Cash-pay telehealth · Direct Patient Care
Your health.Your plan.Your Apex.
A medical provider who listens and customizes a health plan for you. One monthly fee from $59. No copays, no claims, no surprise bills.
- Memberships from $59/mo
- Per-visit care from $99
- 29 peptide therapies, by consult
- Cancel with 30 days’ notice
Here is everything $59 a month buys.
Insurance-driven primary care hides the price until the bill arrives. Direct Patient Care flips it: you pay your medical provider directly, one flat monthly amount, and you know it before you ever need care.
See all six membership plans- Visits with your medical provider2 / mo
- Secure messaging, non-urgentunlimited
- Routine prescription managementincluded
- Care coordination & referralsincluded
- Cash-pay labs & wellness servicesmember rate
- Copays, claims, surprise bills$0

Care that starts with a conversation, not a waiting room.
Book a first conversation
Pick a membership or a single consult. New members pay a one-time $99 enrollment fee that covers your intake, history review, goal setting, and a look at any recent labs.
Build your plan with your medical provider
A video visit about what you actually want: fewer sick days, steadier weight, better sleep, recovery from an injury. You leave with a written plan and clear prices for anything extra.
Stay in touch between visits
Message when something comes up. Your medical provider follows your medications, goals, and progress over months, not minutes, and coordinates referrals when you need care beyond telehealth.
Choose a level of care, then who it covers.
Essentials is everyday primary care by telehealth. Foundation adds extended visits, quarterly lab reviews, and a metabolic and lifestyle plan. Both come as individual, couple, or family memberships.
Direct primary care by telehealth. Your medical provider, on your schedule, for everyday health needs.
Individual Essentials
One adult
$59/month
- Up to two 20-minute telehealth visits per month
- Unlimited secure messaging for non-urgent needs
- Routine prescription management within scope
- Care coordination and referral support
- Member-rate cash-pay labs and wellness services
One-time $99 enrollment fee covers your intake, history review, goal setting, and baseline lab review. No annual contract.
Start with Individual EssentialsAdding children, a parent, or an adult child? Price your whole household
Peptide therapy, prescribed by a person who knows you.
We offer 29 peptide and GLP-1 therapies across six areas of health. Each starts with a $129 consultation, where your medical provider reviews your history and goals, explains where the peptide stands with the FDA, and designs a protocol only if it fits.
Browse all 29 peptides5 therapies in Tissue Repair & Recovery
Tissue Repair & Recovery
Tendons, ligaments, gut lining, skin, and post-surgical recovery. Peptides that support the body's own repair signaling.
Peptides, GLP-1 medications, and compounded prescriptions are billed separately from membership. Members get preferred pricing. Educational information only; not a treatment recommendation.
Not ready to join? Pay per visit.
Every service is available cash-pay to non-members. The price you see is the price you pay.
Book a single visit| Service | Cash price |
|---|---|
| Initial Provider Consultation & ExamNew patient | $149 |
| Follow-Up / Recheck Telehealth Visit | $99 |
| Weight Management Consultation | $99 |
| Peptide Therapy Consultation & Protocol Design | $129 |
| Hormone / Functional Wellness Consultation | $129 |
| Urgent or Same-Day Add-OnIn addition to the visit fee | +$40 |

Insured, uninsured, everyone welcome.
Apex Direct tends to fit people who are:
- Paying a high deductible and rising premiums for care they rarely reach
- Uninsured, self-employed, or between plans
- Tired of rushed visits and long waits for an appointment
- Looking for guidance on weight, sleep, energy, or recovery from someone who follows up
Membership is not insurance. We recommend keeping major medical or catastrophic coverage for hospital and emergency costs.
What membership covers, and what it doesn’t.
We would rather you know now than find out later.
Included
- Provider access through scheduled telehealth visits and secure non-urgent messaging, within your tier.
- Routine primary-care support appropriate for telehealth, prescription management within scope, and care and referral coordination.
- A continuing provider relationship: your goals, medication history, and progress are followed over time.
- Preferred pricing on cash-pay labs, wellness services, and separately billed peptide, GLP-1, hormone, and supplement programs.
Not included
- Hospital, emergency department, ambulance, specialist, imaging, laboratory, medication, compounded medication, peptide, GLP-1, or supplement costs, unless stated in writing.
- Emergency or continuously monitored after-hours care. Call 911 for urgent or life-threatening symptoms.
- Services that need an in-person exam, testing, or a higher level of care than telehealth can safely provide.
- Unlimited extended functional-medicine visits or medication-specific protocol monitoring beyond your plan's stated benefits.
Questions people ask before they join.
Is this health insurance?
No. Apex Direct is a cash-pay practice; we don't bill insurance or submit claims. Membership covers your ongoing relationship with your medical provider. We strongly recommend keeping major medical or catastrophic coverage for hospital, emergency, and specialist costs.
Can I use it if I already have insurance?
Yes. You can keep a high-deductible plan for emergencies and use Apex Direct for everyday care, because a $59 month can cost less than a single visit billed against an unmet deductible.
What does it cost to start, and can I cancel?
Memberships bill monthly with no annual contract. New memberships have a one-time $99 enrollment fee for your intake, history review, goal setting, and baseline lab review. Cancel any time with 30 days' written notice.
Are labs, medications, and peptides included?
They're billed separately, at member rates. That includes labs, prescriptions, compounded medications, peptides, and GLP-1 products, unless a written program says otherwise. You'll see the price before you agree to anything.
How do peptide prescriptions work?
Every peptide starts with a Peptide Therapy Consultation & Protocol Design visit ($129). Your medical provider reviews your history, explains the evidence and the FDA status of what you're asking about, and designs a protocol only if it's appropriate. Some peptides aren't FDA-approved, and some aren't right for everyone.
Can my kids be members?
Yes, through a Family membership. Each child has their own enrollment, consent, and medical record, and a parent or legal guardian enrolls and takes part in care for a minor.
What if something urgent happens?
Same-day telehealth visits are available for a $40 add-on. For anything life-threatening, call 911 or go to an emergency room. Telehealth can't replace an in-person exam when one is needed, and your medical provider will tell you when that's the case.
