membership
Direct primary care: one flat monthly fee. No insurance billing, no enrollment fee. Cancel anytime.
Your membership pays for your primary care directly.
Keep your insurance for hospitals, specialists, and emergencies. The panel is small by design
and currently has founding slots open; members book visits through regular business hours,
with occasional evening and weekend availability.
Founding memberIndividual · adults
$250/month
Everything on this site — the visits, the portal, the assistant, the video visits, the
movement lab — with the MD, every visit. Paid monthly. No copays, no per-visit bills.
Small business
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Focused, unhurried primary care as a team benefit for your adult employees.
Paying for it: card or bank draft, billed monthly on the card
processor's own secure page — the portal never sees your card. Some HSA administrators now
reimburse direct primary care fees under 2026 federal rules; the individual limit is set below
this membership's price, so please check with your plan before counting on it. We'll give
you the documentation either way.
| What you get | Excelsior | Online clinic | Insurance clinic |
| Every visit with a board-certified MD | ✓ | async forms | often a mid-level |
| Visit length | 30–60 min | — | ~15 min |
| Pre-visit check-in your doctor reads first | ✓ | intake form | clipboard |
| Landmark-trial evidence review | ✓ | — | — |
| Movement lab in the office | coming soon | — | — |
| Portal with a built-in assistant — text or voice | ✓ | chatbot | — |
| Your watch & home devices feed your chart | ✓ | their app keeps it | — |
| Visits & to-dos on your phone's calendar | ✓ | reminders | — |
| Video visits built into your portal | ✓ | their platform | varies |
| Who holds your data | your physician | ad-tech | a conglomerate |
| Flat fee, no copays | ✓ | subscription | copays + bills |
Good to know
What we refer out
- Children — this is an adult practice
- Controlled pain and psychiatric medications — managed by the specialists who do them best
- Emergencies — call 911 or go to the nearest emergency room
Virginia disclosure: an Excelsior Medicine membership is a direct primary care
agreement, not health insurance. It does not provide comprehensive health insurance
coverage, does not satisfy any individual coverage requirement, and covers only the primary
care services described on this site. Keep insurance for hospitals, specialists, emergencies,
and prescriptions.
Start with a free info visit