Newton: 316.283.6655
Andover: 316.202.9990
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Newton: 316.283.6655
Andover: 316.202.9990
If you've ever stared at a medical bill wondering what you actually paid for, this article is for you.
At Integrity Medicine, your membership covers unlimited office visits, more than 30 in-office procedures, wholesale medication pricing, discounted lab work, preventive care, and chronic disease management, all for one flat monthly fee. This guide explains exactly what that means in practice, where the membership ends, and what you'd still want insurance for alongside it.
If you're still learning how the model works overall, our guide on how Direct Primary Care works in Kansas is a good place to start before diving into specifics.
When we converted this practice to Direct Primary Care in 2017, the goal was simple: remove every financial barrier that stood between patients and their doctor. No copay when you walk in. No bill for a procedure handled in the office. No prior authorization before we can order a test or prescribe what a patient actually needs.
A Direct Primary Care membership fee covers all or most primary care services, including clinical and laboratory services, consultative services, care coordination, and comprehensive care management. In daily practice at Integrity Medicine, it means you can see your physician as often as your health requires. You can email or call your doctor with a question on a Tuesday evening and get a real answer. You can come in for a joint injection, get a skin lesion removed, or have an EKG done, and none of those things generate a separate bill.
Most Direct Primary Care practices include comprehensive primary care services such as prevention, chronic disease management, acute visits, and care coordination, along with virtual care and basic in-office procedures. At Integrity Medicine, the procedures list runs considerably beyond basic. That tends to be the part that surprises new members most.
Every visit type is covered by your membership. No per-visit fee. No limit on frequency. Here's what that looks like across the most common reasons members come in.
Annual physicals and wellness exams are included for adults of all ages and for children from birth through age 20. These appointments tend to run longer than what you're used to, because your physician isn't racing through a schedule built around insurance billing quotas. There's actual time to talk.
Sick visits are available same-day or next-day. When you or your child wakes up unwell, you reach out to your doctor directly rather than navigating a phone tree or driving to urgent care. Common illnesses, infections, sinus issues, strep, UTIs, flu-like symptoms, and minor injuries are all handled in-office without a separate bill.
Chronic condition management is covered with unlimited follow-up visits. A patient managing type 2 diabetes can come in as often as needed, sometimes twice monthly during medication adjustments, with no copay each time. That kind of access genuinely changes how well chronic conditions get managed. Under traditional care, the financial friction of each visit quietly discourages patients from coming in as often as they should. Under Direct Primary Care, that friction is gone.
Mental health support is included at the primary care level. Your physician provides mental health screening, medication management for depression and anxiety, and coordination with outside therapists or specialists when more intensive care is needed.
Direct communication between visits is part of what you're paying for. Every member gets their physician's direct contact information. For non-emergencies, you reach your doctor by email or phone. For urgent situations, you can text or call directly. Questions that don't require an office visit get answered right away, which saves time and keeps small concerns from becoming larger ones.
School, sports, DOT, and employment physicals are all included in your membership with no extra charge.
Under the traditional insurance model, a joint injection was a separate billable event. So was a mole removal. So was a laceration repair. Patients would come in for a visit, have a procedure handled during that visit, and then receive two separate charges.
At Integrity Medicine, more than 30 in-office procedures are included in your membership at no additional charge. The procedures most members are surprised to find included are joint injections, mole and wart removal, laceration repair, skin biopsies, allergy testing, IUD and Nexplanon placement and removal, EKGs, and abscess drainage. If you've paid separately for any of those under traditional insurance, you understand immediately why this matters.
Here's the complete list by category:
Diagnostic testing: EKGs, pulmonary function testing, allergy testing, ophthalmoscopy, and rapid in-office tests including strep, flu, urinalysis, and pregnancy testing.
Women's health: Pap smears, well-woman exams, Nexplanon insertion and removal, and IUD insertion and removal.
Injections: Joint injections, trigger point injections, and bursitis injections.
Skin and soft tissue: Mole removal, wart removal, shave and skin biopsies, lipoma removal, splinter and foreign body removal (ear, nose, eye, and skin), ganglion cyst decompression, and skin cancer screenings.
Minor surgery: Laceration repair, abscess drainage, toenail removal, nail trephination, and thrombosed hemorrhoid decompression.
Other: Biopsy and fluid aspiration, well-child exams, school and sports physicals, and worker's compensation exams.
All of it covered under your monthly fee. No separate billing events, no surprise charges after the fact.
Being clear about where the membership ends is just as important as knowing what's inside it. These categories fall outside your Integrity Medicine membership.
Hospital care is not covered. Inpatient admissions and surgical procedures requiring a hospital or surgical center require separate insurance. This is the primary reason most Integrity Medicine members carry a high-deductible health plan alongside their membership.
Emergency room visits are outside the membership scope. For true emergencies, call 911 or go directly to the nearest ER without delay. Your Integrity Medicine physician provides follow-up care after an emergency at no charge, and stays in contact with the hospital team during a stay.
Specialist visits are not included. Your physician coordinates referrals and communicates directly with specialists on your behalf, but the specialist appointment is billed separately and typically covered through your insurance plan.
Major surgery requiring anesthesia, a surgical center, or hospital admission falls outside the membership.
Advanced imaging like CT scans and MRIs at outside facilities is not covered by the membership, though Integrity Medicine coordinates access to lower cash-pay rates and helps you avoid standard hospital billing whenever possible.
Specialty medications requiring insurance coverage are not available through the wholesale pharmacy. Wholesale pricing works well for most generic maintenance medications. Brand-name drugs without a generic equivalent and high-cost specialty drugs typically need insurance to be affordable.
Obstetrical care including prenatal OB visits, labor, delivery, and postpartum hospital care requires insurance. Integrity Medicine provides preconception counseling and coordination, but delivery-related care is handled through an OB-GYN and your insurance plan.
For a full explanation of how Direct Primary Care and health insurance work alongside each other, read our comparison of Direct Primary Care vs. traditional insurance-based care in Kansas.
Integrity Medicine operates its own wholesale generic pharmacy. Members pay approximately 15% of standard retail pricing on most common medications. That's roughly 85% less than buying the same drugs at a traditional pharmacy.
To make that concrete: a member filling lisinopril for blood pressure, metformin for diabetes, or levothyroxine for thyroid disease typically pays under $5 per month per medication at Integrity Medicine. At retail pricing, those same drugs run $30 to $50 per month each. For a patient on two or three maintenance medications, the annual savings can reach $600 to $1,500, which is often enough to offset a meaningful portion of the annual membership cost.
Medications are not included in the base monthly fee. Members pay for them separately at wholesale rates. The savings come from the pricing itself, not from the medications being free.
The wholesale pharmacy covers most generic medications used in primary care. Specialty drugs, brand-name medications without a generic equivalent, and high-cost biologics are generally not available at wholesale pricing and may require insurance coverage to remain affordable. Your physician will always help you identify the most cost-effective option for your specific situation.
For members who are uninsured or self-employed and wondering whether Direct Primary Care alone can cover their needs, our primary care without insurance page explains how Integrity Medicine serves patients at every coverage level.
Integrity Medicine doesn't bill lab work through insurance. Members pay wholesale pricing directly, and the difference compared to standard insurance billing rates is significant.
A standard metabolic workup that might cost $400 to $800 through insurance billing costs under $20 at wholesale. For a member requiring routine chronic condition monitoring, including quarterly HbA1c checks, annual lipid panels, and thyroid monitoring, lab savings alone can represent $300 to $800 per year.
Lab work is not included in the base monthly membership fee. Members pay for it separately at wholesale rates. The difference is that the bill reflects the actual cost of running the test, not the inflated rate built into standard insurance billing.
Imaging services like X-rays and ultrasounds are typically available at cost, saving patients 40 to 60 percent compared to hospital pricing. For complex imaging not available in-office, Integrity Medicine coordinates access to outside facilities at negotiated cash rates. You won't be navigating that alone.
Preventive care is one area where a Direct Primary Care membership tends to produce real value over time. When there's no financial barrier to coming in, you actually come in. Screenings happen on schedule. Problems get caught early. Conditions that would become expensive later get managed now.
Your membership covers:
Direct Primary Care practices cover more than 85% of most healthcare needs, with no deductible, no coinsurance costs, and no claims. Preventive care is a big part of why that number is as high as it is.
Chronic conditions don't get managed well in 15-minute appointments spaced months apart. They get managed well through ongoing access, consistent monitoring, and a doctor who knows you well enough to catch when something is shifting before it becomes a crisis.
With an Integrity Medicine membership, that kind of ongoing access is built in. No extra charge for the follow-up visit. No financial hesitation about coming back in two weeks to recheck a blood pressure reading. No copay standing between you and the appointment you need.
The conditions we manage on an ongoing basis include:
For patients managing more than one of these conditions, the combination of unlimited visits, wholesale medications, and low-cost labs often means their total annual spending through Integrity Medicine is lower than what they were paying in copays, prescriptions, and lab bills under traditional insurance. Our article on whether Direct Primary Care is worth it for Kansas families works through the financial comparison by patient type for anyone who wants to run the numbers.
Say your Integrity Medicine physician finds something during a wellness exam that warrants a cardiology consult. Rather than handing you a referral slip and sending you on your way, your physician reaches out to the cardiologist directly, shares the relevant history, and stays in the loop on findings and next steps. When the specialist's report comes back, your primary care doctor reviews it, explains what it means, and manages whatever follow-up is needed. That entire arc of coordination is part of your membership.
This level of care management is something traditional high-volume practices struggle to deliver because there simply isn't enough time in a 15-minute visit model. At Integrity Medicine, your physician has the time to do it properly because the practice is built around a smaller patient panel and longer appointments.
When a member is hospitalized, Integrity Medicine physicians provide continuity of care during the stay at no additional charge. We coordinate with the hospital team, review what's happening, and manage next steps after discharge. That kind of continuity is largely absent from traditional primary care today, and it makes a real difference in outcomes.
For imaging and procedures outside the practice, your physician helps identify lower-cost cash-pay options. An MRI that costs over $1,000 through standard hospital billing can often be found for significantly less through facilities that offer transparent cash pricing. Your doctor will point you in the right direction rather than leaving you to figure it out alone.
Membership pricing is tiered by age with no enrollment fee and no long-term contract required. You can cancel with 30 days' notice if the model turns out not to be the right fit, though most members find it's the best healthcare decision they've made.Annual payment is accepted, and members who pay for a full year receive one month free.
For a family of two adults aged 18 to 44 and two children, total membership runs $180 per month. That covers unlimited visits, all included procedures, direct physician access, wholesale medication pricing, and discounted lab pricing for the entire family. The complete breakdown is on our pricing page.
Starting January 1, 2026, Integrity Medicine membership fees are also HSA-eligible under the One Big Beautiful Bill Act, per IRS Publication 969. Members enrolled in a qualifying high-deductible health plan can pay their monthly fee with pre-tax HSA dollars, up to $150 per month for individuals and $300 per month for families.
The most useful thing you can do before joining is add up what you actually spent on primary care last year. Pull your insurance statements. Count the office visit copays. Add the urgent care trips for things your regular doctor could have handled if you could have gotten in. Add what you paid for maintenance prescriptions. Add the lab fees you paid before meeting your deductible.
That total surprises most people. For patients without insurance, the savings from a single urgent care or emergency room visit can almost cover the entire cost of one year with a Direct Primary Care practice.
If you're a parent with school-age kids who get sick unpredictably, the same-day access and no-copay sick visits tend to make the math work quickly. If you're managing a chronic condition and coming in every month or two, the visits and wholesale prescription costs often add up to significant savings compared to what you were paying before. If you're self-employed or between jobs and currently uninsured, Direct Primary Care gives you access to the large majority of the care you need at a predictable monthly cost. Our primary care without insurance page explains what that looks like in practice.
If you're relatively healthy and see a doctor once a year for a physical, the monthly fee may feel less compelling. That's an honest answer worth sitting with.
What most people can't evaluate from a spreadsheet is the quality of the experience. Having a physician you can email or phone for non-urgent questions, knowing you can text or call if something urgent comes up, getting an appointment tomorrow instead of in three weeks, and seeing the same doctor every time rather than whoever happens to be available. Those things are harder to put a dollar figure on, but they're the reason our patients stay.
The best way to find out whether this is right for you is to come in and talk about it. There's no pressure, no commitment, and no charge for the conversation. We've had plenty of people come in for a Meet & Greet and decide the timing isn't right. We'd rather you make the right decision than the fast one.
Schedule your free Meet & Greet today.
Are all office visits really included with no copay? Unlimited office visits are covered by your monthly membership fee with no per-visit charge, including sick visits, wellness exams, annual physicals, chronic care follow-ups, and same-day appointments. You can come in as often as your health requires without any additional cost.
Does a Direct Primary Care membership cover blood work and lab tests? Lab work is not included in the base membership fee, but Integrity Medicine offers wholesale pricing that is dramatically lower than standard insurance billing. Basic blood panels that might cost $200 to $400 through traditional billing typically run $25 to $75 at wholesale. Members pay for labs directly at those reduced rates.
Does Direct Primary Care cover annual physicals? Annual wellness exams and physicals are included in your membership at no extra charge, for adults of all ages and for children from birth through age 20.
Can I get my prescriptions through Integrity Medicine? Most common generic medications are available through the Integrity Medicine wholesale pharmacy at approximately 85% less than standard retail pricing. A typical maintenance medication like lisinopril or metformin runs under $5 per month for members. Specialty drugs and brand-name medications without generics may still require insurance coverage.
Does Direct Primary Care cover STI testing? Integrity Medicine offers STI testing when clinically indicated. Lab fees apply at wholesale pricing rather than standard insurance billing rates, which is typically a significant cost reduction compared to what patients pay through traditional channels.
Are vaccines covered by a Direct Primary Care membership? Vaccine administration is included in your membership. The cost of the vaccines themselves varies by type. Your physician will help you identify low-cost sources, including local health departments, where appropriate.
Does Direct Primary Care cover mental health care? Integrity Medicine physicians provide mental health screening, medication management for depression and anxiety, and coordination with outside mental health providers. Inpatient psychiatric care and intensive outpatient mental health programs fall outside the membership and require insurance coverage.
What happens when I need a specialist or hospital care? Your physician coordinates referrals, communicates directly with specialists, and manages care continuity throughout. For non-urgent coordination questions, you can reach your doctor by email or phone. Specialist visits and hospital care are billed separately and typically covered through your insurance plan. Integrity Medicine physicians also stay involved during hospital stays at no additional charge, which is something most traditional primary care practices no longer offer.
Can my whole family be on one membership? Each family member has their own membership at the age-appropriate rate. Children under 17 are $30 per month with a paid adult, adults aged 18 to 44 are $60 per month, adults aged 45 to 64 are $80 per month, and patients over 65 are $100 per month. There's no additional per-visit charge for any family member regardless of how often they come in.
Is a Direct Primary Care membership the same as health insurance? A Direct Primary Care membership covers primary care services directly and does not replace health insurance for hospital care, emergencies, specialist visits, or major surgery. Most Integrity Medicine members carry a high-deductible health plan alongside their membership. Our guide on whether Direct Primary Care is worth it for Kansas families explains how the two work together.
