FAQs

Common Questions

Frequently Asked Questions

Do I have to live in North Carolina?

You need to be physically located in North Carolina at the time of your visit. I'm licensed here, and that's what licensure requires. If you live in NC andtravel occasionally, we'll talk about how to handle care while you're away.

Do I still need health insurance?

Yes, and I'd encourage it. Membership covers your primary care. It does not cover emergencies, hospitalization, surgery, or specialist treatment. Mostmembers pair membership with a high-deductible or catastrophic plan — I handle everything routine, insurance covers the rare and expensive.

Is this health insurance?

No. This is not health insurance. It's a direct agreement between you and your physician for primary care services.

What if I need to be examined in person?

Some things require hands. When that's the case I tell you directly, help you find where to go, and coordinate your care afterward. For emergencies,call 911 or go to the nearest emergency department.

How do labs work?

I order them electronically to a draw site near you. You go in, they draw, results come to me. You pay our published wholesale price with no markup,and we review the results together.

How does imaging work?

I refer you to a facility near you and send your records ahead. If you're paying cash, I'll help you find the price first — the difference between facilitiesis often substantial.

Can you prescribe medication?

Yes, sent electronically to your usual pharmacy. Refills on established medications don't require an appointment.

Can you prescribe controlled substances?

No. This practice does not prescribe controlled substances, including ADHD stimulants, most anxiety medications, and controlled pain medications. Ifyou need that care, I'll help you find the right local provider.

How quickly will you respond?

Messages within one business day, usually much sooner. Urgent issues the same day. Appointments same or next business day

Can I message you instead of scheduling a visit?

Members can message me directly, and it's included at no extra charge. It's meant as a convenience between visits — when something needs realevaluation, we get on video, often the same day.

Do you see children?

Ages 6 and up. Children under 6 are better served by an in-person pediatrician, because young children change quickly and the physical exam carriesmost of the diagnosis. I'm glad to help you find one.

Can a teenager have their own membership?

Yes, ages 13–17. A parent or legal guardian signs the agreement and is the payer.

Can I use my HSA or FSA?

HSA, yes — direct primary care became HSA-eligible on January 1, 2026, up to $150 per month for an individual and $300 for a family. For FSA, checkwith your plan administrator, as rules vary.

Is my information secure?

Yes. All visits and messages run through a HIPAA-compliant platform with encrypted storage and transmission. Your records are yours, and you canrequest a copy at any time.

What if I want to cancel?

Cancel anytime with written notice. If you rejoin more than 60 days later, a rejoin fee applies.

What does a visit cost?

Nothing beyond your membership. No copays, no per-visit charges, no bill afterward. Labs and medications are billed separately at cost

How many patients do you take?

Far fewer than a typical practice. That's the point — it's what makes same-day access possible. Membership closes when the panel fills