Got Questions? We Have Answers.

Direct Primary Care is a membership-based approach that removes insurance from routine primary care. You pay a flat monthly fee for comprehensive primary care — unlimited visits, same or next-day access, and a real relationship with one consistent provider. No copays, no surprise bills.

In a traditional practice, providers see 20–30 patients a day because insurance reimbursements require volume. At AfyaGM, our flat-fee model means we spend the time each patient actually needs. Visits are longer, access is faster, and your provider truly knows your story.

Concierge medicine layers a membership fee on top of traditional insurance billing — you still pay premiums and copays. DPC removes insurance entirely from primary care. AfyaGM memberships start at $89/month with no additional per-visit costs.

Individual memberships start at $89/month. Couples plans are $159/month. Family plans (2 adults + 2 children ages 12–17) are $229/month. Additional children are +$30/month, additional adults are +$49/month. Enhanced plans range from $239 - $289/month. A one-time $50 enrollment fee applies to all memberships.

Memberships are month-to-month with 30 days notice to cancel. We offer a 10% discount for annual billing. We earn your continued membership through the quality of what we provide.

Your membership covers all primary care visits. Some procedures and rapid tests are available at flat rates (strep $15, laceration repair $40). Specialist referrals, imaging, and hospital care are separate and billed through insurance or self-pay. We always provide pricing upfront.

AfyaGM does not bill insurance for primary care visits — that is how we keep costs low and visits unhurried. We can still submit referrals to specialists and coordinate care with your insurance when needed.

We recommend carrying a health insurance plan — ideally a high-deductible plan — for hospitalizations, specialist care, imaging, and emergencies. Many patients find pairing DPC with a high-deductible plan saves significant money compared to traditional insurance alone.

Yes — starting January 1, 2026, HSA funds may be used for Direct Primary Care memberships. Please consult your HSA administrator to confirm eligibility and specifics for your account.

AfyaGM aims for same or next-day appointments for urgent needs. Routine wellness visits are typically available within a few days. Because we limit our patient panel size, you will never be competing with hundreds of other patients for time.

Yes. AfyaGM members have direct access to Dr. Small for urgent questions via the Hint patient portal. For true emergencies, please call 911.

Yes. We offer both in-person visits at our West Chester, Ohio office and virtual visits for patients across Ohio, Arizona, Minnesota, and Washington — all included in your membership.

AfyaGM provides care for patients ages 12 and older. Family plans include children ages 12–17, with additional children at $30/month each.

Yes. AfyaGM offers medically guided weight management through our premium plans — clinically framed cardiometabolic risk reduction programs with individualized evaluation and lab monitoring.

Yes, through the Balance+ DPC plan ($239/mo). AfyaGM offers evidence-based hormone therapy for perimenopause and andropause with individualized evaluation and ongoing monitoring in addition to Primary Care.

Yes. AfyaGM partners with small businesses (5–50 employees) to provide occupational health services including DOT physicals, TB testing, worksite risk assessments, Mental Health First Aid training, and DPC memberships.

Employer pricing is customized based on workforce size and services needed. We offer flat-rate pricing with no long-term contracts. Contact us at Info@Afyagmhealth.com or (513) 847-3933.