There is a one-time signup fee of $50. Outside of that, your periodic membership fee (paid monthly or -some people choose to pay in larger increments) is all that is required. This will cover the costs of providing care to you and/or your family throughout the year. We will not charge or collect any copayments/coinsurance/deductibles for visits since we don’t participate with insurance/bill for our services and your care is covered by your medical service fee. When you come for a visit, it’s okay to leave your wallet at home. You’re covered!