Membership and pricing
One flat fee covers everything we do in the office. Here's what's included and what isn't.
| Membership | Monthly | Yearly | Notes |
|---|---|---|---|
| Founding member | $100 | $1,140 | First 100 members. Price locked for three years of continuous membership |
| Founding, each additional family member | $95 | $1,083 | 5% off, for adults at the same address |
| Regular, one adult | $120 | $1,368 | After the founding spots are taken. Adults 18 and over not enrolled in Medicare |
| Regular, each additional family member | $114 | $1,300 | 5% off, for adults at the same address |
Paying yearly saves 5%, and the family discount applies on top. No enrollment fee. Cancel any time with 30 days' written notice; unused prepaid months are refunded. Prices change only at renewal, with 60 days' notice.
Membership is not health insurance. Keep your insurance for hospital care, specialists, imaging, emergencies and prescriptions.
Direct primary care memberships are an HSA-eligible expense under federal rules that began in 2026, up to $150 a month for one person or $300 for a membership covering more than one. Check with your accountant if you have questions.
What's included, and what isn't
Included in your membership
- Included: Unlimited office and video visits with Dr. Witt
- Included: Direct messaging and calls through the practice line, with a same-day callback
- Included: A long first visit and a full annual physical
- Included: Help coordinating specialists, referrals and records
- Included: If you're admitted: Dr. Witt talks with your hospital team, explains the plan to you, and sees you within days of discharge
- Included: Same- or next-day appointments on clinic days; evening appointments on alternate weeks
Not included
- Not included: Hospital stays, emergency care and specialists (your insurance)
- Not included: Imaging such as X-ray, CT and MRI (ordered for you; billed by the imaging center)
- Not included: Prescriptions (we'll help you find low cash prices)
- Not included: Lab work. Whether performed in-office or externally, lab work is billed to your insurance independently by the provider and not included in your membership.
- Not included: Care for children (we see adults only)
- Not included: Treatment in the hospital
How a membership works
Step 1
Talk with Dr. Witt.
Start with a free 15-minute call about what you need and whether we're a fit. Call us or ask us to call you.
Step 2
Join.
If it's a fit, we email you the membership agreement when enrollment opens in November 2026. You sign it under Arizona's direct primary care law, choose monthly or yearly, and confirm you're not enrolled in Medicare.
Step 3
Your first visit.
An hour with Dr. Witt to go over your history and medications, and to talk about what you want from your health care.
Step 4
Day to day.
Message or call the practice line. Dr. Witt calls you back the same day. Same- or next-day appointments on clinic days, evening appointments on alternate weeks.
What being a member looks like
Your membership covers what happens with us: visits, messages and your annual physical. Care from anyone else still goes through your health insurance, which is why we ask members to keep it.
- Lab work
- Whether performed in-office or externally, lab work is billed to your insurance independently by the provider and not included in your membership.
- Imaging
- X-rays, ultrasounds, CT and MRI are done at an imaging center. We order them and go over the results with you. The imaging center bills your insurance.
- Specialists
- We refer you, send your records and talk with the specialist. Your insurance pays for the specialist visit.
- Prescriptions
- Filled at your pharmacy and paid through your insurance. If you're paying cash, we'll help you find a low price.
- Hospital and emergencies
- Call 911 in an emergency. If you're admitted, Dr. Witt talks with your hospital team and sees you within days of discharge. Your insurance covers the hospital stay.
Who can join
- Adults 18 and over
- Not enrolled in any part of Medicare (Part A, Part B or a Medicare Advantage plan). If you're on Medicare, see our Medicare page
- Willing to keep health insurance for the big things. A high-deductible plan pairs well with membership
First 100 members
Founding membership
The first 100 members pay $100 a month or $1,140 a year, and that price is locked for three years of continuous membership. Each additional family member at your address is 5% off ($95 a month). Founding members get first choice of first-visit times before opening. Like every membership, it can be cancelled with 30 days' notice and unused months are refunded.
Book a free 15-minute callCompared with a typical clinic
| What | Typical clinic | Rincon Valley Medicine |
|---|---|---|
| Getting an appointment | Days to weeks | Same or next clinic day |
| Visit length | About 15 minutes | 30 to 60 minutes |
| Reaching your doctor | Portal or phone tree, callback later | Message or call the practice line and get a same-day callback |
| Who you see | Whoever is available | Dr. Witt |
| Cost per visit | Copay or deductible | Included in membership |
| Patients per doctor | Often 2,000 or more | A small, capped panel |
Kyle Witt, MD, is a physician licensed by the Arizona Medical Board and board certified in internal medicine by the American Board of Internal Medicine.
Money and terms
Is this health insurance?
No. Membership covers primary care from us, under Arizona's direct primary care law. Keep health insurance for hospital stays, specialists, imaging, emergencies and prescriptions. A high-deductible plan pairs well with membership.
Do you take insurance?
We don't bill insurance for anything in your membership. That's how we keep one flat price and spend our time on you instead of paperwork. Your insurance still works for the care we refer you to.
Can I pay with my HSA?
Yes. Under federal rules that began in 2026, direct primary care memberships are an HSA-eligible expense, up to $150 a month for one person or $300 for a membership covering more than one, and having one doesn't stop you contributing to an HSA. Check with your accountant if you have questions about your own situation.
How much does it cost?
$120 a month for one adult, or $1,368 a year if you pay yearly (5% off). Each additional family member at your address is another 5% off. Our first 100 members pay a founding price of $100 a month or $1,140 a year, locked for three years. No enrollment fee. Pricing.
Can I cancel?
Yes, any time, with 30 days' written notice. Unused prepaid months are refunded. Arizona law requires this and we'd do it anyway.
Are there any other fees?
No enrollment fee and no per-visit fees. Whether performed in-office or externally, lab work is billed to your insurance independently by the provider and not included in your membership. Imaging and prescriptions are billed by whoever provides them, and we help you find low cash prices if you need them.
Can my spouse or partner join?
Yes. Each additional family member at your address is 5% off: $114 a month, or $95 at the founding price. Everyone who joins needs to be 18 or over and not enrolled in Medicare.
Ready to have a doctor again?
Kyle Witt, MD · Board-certified internal medicine