Direct Primary Care at Groundwork Health

Primary care built around you, not around a billing cycle.

Enrollment is open now. The first 30 primary care members lock in founding rates for a full year.

Add a card to reserve your spot, you won't be charged until August 1.

WHAT IS DIRECT PRIMARY CARE?

Direct primary care is a membership model that removes insurance from the equation entirely. You pay a flat monthly fee and receive care that is actually coordinated around your life, with a provider who has time to show up for you every single time.

Your primary care membership includes:

  • Same-day and next-day appointments

  • Unlimited visits, no extra charge

  • Direct messaging with your provider

  • No copays, no referral hoops, no surprise bills

For many patients with high-deductible plans, membership costs less than what they already pay out of pocket. For everyone else, it is simply a better way to access care.

Groundwork Health DPC launches August 1, 2026 via telehealth, serving patients anywhere in Tennessee. In-person visits in the greater Chattanooga area begin in early 2027.

MEMBERSHIP TIERS

Founding member rates are locked for 12 months and registration fees are waived for the first 30 enrollees.

Primary Care

  • Founding rate: $75/mo

  • Standard rate: $85/mo

  • Registration fee: $75

    (waived for founding members)

Primary Care includes:

  • Unlimited telehealth visits

  • Unlimited messaging

  • Hormone therapy

  • Rx management

  • Care coordination

  • Cash-pay lab pricing

  • One 60 min nutrition coaching session

Primary Care Plus adds:

Everything in Primary Care, plus:

  • Priority same/next day scheduling

  • Quarterly home visit (15-mile radius)

  • Annual home wellness visit

  • One 60 min nutrition coaching session and one 30 min follow up session

Primary Care Plus

  • Founding rate: $105/mo

  • Standard rate: $120/mo

  • Registration fee: $75

    (waived for founding members)

LABS

Groundwork Health maintains a wholesale lab agreement that allows us to offer significantly reduced pricing compared to standard retail rates. To take advantage of this pricing, labs are billed through the practice rather than directly to you. Payment is due prior to order submission. You will be invoiced at our exact cost with no markup. Labs are not billed through insurance.

ADD NUTRITION COACHING TO YOUR MEMBERSHIP

Nutrition coaching can be added to any primary care membership at approximately 25% off standalone rates. See the Nutrition Coaching page for full details.


WHO IS DPC RIGHT FOR?


DPC works well if you:

- Are uninsured or self-pay and want predictable, affordable primary care

- Have a high-deductible plan and pay more out of pocket than a membership would cost

- Want a provider who has time to actually know you

- Are transgender or gender-diverse and want affirming care without gatekeeping

- Want hormone therapy under an informed consent model without a lengthy referral process

- Are managing a chronic condition and want consistent, coordinated care

- Want primary care that integrates with your nutrition and performance goals

Groundwork Health is an adult-only practice serving patients 18 and older.


DPC does not replace emergency care or specialist services. Members are encouraged to maintain a catastrophic or wraparound insurance plan for hospitalizations and specialist referrals.

TELEHEALTH AND IN-PERSON

Groundwork Health DPC launches August 1, 2026 as a telehealth-first practice, serving patients anywhere in Tennessee via HIPAA-compliant video visits. In-person visits in the greater Chattanooga area begin in early 2027.


All existing members keep their rates when in-person visits launch. No price increases at any point in the transition.

Tired of appointments that feel like they're already over before they've started?

Founding member rates are available for the first 30 members only. Once those spots are filled, founding pricing closes permanently and standard rates apply.