HealthNest Medical Policies

Membership & Pricing Policy

This page explains how HealthNest Medical's direct-pay membership, individual visit pricing, cancellations, and patient responsibilities work.

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HealthNest Medical membership is not health insurance. It provides only the primary care services specifically described in the final membership agreement.

Important Information Before You Enroll

  • HealthNest Medical is a direct-pay primary care practice.

  • Membership is not health insurance.

  • HealthNest Medical does not bill insurance for membership services unless explicitly stated in a separately approved written policy.

  • Members may be responsible for services that are not included in their membership.

  • We encourage patients to consider insurance or other financial protection for services outside HealthNest Medical, such as emergency, hospital, specialty, laboratory, imaging, and prescription services.

  • This public policy page is a summary. The final membership agreement controls when there is a difference.

Membership Plans and Pricing

HealthNest Medical membership plans and pricing
Membership PlanMonthly PriceAnnual PriceEligibilityEnrollment FeeAction
Adults Ages 18–39$69/month$745/yearAdd final eligibility requirements$0Choose This Membership
Adults Ages 40–64$89/month$961/yearAdd final eligibility requirements$0Choose This Membership
Adults Ages 65+$109/month$1,177/yearAdd final eligibility requirements$0Choose This Membership

Membership pricing and benefits are subject to the final membership agreement and may change only according to applicable policies, required notice, and the agreement terms.

Eligible additional family members may be added for $49/month, subject to HealthNest Medical's approved family eligibility policy. Add approved family and household eligibility requirements

What Your Membership May Include

Membership services are limited to the services specifically described in the final HealthNest Medical membership agreement. The following is a general summary and must be confirmed before enrollment.

  • Routine primary care visits offered by the practice

    Subject to final agreement and clinical appropriateness

  • Preventive-care discussions and health planning

    Subject to final agreement and clinical appropriateness

  • Follow-up for chronic health concerns when appropriate

    Subject to final agreement and clinical appropriateness

  • Evaluation of eligible non-emergency sick concerns

    Subject to final agreement and clinical appropriateness

  • Medication review and refill coordination when appropriate

    Subject to final agreement and clinical appropriateness

  • Telehealth when available and clinically appropriate

    Subject to final agreement and clinical appropriateness

  • Care coordination and referral support

    Subject to final agreement and clinical appropriateness

Adults Ages 18–39

  • Add approved services included in this plan
  • Add approved services included in this plan

Subject to final agreement and clinical appropriateness

Adults Ages 40–64

  • Add approved services included in this plan
  • Add approved services included in this plan

Subject to final agreement and clinical appropriateness

Adults Ages 65+

  • Add approved services included in this plan
  • Add approved services included in this plan

Subject to final agreement and clinical appropriateness

Telehealth and Home Visit Pricing

Telehealth Visits

New Patient Telehealth Visit
$99
Established Patient Telehealth Visit
$79

Telehealth is available only when clinically appropriate and permitted under current practice policies.

View Telehealth Details

Home Visits

New Patient Home Visit
$199
Established Patient Home Visit
$149
Service area
ADD_APPROVED_HOME_VISIT_SERVICE_AREA

Home visits are subject to clinical appropriateness, provider availability, safety conditions, and the approved service area.

View Home Visit Details

Additional fees and exclusions

Services That May Have Additional Charges

Services that may have additional charges
ServicePrice or Pricing MethodImportant Details
Laboratory testingPricing variesMay be provided by an outside laboratory or separately billed service.
ImagingPricing variesImaging is generally provided by outside facilities.
Prescription medicationsPricing variesMedication cost depends on the pharmacy, medication, and patient circumstances.
Forms and administrative requestsAdd approved price or policySome forms or administrative requests may require additional time or fees.

Services Not Included in Membership

  • Emergency department services
  • Ambulance transportation
  • Hospital care
  • Specialist care
  • Services provided by providers or facilities outside HealthNest Medical
  • Most laboratory services
  • Most imaging services
  • Prescription medication costs
  • Any services not specifically listed in the final membership agreement
HealthNest Medical members are responsible for the cost of services that are not included in the membership agreement, including care received from other providers, facilities, laboratories, imaging centers, and pharmacies. Members are responsible for charges associated with services not included in the membership agreement.

Membership Terms, Billing, and Cancellation

Memberships are month-to-month and renew automatically on the selected monthly billing schedule until cancelled. Prepayment is accepted for no more than 12 months.

Patient Acknowledgements

HealthNest Medical membership is not health insurance and does not replace comprehensive health insurance coverage.
Membership does not cover emergency services. Call 911 or go to the nearest emergency department for a medical emergency.
Members are responsible for charges associated with services not included in the membership agreement.
HealthNest Medical may update its policies and pricing with advance notice as required by the final membership agreement and applicable law.

Questions About These Policies?

Contact the HealthNest Medical office before enrolling so the team can answer your questions. Please do not include medical details in messages sent through this website.

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Policy version:
1.0
Effective date:
ADD_EFFECTIVE_DATE
Last updated:
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This page is an informational summary and is not a membership agreement. The final HealthNest Medical membership agreement controls if there is any difference.

Have Questions About Membership?

Our team can walk you through membership terms, pricing, and what is included before you enroll.