Frequently asked questions
Clear answers about membership, insurance, access, and the application process.
- What is direct primary care?
- A membership model in which members pay the practice directly for the primary-care services described in their agreement.
- Is membership health insurance?
- No. Membership does not cover hospital, emergency, or specialist care. Commercial insurance may still be used for outside services subject to the individual plan.
- How much does membership cost?
- $199 per member per month, plus a one-time $250 processing fee per member.
- How do I become a member?
- New patient applications are temporarily paused while we complete operational preparations. We tentatively expect to resume accepting applications on or around September 14, 2026. Please check back for confirmation. When intake resumes, membership will remain application-based. Accepted applicants will receive private enrollment instructions from the practice.
- Does membership guarantee a medication or therapy?
- No. Every recommendation follows an individualized medical assessment. No prescription, peptide, hormone, infusion, procedure, or outcome is guaranteed.
- Can Medicare or Medicaid patients enroll?
- No. The practice does not enroll patients covered by Medicare or Medicaid.
- How do members reach Dr. Carlton?
- Members use Spruce for non-urgent secure communication. Emergencies require 911 or the nearest emergency department.
- Do I have to be a member to receive an infusion?
- Availability may differ by service. Every infusion requires an individual medical evaluation and eligibility determination before scheduling.
Still have a non-urgent question? Message the clinic through Spruce.