, and a family pays $150 once, however many kids come along. If you ever leave and come back later, re-enrollment is $150 per adult.
What every membership includes
- Unlimited visits, thirty to sixty minutes each, with no copays
- My direct line by text, phone, and email, including evenings and weekends for anything urgent
- Same or next-day access
- Your annual physical, preventive care, and the ongoing management of chronic conditions
- Acute and sick care, women’s and men’s health, and minor in-office procedures
- Wholesale labs, imaging, and medications at my cost
- Care coordination with specialists and the hospital when you need them
- Telehealth, included
Wholesale labs, imaging, and medications
These are at my cost, with no markup on top, and you always see the price before you agree to it.
| Item | Your price | Typical insurance-billed price |
|---|---|---|
| Lipid panel | ~$6 | $60 to $200 |
| A1c (diabetes) | ~$9 | $50 to $150 |
| Complete metabolic panel | ~$8 | $60 to $200 |
| CBC (blood count) | ~$4 | $40 to $150 |
| Thyroid (TSH) | ~$9 | $50 to $150 |
| Many common generic medications | A few dollars a month | Varies |
| Imaging (MRI, CT, ultrasound) | Often a few hundred | A few thousand |
Use your HSA
Use your HSA
As of January 1, 2026, direct primary care memberships are HSA and FSA eligible, up to $150 a month for an individual and $300 a month for a family. If you have a health savings account, your membership can come straight out of it, before tax.
Billing and cancellation
Pay yearly, and the twelfth month is on me
If you’d rather not think about a charge every month, pay for the year up front and I’ll only bill you for eleven months. You get the twelfth free. It’s just a billing convenience, and it’s completely optional.
No contract. Cancel anytime.
Membership is month-to-month. There’s no contract and no cancellation penalty. If it stops being worth it, give me thirty days’ notice and that’s that. I’d rather keep earning it every month than lock you into anything.
For employers
Almanac for employers
More than half of the direct primary care memberships in the country are now paid for by employers. The reason is pretty simple. A team that can text a doctor and get seen the same day misses less work and spends less time in urgent care. For a small business, it’s one of the few benefits people actually notice.
As a benefit, an Almanac membership is simple to run. No claims, no billing, no surprise renewal spike at the end of the year. Your employees get a real doctor, and you get a flat cost you can plan around.
If you run a business in the Fort Collins area and want to talk it through, pick “my team” on the enrollment form, or just call me.
and the rate comes down for larger teams
Pricing questions
A couple of questions about the money
What is not included in the membership fee?
Wait, so I still need insurance?
The prices are the easy part. The bigger question is whether I’m the right doctor for you.
Come meet me for a free twenty-minute visit, in person or over the phone.