Direct Primary Care · Ithaca & Trumansburg, NY
Real primary care for one flat monthly fee — individual plans from $49/month, family plans, and dedicated men's and women's hormone care. Unlimited visits, direct access to your provider, and honest, up-front pricing. No insurance needed, no copays, no surprise bills.
Direct primary care (DPC) is a membership model: you pay a flat monthly fee directly to the practice for unlimited primary care — no insurance billing, no copays, no surprise charges. At Homesteady Health, individual memberships are age-tiered starting at $49/month, with family plans and dedicated men’s and women’s hormone-care tracks. The membership covers your primary care; lab work is available at discounted rates, and prescriptions are kept transparent and low-cost.
Individual fees are tiered by age, with discounts built in for families. One flat monthly fee covers your primary care — unlimited visits, in person or virtual, and direct access to your provider.
Age-tiered monthly pricing, with family discounts available.
Discounts apply as you add members of your family to the plan.
Focused hormone and specialty care, with the same flat-fee, no-surprises approach. These tracks can stand alone or complement a primary care membership.
Specialized care for men, including hormone support and testosterone replacement therapy when labs and symptoms align. Begins with a $249 evaluation (consult, discounted labs, exam & review).
Perimenopause and menopause hormone replacement therapy (HRT) and hormonal care, tailored to you and monitored over time — not a one-size prescription.
Affordable, accessible healthcare plans tailored for teams and small-business employees — a real benefit without the complexity of traditional insurance.
Beyond the standard memberships, Homesteady Health offers a separate Home Visit Exclusive Plan — a concierge option where your primary care happens in the comfort of your own home. It's a distinct, limited-availability plan, not part of the standard membership tiers.
In person in Trumansburg and the surrounding areas — an honest, confidential conversation about what’s changed and when.
See full details & availability on the plan page.
See your provider as often as you need — in person in Trumansburg or by telehealth anywhere in New York — with no per-visit charge.
Message and reach your provider directly. No phone trees, no waiting weeks for a slot for a five-minute question.
Real, unhurried visits. Care built around understanding your whole picture, not moving you through a 7-minute slot.
Comprehensive labs at member-discounted rates, drawn locally, and interpreted in context by the provider who ordered them.
Prescriptions kept transparent and low-cost, with no games — you always know what you’re paying and why.
No copays, no claims, no surprise bills. One flat monthly fee, cancel anytime. Works alongside a high-deductible plan for the big stuff — and you can even use your HSA.
Direct primary care removes insurance from the everyday doctor-patient relationship. Here are the questions people ask most before joining, answered plainly.
Direct primary care is a membership model where you pay a flat monthly fee directly to your primary care practice instead of routing everyday care through insurance. In exchange you get unlimited visits, direct access to your provider, longer appointments, and transparent pricing on labs and medications. It’s most powerful paired with a high-deductible or catastrophic insurance plan that covers emergencies and hospitalization.
DPC memberships typically run from roughly $50 to $150 per month depending on age and plan. At Homesteady Health, individual memberships start at $49/month for ages 3–18, $74 for 19–24, $99 for 25–57, and $129 for 58+, with couple and family plans that lower the per-person cost and additional children at just $26/month. There are no copays and no surprise bills on top of the membership.
No — it complements it. DPC covers your everyday primary care; you’ll still want insurance (often a lower-cost, high-deductible plan) for emergencies, hospital stays, specialists, and surgery. Many members save money overall by pairing an affordable DPC membership with a cheaper high-deductible plan instead of a costly low-deductible one.
No. You can join Homesteady Health with or without insurance — the membership stands on its own. Uninsured members get affordable, predictable primary care; insured members get direct-access care their plan doesn’t otherwise provide, plus discounted labs and transparent medication pricing.
| What you get | Homesteady DPC | Traditional office |
|---|---|---|
| Monthly cost | Flat fee from $49 | Premiums + copays + surprise bills |
| Visit length | Longer, unhurried | Often 7–15 minutes |
| Access to your provider | Direct — message & reach them | Phone trees & portals |
| Visits per month | Unlimited | Charged per visit |
| Lab & medication pricing | Discounted & transparent | Marked up & opaque |
| Surprise bills | None | Common |
DPC covers everyday primary care and pairs well with a high-deductible insurance plan for emergencies, hospitalization, and specialist care.
Not sure if DPC is right for you? Have a no-obligation conversation with Matthew to get your questions answered.
Choose the individual, family, or specialty track that fits. Simple flat monthly pricing — cancel anytime.
Unlimited visits, direct access, discounted labs, and transparent medication pricing — starting day one.
Founder & Nurse Practitioner · Men's Health & TRT
Matthew founded Homesteady Health to practice medicine without the clock and the profit-over-patient mindset of corporate care. That’s the whole point of the membership model: flat, honest pricing and the time to actually know his patients. Across more than 25 years he’s practiced family medicine in the Alaskan bush, worked trauma and the ER in fast-paced Philadelphia, and built urgent-care clinics there. Today he serves on the board of Region 2 of the Nurse Practitioner Association of New York, where he was named NP of the Year in 2025.
He also lives the active Finger Lakes lifestyle — running, grappling, basketball, coaching, hunting, fishing, and time out on Cayuga Lake. When you join Homesteady Health, you’re not getting an 800 number and a rotating cast of providers. You’re getting one local practitioner who’ll still be here next year, and who you can reach directly.
Years in healthcare
Years as a Nurse Practitioner
Board-certified · family practice
Board member · Region 2
At Homesteady Health, individual memberships are age-tiered: $49/month for ages 3–18, $74 for 19–24, $99 for 25–57, and $129 for 58 and up. Couple plans are $174/month, a family of 2 adults and 2 children is $249/month, and additional children are $26/month each. Men’s Health & TRT is a $149/month track. There are no copays or surprise bills on top of the membership.
Unlimited primary care visits (in person or virtual), direct access to your provider, longer appointments, discounted lab work, and transparent medication pricing. It’s your everyday primary care covered by one flat monthly fee, with no per-visit charges.
No. You can join with or without insurance. The membership covers your primary care on its own. Most members pair it with a lower-cost, high-deductible insurance plan that handles emergencies, hospitalization, and specialists — often saving money overall.
Lab work isn’t bundled into the monthly fee, but members get comprehensive labs at discounted rates, drawn locally and interpreted in context by the provider who ordered them — no marked-up hospital lab bills.
Yes. Membership is a simple flat monthly fee with no long-term contract — you can cancel anytime.
Yes. Family pricing lowers the per-person cost — a couple is $174/month, a family of 2 adults and 2 children is $249/month, and each additional child is just $26/month.
Yes. We offer affordable, accessible healthcare plans tailored for teams and small-business employees. Reach out and we’ll build something that fits your group.
Home visits are available through a separate Home Visit Exclusive Plan — a concierge, limited-availability option where your primary care comes to you at home. They aren’t part of the standard membership tiers. You can see full details and availability on the Home Visit Exclusive Plan page.
The office is at 1859 Trumansburg Rd, about 10 minutes from Ithaca. Members anywhere in New York can be cared for by telehealth, with labs drawn close to home.
