Rochester, NY Finger Lakes
Relationship-based primary care, delivered virtually
Primary care in Rochester should not mean a month-long wait for a fifteen-minute visit. Homesteady Health gives you one provider who knows your history, reachable by video, phone, or message for a flat monthly fee, with a Finger Lakes office ready whenever an in-person visit makes sense.
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25+ yrs experience
Certified hormone specialist
Matthew, NP · Founder
In a nutshell
Direct primary care replaces insurance-driven visits with a flat monthly membership and a direct line to your own clinician. For Rochester members, most of that care happens virtually, by video, phone, or secure message, and our Trumansburg office is there for the visits that are better in person.
The model
A membership-based primary care model, delivered mostly online, with one clinician who learns your history
Best for
Rochester individuals and families who want faster, more personal care
Included
Unlimited virtual visits, direct provider messaging, preventive and chronic care, and members-only lab pricing
In person
In-person visits at our Trumansburg office, roughly 90 minutes south through the Finger Lakes
Cost
One predictable monthly fee, starting at $49 and tiered by age, with family rates
Provider
Matthew Simone, FNP-BC, a New York licensed, board-certified nurse practitioner
No copays, no phone trees, no ten-minute appointments
Traditional primary care runs on volume: short visits, long waits, and a charge for every interaction. Telehealth direct primary care flips that. Your membership covers the everyday care you actually use, and you reach your provider directly instead of working through a front desk or a claims process.
✓ As many video or phone visits as you need, with no per-visit charge
✓ A direct message thread with your provider between appointments
✓ Same-day or next-day answers when something comes up
✓ Physicals, preventive care, and day-to-day management of ongoing conditions
✓ Labs at member pricing, reviewed with you rather than mailed and forgotten
✓ The option to come into the Finger Lakes office whenever you would rather be seen in person
How care actually happens
Membership starts with a visit to meet your provider. After that, you reach care directly. The bulk of primary care, sick visits, follow-ups, prescription management, lab review, and check-ins on ongoing conditions, works well over video, phone, or message. The handful of things that need a physical exam bring you into the office.
Video, phone, and secure messaging cover the large majority of what primary care involves day to day.
For the visits that need hands-on attention, the Trumansburg office sits about 90 minutes south of Rochester.
Matthew Simone practices under New York licensure, so your virtual care comes from a provider credentialed in your own state.
How it compares to the alternatives
On-demand telehealth apps hand you whichever clinician is free, and a conventional practice can take weeks to fit in a new patient. Direct primary care gives you the same provider every time, one who already knows your chart, for a set monthly cost.
For a Rochester member, that means same-day and next-day virtual visits with a provider who knows you, direct messaging in between, and time that is not cut short, all without a commute or a claim.
× A new face at every visit, starting from scratch each time
× Weeks of lead time just to be seen as a new patient
× Copays and per-visit charges that pile up over a year
× Every decision routed through claims, networks, and referrals
✓ One provider who already knows your history, visit after visit
✓ Video, phone, or message access on the same or next day
✓ A flat monthly fee you can plan around, with nothing to file
✓ A Finger Lakes office roughly 90 minutes out for the times you want to be seen in person
What membership costs
Individual pricing scales with age, and families save as they add members. Whatever tier you land in, one monthly fee covers your primary care, unlimited visits in person or online, and a direct line to your provider.
Monthly pricing by age band, with family rates available.
Ages 3 to 18
$49/mo
Ages 19 to 24
$74/mo
Ages 25 to 58
$99/mo
Ages 59 and up
$129/mo
Best value for households
Add family members and the per-person rate comes down.
Couple
$174/mo
Family (2 adults, 2 children)
$249/mo
Family (1 adult, 2 children)
$174/mo
Additional children
$26/mo each
Serving the Rochester area
Homesteady Health serves patients across the Rochester area by telehealth, from Pittsford and Brighton to Penfield, Fairport, Webster, Greece, Henrietta, and Irondequoit. Many of our members are busy professionals, University of Rochester and RIT staff, and families juggling work and caregiving. You get a provider who knows you, without building your day around a commute across town or a long wait for the next opening.
Rochester winters bring plenty of lake-effect snow off Lake Ontario. On days like that, a video visit or a quick message with your own provider keeps your care on track without anyone getting in the car. When you do want to be seen in person, our office in Trumansburg is about 90 minutes from Rochester, an easy trip through the Finger Lakes when it is worth the drive.
For the major stuff
Direct primary care is not insurance, so it will not cover the big events, a hospital stay or a surgery. Membership stands on its own for everyday care, and if you want those larger costs covered, it pairs well with an optional high-deductible plan or a health-sharing program.
Have a health savings account? As of January 1, 2026, federal rules let people in a qualifying direct primary care arrangement keep contributing to an HSA, and HSA dollars can pay the monthly membership fee tax-free. Homesteady Health fees sit under the IRS monthly caps of $150 for an individual and $300 for a family. Check with your HSA administrator or tax advisor to confirm how it applies to your account.
If health sharing appeals to you, Homesteady Health is an affiliate partner with Zion Health Share, an option made to sit alongside direct primary care. You can compare Zion Health Share membership options. Since plan structure and tax treatment differ from person to person, it is worth talking through what fits your situation, and we are happy to walk through how membership sits next to any existing coverage.
Getting started
No waitlist, no drawn-out enrollment. You can be set up with your provider in about the time it takes to read this page.
1
Meet Matthew over video, ask whatever you want, and decide if it is a fit, at no charge.
2
Sign up online and fill out a short intake so your provider starts with the full picture.
3
From day one, reach your provider directly by video, phone, or message.
Who you'll see
Matthew Simone is a board-certified Family Nurse Practitioner with more than 25 years in medicine, including running urgent care centers and working in emergency departments before he founded Homesteady Health. He built the practice around personal, effective care, and he is the one you see at every visit, on screen or in the office.
Board-Certified Family Nurse Practitioner (FNP-BC)
2025 Nurse Practitioner of the Year, NPA of New York State
President, Region 2, NPA of New York State
New York licensed · 25+ years in healthcare
“I wanted to create a system where patients come first. Direct primary care gives me the freedom to provide the time, care, and attention my patients deserve, wherever they are.”
Matthew has lived in the Finger Lakes for years and cares for patients throughout the region. You can read more about Homesteady Health or meet the care team.
“My initial visit with Matt was a dream. We spent over an hour talking, and by the end I had a clear plan on what to do next.”
Francis T., member
Book a free meet and greet and see how telehealth direct primary care works for a Rochester schedule: one provider who knows you, reachable when you need them, with an in-person option when you want it.
Questions people ask
Can telehealth really handle my primary care?
For the everyday stuff, yes. Sick visits, follow-ups, prescription management, lab review, and managing conditions like blood pressure or thyroid all work well by video, phone, or message. When something needs a physical exam, you come in. What sets it apart from a random telehealth app is that the same provider handles all of it and knows your history.
What if I need to be seen in person?
You can be, any time it helps. Most primary care does not require an exam room, but some situations do, and the Trumansburg office is open to you, about 90 minutes south of Rochester through the Finger Lakes.
Do I have to live near the office to join?
No. Because care is telehealth-first, Rochester members rarely make the drive. The office is there when an in-person visit is worth it, at 1859 Trumansburg Road in Trumansburg.
Is this a replacement for health insurance?
No. Direct primary care covers your routine and preventive care directly, but it is not insurance. Plenty of members use it on its own, and it pairs well with a high-deductible plan or a health-sharing program if you want a hospital stay or surgery covered.
Can I pay for membership with my HSA?
Usually, yes. Beginning in 2026, federal rules let you pay periodic direct primary care fees from an HSA tax-free, and a qualifying membership no longer blocks HSA contributions. Our fees fall under the IRS monthly caps of $150 for an individual and $300 for a family. Your HSA administrator or tax advisor can confirm how it works for your account.
Can Matthew prescribe and order labs for me in New York?
Yes. He is licensed in New York and can order labs and prescribe for established members here, with labs at member pricing. A few medications or situations may still call for an in-person visit.
How much does membership run?
It is a flat monthly fee. Individuals are priced by age, from $49 a month for ages 3 to 18 up to $129 for 59 and older, and families get a break, a couple is $174 a month. No copays, no claims on top.
How do I sign up?
Book a free, no-pressure meet and greet or call 607-882-6001. We will talk through what you need and get you set up. You can also contact us to get started.
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