The Membership

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

Four things, and together they are the whole model.

1. Unlimited access to your doctor

No copays and no per-visit billing for our care. Text, video, or in person with Dr. Ash, same-day when you need it, and he is the one who answers you. Prescription refills are handled directly rather than through a phone tree. The relationship is the product, so nothing about it is metered.

2. Home visits across Greater Philadelphia

When getting to an office is the hard part, or when seeing you at home tells your doctor more than an exam room would. This is part of membership, not something billed on top of it.

3. Care that stays ahead of things

The whole model is built to catch problems early instead of reacting late. That means one physician across the lanes that usually take several clinics: cardiovascular prevention, metabolic health, hormone care including testosterone and menopause, the medication side of mental health, and sexual health, integrated with functional and longevity tools and grounded in evidence. The interplay between those systems is where most answers live, and it only shows up when one doctor reads all of them together.

It also means the watching does not stop between appointments. Biomarker trends and wearable data get reviewed as they come in, not filed until next year, so a number moving the wrong way is a conversation in the moment rather than a surprise at your next physical.

Your annual physical runs 90 minutes rather than 12: history, exam, labs, wearable data, family risk, and the plan for the year ahead. The time is the point, because longer visits are linked to better outcomes and fewer unnecessary prescriptions.

4. A singular focus on results

Visits here have no timer on them. The records review and the lab review each typically run 60 to 120 minutes, and some run longer, because the visit ends when you and your doctor are on the same page rather than when a schedule says so.

Advanced labs, read with you, not mailed at you. ApoB, Lp(a), fasting insulin, hs-CRP, full thyroid, A1c, vitamin D, ferritin, B12, complete blood count and metabolic panel as the standard, with more or fewer based on your goals and history. You see the numbers and the plan together, at the records visit, with no timer on the conversation.

And when something needs to go beyond primary care, your doctor stays on it. We find a specialist we trust in Philadelphia, reach out on your behalf with a clinical briefing, and read what comes back. Hospital navigation if you are ever admitted. You are never the messenger between your own doctors.

What it costs

The membership is generally HSA and FSA eligible, so pre-tax dollars can pay it when your plan allows.

If more than one of you is joining, it is one household plan rather than two separate ones, at a reduced rate for the second person. The same doctor knows both of you, which is most of the point: he sees the shared history, the shared stress, and the shared kitchen, and he can say so out loud. Adult children living at home, and parents or in-laws under the same roof, can each be added the same way. The rates are on the full pricing page, and if you teach, nurse, respond, serve the public, or work in hospitality or service, the Colleague rate is the same full membership at $195 a month.

What should working together cost you? It depends on what you need

The answer to "what does it cost" starts with what you are trying to get done - the same walkthrough our pricing page takes you through:

• Ongoing care - prevention, complexity, or just wanting your doctor a text away: membership, $250 a month (or $685 quarterly / $2,500 yearly, which works out cheaper). Unlimited visits and messaging, home visits in the city, and the relationship this whole page describes.
• You teach, nurse, respond, serve the public, or work in hospitality or service: the same full membership at the Colleague rate, $195 a month.

Not sure which fits? That is half of what the free intro call is for - come with your situation and leave with a straight recommendation.

Is the money worth it? The math, then the product

Here is what the same care costs bought piecemeal in Philadelphia. A short primary care visit billed under a deductible commonly runs $150 to $300. An urgent care visit, $180 to $350. An advanced lab panel billed retail through a deductible, several hundred dollars - the same panel through our negotiated cash pricing is about $99, passed through with no markup. Concierge practices in this city charge $2,000 to $5,000 a year for access that often still comes with per-visit fees. Membership here is $2,500 a year at the annual rate, falls at the bottom of that range, and the visits, the messaging, and the follow-through are all inside it.

If you are on a high-deductible plan, the math is even more direct: until you hit your deductible, primary care is cash out of your pocket at insurance-system prices anyway. Membership converts that unpredictable per-visit spending into one flat number, and your insurance keeps covering what it covers best - the big-ticket care above the deductible.

Then there is the part the numbers cannot carry, which is the product itself: a doctor who knows your history without opening a chart cold, answers your text the same day, gives your physical 90 unhurried minutes instead of 12 rushed ones, and has the time to catch things early instead of billing you to react late. Bought separately, the pieces inside membership are a hormone clinic, a metabolic program, a preventive cardiology consult, a mental health prescriber, and someone to coordinate all of them, each with its own intake, its own portal, and no one reading the whole story. Here that is one physician, one relationship, and one plan, and the peace of mind that comes from knowing who to text is the part members mention most. The average American spends more each month on streaming and takeout than this costs, and neither of those calls you back when your labs look off.

What stays with your insurance

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

The mental model: your insurance covers things that bill big. Membership covers the proactive, results-focused primary care, the continuity and follow-through, that the insurance system has stopped paying for.

Where we are not the right primary care

We will say this plainly on the call, and it is worth saying plainly 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.
• Patients on Medicare or Medicaid (the federal billing rules are not compatible with our model).

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 upload whatever records you have on your member page (or email them in). 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 start to finish.

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 keep the plan moving.

The next step

Start with the intake: tell Dr. Ash what is going on and pick the path that fits, and the free 20-minute call comes after, where 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.