Membership limited to 100 patients per provider.
Membership
Membership is a relationship rather than a plan. You are not enrolling in a tier of service. You are taking one of a hundred places on a provider's panel, and keeping it for as long as you want it.
The annual retainer
One retainer covers your care. There are no visit fees, no per-house-call charges, no after-hours surcharge, and no invoice arriving after the fact for a conversation you have already had.
What it buys is not a quantity of appointments. It is a standing relationship with a provider who has the capacity to know you: available when you need them, unhurried when you meet, and coming to you rather than the reverse.
Membership is held individually. Each person on the panel has their own place, their own record, and their own relationship with their provider. A spouse is not an addendum to your chart, and a child is a patient in their own right.
Households are priced together, and at a meaningful reduction. A couple pays materially less than two individual memberships. A household with children pays substantially less again for each person on the panel: the per-person cost falls as the household grows, even though every person still holds a full place.
The retainer may be paid annually or in monthly installments by automatic transfer, whichever suits you. Figures are discussed in your private consultation, where they belong.
The exclusivity cap
Every panel at Latitude 26 is limited to 100 patients. However the practice grows, that number does not move. Adding a provider adds a panel, and never enlarges yours.
The cap is a clinical decision rather than a marketing one. It is the number at which a provider can genuinely hold your history in mind: your baseline, your medications, your family's pattern, and what a change actually means for you rather than for a population. Above it, the arithmetic stops working and the care becomes something else.
Because each person occupies a place, a household of four takes four of the hundred. That is deliberate. It is also why the panel fills faster than the number suggests.
When a panel is full, it is full. Inquiries are held privately and in order, and are contacted as places open. Where an additional provider joins the practice and a new panel opens, those holding a place on the list are offered membership first.
What membership includes
Included in membership
- Unhurried primary and preventive care, beginning at ninety minutes
- Direct access to your provider: routine matters the same day, urgent matters whenever they happen
- Unlimited house calls when clinically indicated, across the service area
- In-home phlebotomy, point-of-care testing, and results reviewed with you directly
- Mental health care as part of primary care
- Minor procedures performed in your home
- Specialist referral, coordination, and follow-through
- Any coverage kept in-house, never an outside answering or on-call service
Available as add-ons
- Intravenous hydration and nutrient therapy
- Medically supervised weight management
- Advanced longevity and risk profiling
Membership does not replace health insurance. Hospitalization, surgery, specialist care, imaging, and prescription medication are billed by those providers and are typically covered by your existing plan. Latitude 26 coordinates that care rather than paying for it. Add-on services sit outside the retainer and are arranged individually. And should you ever leave, your records are yours: a complete copy is provided at no charge, in a form your next provider can use.
How membership begins
Request an invitation
A short inquiry, reviewed privately. It asks only what is needed to determine whether the practice is a fit for you and whether a place is available.
A private consultation
An unhurried conversation, in person or by video, about your health, what you are looking for, and what the practice does and does not do. Terms and fees are discussed here in full. There is no obligation on either side, and no pressure to decide in the room.
Onboarding
You are onboarded during your first visit, not before it. There are no forms to work through alone at a kitchen table. You talk, and your provider listens and records it: your history, your medications, what has worked and what hasn't. The same visit includes a full examination and laboratory work drawn in your home. From that point on, you have your provider's direct line.
Membership limited to 100 patients per provider.
Request an Invitation