Direct primary care is a simpler way to get healthcare: one provider who knows you, unrushed visits, and same-day access, for a flat monthly membership instead of insurance billing. At Homesteady Health, Matthew Simone keeps his panel small on purpose, so your care is personal and never rushed.
Serving Trumansburg, Ithaca, Lansing, Newfield, Dryden, Groton, and the surrounding Finger Lakes communities.
Direct primary care is a membership model for everyday healthcare. Instead of billing insurance for each visit, you pay a flat monthly fee that covers your primary care: check-ups, sick visits, ongoing condition management, and direct access to your provider. That simple change removes the insurance middleman from your everyday care, which is what makes unrushed visits and same-day access possible.
Direct primary care is a membership model: one flat monthly fee for unrushed visits, direct access to your provider, and no insurance billing between you and your everyday care.
Most members keep insurance for hospital care, specialists, and emergencies, and use their Homesteady Health membership for everything primary care handles day to day. It is not insurance; it is a better front door to your health.
Traditional primary care runs on volume: short visits, a rotating cast, and a stopwatch. Homesteady Health is built the opposite way. Matthew keeps his panel small on purpose, so your visits are unhurried, you see the same provider every time, and decisions are made with your whole history in view.
That relationship is the point. When your provider knows you, small things get caught early and big things get handled calmly, without you having to start over at every appointment or come into the office for every issue.
The difference you feel is time and access. Here is how the two models tend to compare.
| Homesteady Health (Direct Primary Care) | Traditional insurance-based care | |
|---|---|---|
| Typical visit length | Unhurried, often 30 to 60 minutes | Often 10 to 15 minutes |
| Same-day or next-day access | Included with membership | Often days to weeks |
| See the same provider | Yes, every visit | Varies |
| Message your provider directly | Yes | Rarely |
| Cost model | Flat monthly membership | Copays, deductibles, and claims |
| Insurance required | No | Yes |
The difference you feel is time. Small panels mean your visit is not rushed, your provider knows your history, and you are treated as a person, not a number.
One membership, most of what your health needs day to day, all from a provider who knows you.
Check-ups, physicals, screenings, and the ongoing care that keeps you well, unhurried and on your schedule.
Ongoing care for diabetes, blood pressure, cholesterol, and thyroid.
An unrushed alternative to the urgent care line for minor, non-emergency needs.
Lab-guided thyroid care, plus men’s and women’s hormonal care.
Message your provider directly and handle many needs by telehealth across New York.
Employment physicals, QuantiFERON Gold, fit testing, and titers for you or your team.
Have a team to cover? See small business healthcare, or browse all of our services.
Homesteady Health cares for children from age 2, adults, and seniors, with membership plans that fit a household.
From kids age 2 and up to adults and seniors, with age-tiered pricing so care fits your stage of life.
Family memberships cover a whole household under one plan, with discounts as you add members.
If you have no insurance or a high deductible, membership gives you predictable, affordable everyday care.
If you are tired of rushed visits and a rotating cast of providers, this is care built around knowing you.
Founder & Nurse Practitioner · Men's Health & TRT
Matthew founded HomeSteady Health to practice medicine without the clock and the profit-over-patient mindset of corporate care. 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. He understands the energy his patients are trying to get back because he depends on it too. Hormone treatment is medical care, not a product: it requires proper testing, thoughtful interpretation, and ongoing follow-up. That’s the standard every fatigue evaluation here is held to.
Years in healthcare
Years as a Nurse Practitioner
Board-certified · family practice
Board member · Region 2
A flat monthly membership covers your everyday primary care, with discounted labs and no per-visit fees. No insurance required.
Age-tiered monthly pricing, with family discounts available.
Discounts apply as you add members of your family to the plan.
Not sure yet? Start with a free, no-obligation consultation.
Direct primary care is a membership model for everyday healthcare. Instead of billing insurance per visit, you pay a flat monthly fee that covers your primary care: check-ups, sick visits, ongoing condition management, and direct access to your provider. Removing insurance from your everyday care is what makes unrushed visits and same-day access possible.
The biggest differences are time and access. In a membership model your visits are unhurried, you see the same provider every time, and you can reach them directly between visits, all for a predictable flat fee instead of copays and claims. Traditional insurance-based care tends to run on shorter visits and longer waits.
Direct primary care is not insurance, and most members keep insurance for hospital care, specialists, and emergencies. Your Homesteady Health membership covers the everyday primary care you use most, with no insurance billing for those visits.
Your membership covers everyday primary care: check-ups and physicals, ongoing condition management, same-day sick visits, direct messaging with your provider, and telehealth across New York, plus labs at discounted rates. It is care built around one provider who knows you.
Membership is age-tiered and starts at $49 per month: ages 2 to 18 are $49, ages 19 to 24 are $74, ages 25 to 58 are $99, and ages 59 and up are $129. Family plans cover a household, starting at $174 per month for a couple, with additional children just $26 per month each. Labs are available to members at discounted rates.
Yes. Same-day and next-day access is one of the main benefits of membership, and many questions can be handled by a direct message or a quick telehealth visit without coming in at all.
Yes. Homesteady Health cares for children from age 2, adults, and seniors, and family memberships cover a whole household under one plan with discounts as you add members. It is a practice built to be your family’s medical home.
The best first step is a free, no-obligation consultation with Matthew to see how membership works and whether Homesteady Health is the right fit for you and your family. You can book online or call us at 607-882-6001.
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