• More Than Just Sick Care: We focus heavily on prevention and wellness
• We Make It Easy: Never a copayment again — All services included
• We Make It Personal: We care for you like we would our own family members
• Affordable and All-Inclusive: $2-3/day equivalent, less than most cell phone bills
Individual Membership
HOW DOES IT WORK?
WHAT IS INCLUDED?
• Get Well Faster and Stay Well Longer: Unrestricted and timely acess to our services
• All-Inclusive: From skin biopsies, joint injections to stiches, we do it all *.
• Wholesale pricing on everything else: laboratory, radiology, and generic non-controlled prescriptions
HOW ARE THE SERVICES?
• Services exclusively provided by experienced board-certified family physicians
• With no time restrictions, we can care for 80-90% of your needs.
• Virtual Specialist Consultations available and inclusive
• We Focus on Quality, not Quantity: maximum 500 members per full-time physicians
Limited Concierge Membership * | DPC Concierge Membership * | DPC Membership & Health Cost Sharing** |
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For patients with | Traditional Medicare only, with or without Supplemental plans |
Uninsured patients Medicare Advantage plans All other insurance plans |
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Direct Primary Care (DPC) Services ^ |
Physician Services | |||
Annual Wellness Evaluation | Billed Separately to Medicare | ||
Well Woman Visit ^ | Billed Separately to Medicare | ||
Office Visits ^ | Billed Separately to Medicare | ||
Video Telemedicine Services (in Texas only) |
Billed Separately to Medicare
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Secure E-mails and Text Messages | |||
Telephone Consultations | |||
Other Physicals: School/Camp/Sport | |||
Virtual Specialist Consultations | |||
After-Hours Urgent Access | |||
Medicare requires billing of all medically-indicated and covered services to Medicare.
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In-office Services | |||
ECG (Electrocardiogram) | Included (when not symptomatic) |
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In-office Procedure: Wart freezing with liquid nitrogen | Billed Separately to Medicare Or Included (when cosmetic) |
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In-office Procedure: Wound care with stiches, or glue | Billed Separately to Medicare | ||
In-office Procedure: Ear wash for wax, ear foreign object removal | Billed Separately to Medicare | ||
In-office Procedure: Nebulizer breathing treatment | Billed Separately to Medicare | ||
In-office Procedure: Skin lesion biopsy or removal ^ | Billed Separately to Medicare | ||
In-office Procedure: Abscess incision and drainage | Billed Separately to Medicare | ||
Urine Test for Bladder Infection | Billed Separately to Medicare | ||
Urine Pregnancy Test | Billed Separately to Medicare | ||
Rapid Strep Test | Billed Separately to Medicare | ||
Rapid Flu Test | Billed Separately to Medicare | ||
Rapid RSV Test | Billed Separately to Medicare | ||
Rapid COVID-19 Test (Antigen or PCR) | Billed Separately to Medicare | ||
Lab COVID-19 PCR Test (Send out, 24-36 hours) | Billed Separately to Medicare | ||
Vaccines (influenza, TdaP) | Billed Separately to Medicare |
Third-party Services | |||
Laboratory: Blood tests, etc. |
Via Medicare, or
Wholesale pricing (when not covered by Medicare) |
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Radiology: X-rays, Ultrasound, CT and MRI |
Via Insurance, or
Wholesale pricing |
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Generic (non-controlled) Medications via In-house Pharmacy* |
Via Insurance, or
Wholesale pricing |
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Medical Equipments* |
Via Insurance, or
Wholesale pricing |
Larger Health Needs | |||
Maternity Care |
Via Insurance
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Self-pay | Shareable** |
Emergency Care |
Via Insurance
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Self-pay | Shareable** |
Hospitalizations |
Via Insurance
|
Self-pay | Shareable** |
Specialist Visits |
Via Insurance
|
Self-pay | Shareable** |
Therapy services (PT/OT/ST, Chiropractic) |
Via Insurance
|
Self-pay | Shareable** |
Surgeries |
Via Insurance
|
Self-pay | Shareable** |
Welcome to the Ochna Health Family |
JOIN TODAY | JOIN TODAY | JOIN TODAY |
We can help you with … | ||
COVID-19 Allergies Asthma Eczema |
Migraine Acne COPD Diabetes |
High blood pressure High cholesterol Thyroid conditions Anemia |
Acid reflux Liver disease Kidney disease Heart disease |
Irritable bowel syndrome Arthritis Osteoporosis Depression/Anxiety |
Insomnia Fibromyalgia Seizure Cancer |
… and more
Monthly Individual Membership | |||
Age 0-18 | N/A | $55 (eligible only under an adult membership) |
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Age 19-64 | $75 ( when paid annually) | $95 | From $201* |
Age 65+ without Medicare | $75 (when paid annually) | $115 |
Monthly Family Membership | |||
Couple Max (2 adults of any age, no children) | $171 | ||
Family Max (Up to 2 adults of any age, plus 2 children up to age 18) | $270 | ||
Single Parent Max (One adult of any age, plus 2 children up to age 18) | $185 | ||
Additional Child Max (up to age 18) | $49 |
Individual age 18 is considered an Adult if on an Individual Membership, Children if under a Family Membership
More information
There is a one-time enrollment fee of $150 per DPC membership, regardless of the number of individuals enrolled.
DPC Membership is month-to-month, and you can cancel at any time.
When requested, cancellation will be effective the next monthly billing cycle.
Upon renewal, an enrollment fee equal of the initial enrollment fee current at the time of renewal applies, as well as the current memberhip pricing at that time.
Family members added at a later time are subject to the membership pricing current at the time of the addition, not at the time the membership was first started with the original member.
Please see Membership Agreement for full details.
External Ancillary Services
There might be a separate lab charge for analysis of Pap smear sample or skin biopsy sample.
COVID-19 Tests are paid for by your insurance plan until the end of the Public Health Emergency in May 2023.
Limitation of Telemedicine Services
Services are restricted to when you are physically located in the state of Texas.
When you are outside the state of Texas, services are limited to phone calls, portal or secure text messages.
Frequency of Consultations
There are no restrictions on frequency, types, or duration of office consultation per month so long as membership is active.
There are never any co-payments for any consultations except for DOT Physicals.
Costs of medications and immunizations are not included.
There are local resources available for low-cost immunizations, and routine screening tests such as mammogram and colonoscopy.
Membership pricing is subject to change at any time without notice.
Limited Concierge Membership Program can be paid quarterly, semi-annually, or annually.
There is no registration fee for this program.
This program is available exclusively for patients with traditional Medicare, with or without a supplemental plan.
This program is not available to patients with any Medicare Advantage plans.
It is recommended that you have certain types of catastrophic coverage in case of serious illnesses requiring emergency care or hospitalizations.
Medical Cost Sharing (also known as Health Cost Sharing)
Each program has limitations. Please review each program’s guidelines individually.
Combined DPC + Health Cost Sharing price as listed is for DPC Membership and Sedera Health Access+ Medical Cost Sharing Program with a $5,000 Initial Unshareable Amount and 14.5% DPC Discount included.
This is provided for information only, and not meant to be an endorsement of any particular programs.
Ochna Health is not affiliated with any programs mentioned.
Please review our blog regarding Health Cost Sharing programs for a more detailed comparison of the most common plans.
Alternative for Health Cost Sharing plans are high-deductible, private, or short-term health insurance plans.
You may get a stipend or discount of your monthly health cost sharing plan contributions with Sedera Health, Zion Health, Liberty Healthshare, or Samaritan Ministries.
The Texas Department of Insurance lists all individual ACA-compliant insurance plans in Texas, both on and off the Exchange.
Generic (non-controlled) Prescription Medications are dispensed by Ochna Health Pharmacy and not included in membership.
For in-office procedures, an external lab charge may apply for analysis of skin or specimen samples.
For injections of medications, there is an extra charge for the medications themselves.