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The Gem MD waiting room and front desk, with a children's play table
Membership

Simple, transparent pricing.

No surprise bills, no copays, and no hidden fees. One flat monthly membership covers your care, and you can pay with your HSA.

Become a Member
Membership Tiers

Pick the tier for your age

Every Gem MD membership includes unlimited visits, direct phone, email, and text access to your providers, and no charge for most in-office tests. Add family members at the appropriate tier.

Children & Teens

$53.50/month

Ages 0-20. $37.45 a month when a parent or guardian is enrolled.

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Most Common

Adults 21-44

$69.55/month

Full primary care, women's health, weight management.

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Adults 45+

$101.65/month

Full primary care plus age-appropriate screenings. Pairs with Medicare for the rest.

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Everything included

  • Unlimited office visits during office hours
  • Unlimited access by phone, email, and text
  • No charge for in-office tests (strep, flu, urinalysis, pregnancy, glucose, EKG)
  • No charge for paperwork completed on your behalf

One-time $95 per family registration fee, waived for business members. Families enrolling three or more people save 10% on every membership.

What's Included

More than you think.

Your membership covers the everyday care you actually use. Labs and x-rays are billed separately, either through your insurance or at a discounted cash price, and most lab tests cost less than $20.

01

Unlimited office visits

As many as you need during office hours.

02

Phone, email, and text access

Unlimited, and included in your membership.

03

In-office tests at no charge

Rapid strep, flu, urinalysis, pregnancy, glucose, and EKG.

04

Paperwork handled

No charge for forms we complete on your behalf.

05

Injections included

Steroid and Rocephin (antibiotic) injections at no additional charge. Other injectables are ordered from the pharmacy and supplied at cost.

For Employers

Business membership pricing

Discounted rates for businesses enrolling three or more employees. Registration fee waived.

See the full employer breakdown

Ages 0-20

$21.40/month

Dependents under 20.

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Adults 21-44

$53.50/month

Full primary care for your team.

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Adults 45+

$80.25/month

Full primary care plus age-appropriate screenings.

Get this rate
Pay With HSA

Pay your membership with HSA dollars

Starting in 2026, federal law lets most people pay a Direct Primary Care membership with HSA dollars, up to $150 a month for an individual and $300 for a family. We provide itemized receipts. Confirm your own eligibility with your HSA administrator or tax advisor.

$150

HSA cap (individual / mo)

$300

HSA cap (family / mo)

$95

Registration (per family)

Office Hours

Your membership hours.

Unlimited visits during business hours, and no cap on phone, text, or email. Weekends and after hours, call the main number for anything urgent.

Monday through Friday

Open 8:30 AM to 4:30 PM for visits, phone, text, and email.

Saturday and Sunday

Available remotely for urgent issues. Call (972) 961-4171.

After hours

Available remotely for urgent issues. Call (972) 961-4171.

Common Questions

Membership FAQ

Questions about pricing, insurance, HSA, and what's included.

What is Direct Primary Care?

DPC is a membership-based primary care model. You pay a flat monthly fee, you get unlimited visits, convenient scheduling, and direct text access to your doctor. We do not bill insurance. Most in-office tests are free. Lab work and x-rays can be run through insurance or paid at discounted cash prices.

Do I still need insurance?

You do not need insurance to be a member, and you do not have to give up the insurance you have. If you have good insurance and want to keep it, that is no problem. We can still file your insurance for imaging, referrals, and lab work we order. If insurance works for you, use it. If it does not, we have an alternative. Either way you get the same care at the same rate.

What we do strongly recommend, though we do not require it, is some form of coverage for catastrophic events like hospitalizations and surgeries. If you have access to a low monthly premium plan, take it. If you do not, we have teamed up with Sedera Health Share to offer our patients an exclusive discount.

Can I use my HSA?

Yes. Starting in 2026, federal law lets most people pay a Direct Primary Care membership with HSA dollars, up to $150 a month for an individual and $300 for a family. We provide itemized receipts. Confirm your own eligibility with your HSA administrator or tax advisor. Read more on HSA eligibility.

What does my membership include?

Unlimited office visits during office hours. Unlimited access by phone, email, and text. No charge for in-office tests like rapid strep, flu, urinalysis, pregnancy, glucose, and EKG. No charge for paperwork we complete on your behalf. Labs and x-rays can be run through insurance or paid at our discounted cash prices.

How much is membership?

Ages 0-20: $53.50/month ($37.45 with an enrolled parent or guardian). Adults 21-44: $69.55/month. Adults 45+: $101.65/month. One-time $95 registration fee per family, waived for business members. 10% discount for families with 3 or more enrolled individuals.

What do immunizations and injections cost?

Steroid and Rocephin (antibiotic) injections are included in your membership at no additional charge. Other injectable medicines such as Depo-Provera, testosterone, and vitamin B12 are ordered from the pharmacy as needed and supplied at cost, so the price varies. For immunizations, TDAP for adults is $50, and all vaccines for uninsured or under-insured children are $7 each. Other immunizations are available at the pharmacy for adults and insured children.

How much does GLP-1 weight management cost?

The medication is the only added cost. Semaglutide starts at $105 per month and tirzepatide at $150 per month. Everything around it is already part of your membership at no additional fee, including the consultations, dose adjustments, side-effect management, and follow-up visits. Baseline bloodwork runs about $100 at our discounted lab pricing.

Is this concierge medicine?

We are a type of concierge practice. By eliminating insurance billing, we cut the overhead most practices spend on coding, claims, and prior authorizations. Those savings get passed directly to you, so we can focus more on the patient instead of paperwork.

What about emergencies and specialists?

DPC covers primary care. For everything else we coordinate referrals to trusted specialists at negotiated cash prices, or you can use your insurance. Pair your DPC membership with a high-deductible or catastrophic plan to cover major events affordably.

How do I sign up?

Three steps. Schedule a free meet-and-greet so we can answer your questions. Sign up via our patient portal in about 5 minutes. Book your first appointment whenever you are ready. We are at 1944 N. Lakeshore Dr in Rockwall.

Why is paying cash cheaper than using my insurance?

It sounds backwards, but filing a service through insurance usually raises its price. If you carry a high deductible, you end up paying that higher price yourself.

Here is a real example. A HIDA scan at a local hospital was priced at $1,500 when billed through insurance. The same scan for the same patient, paid in cash without filing, was $600. Because we do not bill third parties, we can negotiate for the lowest rates we can find on imaging and labs and pass them straight to you. Most blood tests sent to an outside lab cost less than $20, and tests run in our office are included in your membership.

Do you accept Medicare patients?

We love Medicare patients and we are happy to see you. What we do not do is bill Medicare.

Billing Medicare brings a large amount of required busy work that pulls time away from patient care, and we did not want to recreate that. You are still welcome to file labs, imaging, and prescriptions with Medicare yourself, though our negotiated cash rates are often low enough that it may not be worth the paperwork. In-office labs and tests are included in your membership. The care and the price are the same whether you are insured, uninsured, or on Medicare.

Ready to join?

Become a Gem MD member today.

Enroll online in about 5 minutes. Cancel anytime after the first 90 days with 30 days written notice.

Enroll NowCall (972) 961-4171