Yes. We currently accept Aetna and UnitedHealthcare for eligible primary care services. Coverage and network participation can vary by plan, so we recommend confirming your benefits with your insurance company before scheduling.

Our primary care membership fees are paid directly and are not billed to insurance. Cash-pay visits also remain available for patients who do not have one of these plans or prefer not to use insurance.

Regardless of whether you use insurance or cash pay for your primary care visits at Antidote, you may still use your health insurance for medications, laboratory testing, imaging, and specialist care, subject to your individual plan benefits. These services are billed separately by the pharmacy, laboratory, imaging center, specialist, or other outside provider.

Yes. Membership with Antidote Health Co is not a replacement for health insurance.
You’ll still want insurance coverage for:

• Emergency care

• Hospitalizations

• Surgeries

• Specialists

• Prescription medications

• Labs or imaging (if you prefer to run them through insurance)

Think of our membership as your day-to-day, relationship-based primary care, while insurance covers major medical needs.

Yes. You can join as a Medicare patient; however, due to federal regulations, we cannot bill Medicare for our services and you cannot submit our membership fees for Medicare reimbursement.

You can still use your Medicare benefits for medications, labs, imaging, and specialists.

Yes. We provide primary care for children of all ages, from newborns to adolescents. Families are welcome to use our practice as their child’s medical home for both preventive care and acute concerns

Yes. Direct communication is a core part of our model. Members have secure access to message or request calls/visits with our providers for medical needs.

No phone trees, no portal messages disappearing into the void, and no waiting three weeks for someone to “get back to you.” Just real access to your actual provider.

No. Direct access does not mean unlimited availability. But, you will have:

• Timely responses during business hours

• Same- or next-day appointments when appropriate

We do not provide after hours care and are not a substitute for emergency services (911 or your nearest ER).

You can still see any specialist you choose. We will:

• Coordinate referrals

• Share relevant records

• Help interpret results

• Assist with care navigation

Your insurance will typically cover specialist visits just as it does now.

You have options:

• Use your insurance at any in-network lab or imaging center, or

• Use our discounted cash-pay pricing

Yes. Memberships can be canceled any time with or without cause.

Membership is required for ongoing primary care services.

We do offer limited non-member visits at the following rates:

• $150 for a 60-minute visit

• $75 for a 30-minute visit

Non-member visits do not include:

• Communication between appointments

• Prescription management outside the visit

• Care coordination or follow-up support

Membership ensures continuity, direct access, and a more comprehensive level of care.