Annual Care Membership Options

Beginning November 1, 2026, ongoing care for established patients will be offered through one of two annual membership options.

Both options are designed to support continuity of care and regular follow-up while allowing the practice to remain intentionally small and responsive.

Both plans include ongoing portal access for brief questions and updates related to your established treatment plan. More complex concerns, new symptoms, or treatment changes require an appointment.

Essential Annual Care

$995 per year

Included appointments

Your annual membership includes two appointments each membership year, to be used when you feel they would be most helpful:

• One 45-minute appointment

• One 30-minute appointment

These visits can be used for routine follow-up, reviewing progress, discussing new concerns, reviewing test results, medication management, or adjusting an existing treatment plan.

Additional appointments are available any time you prefer  and are billed separately at the practice's usual hourly rate, currently $600/hour.

Included appointments must be used during the 12-month membership period and do not carry over into the following year.

Between-visit communication

Essential Annual Care includes continued access to the patient portal for:

• Brief questions about an established treatment plan

• Medication questions and routine refill requests, when clinically appropriate

• Brief updates about symptoms or response to treatment

• Questions about previously discussed lab testing, supplements, or recommendations

• Care coordination related to your established treatment plan

Messages are generally reviewed and answered within two business days.

Portal messaging is intended for concerns that can be safely and clearly addressed in writing. More complex questions, new symptoms, significant treatment changes, or issues requiring a detailed discussion may require an appointment. When appropriate, brief 15-minute appointments remain available so that clinical decisions do not have to be compressed into portal messages.

Scheduling and continuity

Essential members continue to have access to regular appointment scheduling, with an intentional  limit to our patient panel so that appointments can generally remain available within approximately one to two weeks.

The goal is to maintain an ongoing relationship in which we know your history, understand your priorities, and can pick up where we left off.

Premium Annual Care

$1,450 per year

Premium Annual Care includes everything in Essential Annual Care, plus an additional included appointment, faster communication, and enhanced scheduling access.

Included appointments

Your annual membership includes three appointments each membership year, to be used when you feel they would be most helpful:

• One 60-minute appointment

• Two 30-minute appointments

Additional appointments are available any time you prefer  and are billed separately at the practice's usual hourly rate, currently $600/hour.

Included appointments must be used during the 12-month membership period and do not carry over into the following year.

Premium communication

Premium members receive priority review of portal messages, with responses generally provided within one business day.

As with Essential Annual Care, portal communication is intended for questions that can be appropriately addressed in writing. More complex clinical concerns or treatment changes may require an appointment.

Premium and flexible scheduling

Premium members receive enhanced scheduling access, including:

• Priority access to available appointment times

• Same-week appointments when requested, except during holidays or the rare periods when Dr. Nett is away from the office

• Access to select early morning, Saturday, or otherwise limited appointment times when available

The Premium plan is intended for patients who place particular value on faster communication, additional included visit time, and greater scheduling flexibility.

What Both Plans Are Designed to Provide

The annual membership supports an ongoing physician-patient relationship rather than simply a series of isolated appointments.

We want to remain intentionally small so that we can continue to provide:

• Prompt responses when questions or concerns arise

• Appointment availability without routinely waiting weeks or months

• Thoughtful review and follow-through between visits

• Continuity with a physician who knows your history and priorities

• Enough time and capacity to address concerns carefully rather than rushing through them

• Regular follow-up rather than trying to fit an entire year of care into a single brief appointment

What Is Not Included

The annual fee does not provide unlimited appointments or increased portal-based medical guidance.

Additional appointments beyond those included in your membership are billed separately. Some new symptoms, medication changes, interpretation of new test results, or other issues may require a scheduled visit.

Membership is a 12-month commitment. Membership tiers cannot be changed during the membership year.

The practice's usual cancellation policy applies to included membership visits. Appointments must be cancelled or rescheduled at least two full business days in advance. An appointment cancelled with less than two full business days' notice, or a missed appointment, will be considered used and will not be replaced.

The membership does not replace primary care, urgent care, emergency care, or health insurance. Patients are expected to maintain a primary care physician for routine primary and preventive care and for needs outside the scope of this practice.

Outside laboratory testing, imaging, prescriptions, supplements, specialty consultations, and other third-party services are not included in the annual fee.

Ready to continue your care?

Choose your annual care plan through the patient portal. Your membership agreement will already be available in your chart for your review and signature.