Direct Primary Care Membership & Pricing Near Ithaca, NY
Direct Primary Care · Ithaca & Trumansburg, NY
Real primary care for one flat monthly fee — individual plans from $49/month, family plans, and dedicated men's and women's hormone care. Unlimited visits, direct access to your provider, and honest, up-front pricing. No insurance needed, no copays, no surprise bills.
The short answer
Direct primary care (DPC) is a membership model: you pay a flat monthly fee directly to the practice for unlimited primary care — no insurance billing, no copays, no surprise charges. At Homesteady Health, individual memberships are age-tiered starting at $49/month, with family plans and dedicated men’s and women’s hormone-care tracks. The membership covers your primary care; lab work is available at discounted rates, and prescriptions are kept transparent and low-cost.
Choose the membership that fits
Individual fees are tiered by age, with discounts built in for families. One flat monthly fee covers your primary care — unlimited visits, in person or virtual, and direct access to your provider.
Individual Membership
Age-tiered monthly pricing, with family discounts available.
Family Memberships
Discounts apply as you add members of your family to the plan.
Dedicated men's & women's health tracks
Focused hormone and specialty care, with the same flat-fee, no-surprises approach. These tracks can stand alone or complement a primary care membership.
Men's Health & TRT
Specialized care for men, including hormone support and testosterone replacement therapy when labs and symptoms align. Begins with a $249 evaluation (consult, discounted labs, exam & review).
Women's Hormonal Care
Perimenopause and menopause hormone replacement therapy (HRT) and hormonal care, tailored to you and monitored over time — not a one-size prescription.
Small Business & Teams
Affordable, accessible healthcare plans tailored for teams and small-business employees — a real benefit without the complexity of traditional insurance.
Prefer care that comes to you?
Beyond the standard memberships, Homesteady Health offers a separate Home Visit Exclusive Plan — a concierge option where your primary care happens in the comfort of your own home. It's a distinct, limited-availability plan, not part of the standard membership tiers.
The Home Visit Exclusive Plan
In person in Trumansburg and the surrounding areas — an honest, confidential conversation about what’s changed and when.
- In-home primary care visits on your schedule
- The same direct, one-on-one access to Matthew
- A limited number of memberships to protect availability
See full details & availability on the plan page.
What your flat monthly fee covers
Unlimited visits
See your provider as often as you need — in person in Trumansburg or by telehealth anywhere in New York — with no per-visit charge.
Direct provider access
Message and reach your provider directly. No phone trees, no waiting weeks for a slot for a five-minute question.
Longer appointments
Real, unhurried visits. Care built around understanding your whole picture, not moving you through a 7-minute slot.
Discounted lab work
Comprehensive labs at member-discounted rates, drawn locally, and interpreted in context by the provider who ordered them.
Transparent medication pricing
Prescriptions kept transparent and low-cost, with no games — you always know what you’re paying and why.
No insurance games
No copays, no claims, no surprise bills. One flat monthly fee, cancel anytime. Works alongside a high-deductible plan for the big stuff — and you can even use your HSA.
What is direct primary care — and what does it cost?
Direct primary care removes insurance from the everyday doctor-patient relationship. Here are the questions people ask most before joining, answered plainly.
What is direct primary care (DPC)?
Direct primary care is a membership model where you pay a flat monthly fee directly to your primary care practice instead of routing everyday care through insurance. In exchange you get unlimited visits, direct access to your provider, longer appointments, and transparent pricing on labs and medications. It’s most powerful paired with a high-deductible or catastrophic insurance plan that covers emergencies and hospitalization.
How much does direct primary care cost?
DPC memberships typically run from roughly $50 to $150 per month depending on age and plan. At Homesteady Health, individual memberships start at $49/month for ages 3–18, $74 for 19–24, $99 for 25–58, and $129 for 59+, with couple and family plans that lower the per-person cost and additional children at just $26/month. There are no copays and no surprise bills on top of the membership.
Does DPC replace my health insurance?
No — it complements it. DPC covers your everyday primary care; you’ll still want insurance (often a lower-cost, high-deductible plan) for emergencies, hospital stays, specialists, and surgery. Many members save money overall by pairing an affordable DPC membership with a cheaper high-deductible plan instead of a costly low-deductible one.
Do I need insurance to join?
No. You can join Homesteady Health with or without insurance — the membership stands on its own. Uninsured members get affordable, predictable primary care; insured members get direct-access care their plan doesn’t otherwise provide, plus discounted labs and transparent medication pricing.
Direct primary care vs. traditional insurance-based care
| What you get | Homesteady DPC | Traditional office |
|---|---|---|
| Monthly cost | Flat fee from $49 | Premiums + copays + surprise bills |
| Visit length | Longer, unhurried | Often 7–15 minutes |
| Access to your provider | Direct — message & reach them | Phone trees & portals |
| Visits per month | Unlimited | Charged per visit |
| Lab & medication pricing | Discounted & transparent | Marked up & opaque |
| Surprise bills | None | Common |
DPC covers everyday primary care and pairs well with a high-deductible insurance plan for emergencies, hospitalization, and specialist care.
Joining takes three steps
Free consultation
Not sure if DPC is right for you? Have a no-obligation conversation with Matthew to get your questions answered.
Pick your plan
Choose the individual, family, or specialty track that fits. Simple flat monthly pricing — cancel anytime.
Start getting care
Unlimited visits, direct access, discounted labs, and transparent medication pricing — starting day one.
Matthew Simone, FNP-BC
Founder & Nurse Practitioner · Men's Health & TRT
- FNP-BC — board-certified, Family Practice trained
- 25+ years in healthcare; 19 as a Nurse Practitioner
- Family practice in the Alaskan bush; trauma, ER & urgent care in Philadelphia
- Board member, Region 2 — NP Association of New York
- 2025 NP of the Year — NPA of New York
- Sees you in person in Trumansburg, reachable directly
One provider who actually knows you
Matthew founded Homesteady Health to practice medicine without the clock and the profit-over-patient mindset of corporate care. That’s the whole point of the membership model: flat, honest pricing and the time to actually know his patients. Across more than 25 years he’s practiced family medicine in the Alaskan bush, worked trauma and the ER in fast-paced Philadelphia, and built urgent-care clinics there. Today he serves on the board of Region 2 of the Nurse Practitioner Association of New York, where he was named NP of the Year in 2025.
He also lives the active Finger Lakes lifestyle — running, grappling, basketball, coaching, hunting, fishing, and time out on Cayuga Lake. When you join Homesteady Health, you’re not getting an 800 number and a rotating cast of providers. You’re getting one local practitioner who’ll still be here next year, and who you can reach directly.
Years in healthcare
Years as a Nurse Practitioner
Board-certified · family practice
Board member · Region 2
Membership & pricing questions, answered
How much does a direct primary care membership cost?
At Homesteady Health, individual memberships are age-tiered: $49/month for ages 3–18, $74 for 19–24, $99 for 25–58, and $129 for 59 and up. Couple plans are $174/month, a family of 2 adults and 2 children is $249/month, and additional children are $26/month each. Men’s Health & TRT is a $149/month track. There are no copays or surprise bills on top of the membership.
What's included in the membership?
Unlimited primary care visits (in person or virtual), urgent care, direct access to your provider, longer appointments, discounted lab work, and transparent medication pricing. It’s your everyday primary care covered by one flat monthly fee, with no per-visit charges.
Do I need insurance to become a member?
No. You can join with or without insurance. The membership covers your primary care on its own. Most members pair it with a lower-cost, high-deductible insurance plan that handles emergencies, hospitalization, and specialists — often saving money overall.
Does the membership include lab work?
Lab work isn’t bundled into the monthly fee, but members get comprehensive labs at discounted rates, drawn locally and interpreted in context by the provider who ordered them — no marked-up hospital lab bills.
Can I cancel anytime?
Yes. Membership is a simple flat monthly fee with no long-term contract — you can cancel anytime.
Are there family discounts?
Yes. Family pricing lowers the per-person cost — a couple is $174/month, a family of 2 adults and 2 children is $249/month, and each additional child is just $26/month.
Do you offer plans for businesses?
Yes. We offer affordable, accessible healthcare plans tailored for teams and small-business employees. Reach out and we’ll build something that fits your group.
Do you offer home visits?
Home visits are available through a separate Home Visit Exclusive Plan — a concierge, limited-availability option where your primary care comes to you at home. They aren’t part of the standard membership tiers. You can see full details and availability on the Home Visit Exclusive Plan page.
Do I have to live in Ithaca or Trumansburg?
The office is at 1859 Trumansburg Rd, about 20 minutes from Ithaca. Members anywhere in New York can be cared for by telehealth, with labs drawn close to home.