Primary care, simplified.

Yes. This membership is not health insurance, nor is it a substitute for insurance, and it does not qualify as an insurance plan under state or federal law. The membership covers only the healthcare services specified in our patient agreement. Insurance is still needed for specialist visits, emergencies, hospital care, and services like lab tests and imaging. If major health problems arise, we’ll guide patients through the system and coordinate their care.

Yes, with one limit to check first. We don’t bill Medicare or insurance, so we are out-of-network for every plan. Some Medicare Advantage and HMO plans only accept labs, imaging, and referrals ordered by an in-network provider. Check with the plan. If it requires one, we can help find an in-network provider for those orders while the patient stays a member here.

Otherwise, members keep using their Medicare or insurance for labs, imaging, specialist visits, and hospital care.

Members can cancel at any time, with no cancellation fee, using our online cancellation form, by email, by phone, or in writing. Membership continues through the last paid month, and annual payments are refunded on a prorated basis. Membership is canceled automatically after 30 days of non-payment. Rejoining after cancellation has a $300 re-enrollment fee (see Re-enrollment in our patient agreement).

Yes, for urgent concerns. Members get an after-hours phone line for issues that cannot wait until the next business day, at no extra charge. Routine questions, prescription refills, and scheduling are handled during regular office hours. New treatment plans and in-depth evaluations are scheduled during office hours as well. See After-Hours Availability in our patient agreement.

No. Patients with AHCCCS are not eligible for membership at Arizona Internists due to AHCCCS rules. For questions, please contact us.

Yes. The monthly membership can be paid with an HSA card. Starting in 2026, federal law allows HSA funds to pay for direct primary care memberships of up to $150 per month for one person, and a membership like ours does not prevent contributions to an HSA. An HSA administrator or tax advisor can advise on a specific situation.

For any medical emergency, please call 911 or go to the nearest emergency room immediately. For urgent but non-life-threatening issues, members may contact our after-hours line for guidance.

No. Arizona Internists is a direct primary care practice. Concierge medicine and direct primary care both use a membership, but they work differently:

• Concierge practices usually charge a much larger yearly membership fee and still bill the patient's insurance or Medicare for each visit, so patients may also owe copays and deductibles. Their higher fees and small number of patients allow them to offer services like house calls or a doctor on call around the clock.
• Direct primary care practices, like ours, do not bill insurance or Medicare for our services. The monthly membership is the full cost of the primary care we provide, with no copays or per-visit charges.

We started Arizona Internists to give patients more time and a real relationship with their doctor, at a price most people can afford. Because the membership is what supports our clinic, we work for our patients rather than for insurance billing. To keep membership affordable, our services stay focused on primary care.