Relaxed consultation
Visits are designed to feel clear and collaborative, not rushed.
Transparent structure
Simple, transparent pricing for more connected care.
Premonition Health offers pathways for insurance, Medicare, Medicaid, and direct membership so patients can choose a model that fits both care needs and budget. We focus on clear, transparent, and fair pricing with no surprise bills, plus discounted medications, cash-pay labs, and cash-pay radiology studies.
Options explained clearly
We walk through coverage and membership fit before you commit.
Patients feel heard
Care planning starts with listening and understanding what matters most to you.
Insurance Fit Quiz
Tell us your current insurance, and we will point you to the best starting option.
Select an option above to see your recommended path.
Compare Your Options
Select plans to compare side by side.
| Feature | Hybrid | Direct | Medicare | Medicaid | Weight Loss |
|---|---|---|---|---|---|
| Base monthly cost | $65/mo | $65/mo | ACPM billed to Medicare (usually $40-$60 covered) | No out-of-pocket for covered services | From $130/mo |
| Insurance use | Yes, works with commercial plans | No insurance billing | In-network Medicare billing | In-network Medicaid billing | Varies by plan and medication path |
| Best fit | Commercial insurance patients wanting extra access | Self-pay patients wanting predictable monthly cost | Patients on Medicare coverage | Patients on Medicaid (waitlist may apply) | Patients seeking clinician-guided weight loss |
Insurance-friendly path
$65/mo
Use insurance and membership together
- Designed to work alongside insurance where applicable
- Longer visits and enhanced access
- Insurance payments are applied to upcoming monthly payments to help offset cost
- No co-pays or co-insurance charged
Example: A patient with commercial insurance comes in for an initial visit and pays $65 that day to cover the first month. If insurance pays $120 for the visit, that credit is applied to upcoming membership fees.
That means the next month is fully covered, and the following month is only $10. If they come in for more visits, they continue to accumulate credit. There are no additional co-pays or co-insurance charges, and any patient responsibility still counts toward their deductible.
Monthly membership path
$65/mo
Simple monthly payment with no insurance billing
- Primary care through a direct monthly membership
- No per-visit fee within plan structure
- Transparent expectations and continuity
Medical oversight plus medication options
From $130/mo
Medication pricing varies by dose and delivery method
- Structured follow-up and monitoring
- Semaglutide and tirzepatide pricing shown on the Weight Loss page
- Medication costs reviewed clearly before you start
- Medicare patients are charged the standard APCM fee through Medicare in lieu of the $65/month membership fee
- Patients already in another membership program can add weight loss services for only the cost of medications
A clearer conversation
We review your path together.
Whether you have commercial insurance, Medicare, Medicaid, or prefer direct membership, you will have a clear discussion about cost and fit.
"You should understand your options before making a decision."
Medicare
We bill Medicare for a monthly ACPM code (usually $40-$60), which is a covered service. Otherwise, our billing works like any other in-network provider.
- In-network Medicare billing
- Monthly ACPM code billed to Medicare when applicable
- Dual eligible Medicare/Medicaid patients have no out-of-pocket costs
Medicaid
We accept Medicaid with no out-of-pocket costs for covered services. There is generally a waitlist that opens more spots as the clinic grows.
- Medicaid accepted
- No out-of-pocket costs for covered services
- Call the clinic to ask about current availability or to join the waitlist
How membership can save money
- Avoiding ER/urgent care visits: Faster access can prevent expensive urgent visits. A single ER bill can exceed a full year of membership fees.
- No unnecessary visits: We are incentivized to resolve issues in as few visits as clinically appropriate, saving time and money.
- Cash-price services: Discounted medications, radiology, and labs are often much less expensive than insurance pricing, especially before meeting deductibles. Most labs are about $3-$10 each.
- Medication pricing transparency: See medication details on the Weight Loss page.
Clear, fair, and no-surprise pricing
- Flat monthly fee: No co-pays, missed/late fees, or surprise add-on charges.
- Upfront cost clarity: For cash-pay labs, radiology, and medications, you know the cost before care is delivered.
- In-network with most insurance: We bill insurance as a courtesy when applicable, and insurance payments are credited toward your monthly fee and deductible.
- Medicare and Medicaid: Billing works like other in-network primary care providers, and we offer cost-limited payment plans when needed to stay affordable.
- After-hours support: Some out-of-office-hours phone access on nights and weekends.
Ready to take the next step?
The clinic can help you confirm fit and coverage before you enroll.