Dutchess Signature Medicine

Dutchess Signature Medicine offers three membership tiers. The Core tier is $150 per month and includes comprehensive care, direct physician access, same- or next-day visits, and secure messaging. The Access tier is $225 per month and adds enhanced scheduling flexibility and priority virtual visit access. The Priority tier is $300 per month and includes the highest level of access, priority response times, and the greatest availability for in-home visits. All three tiers provide the same standard of clinical care.

No. Dutchess Signature Medicine does not bill insurance, including Medicare, Medicare Advantage, Medicaid, or commercial plans. Members pay a monthly membership fee directly. Patients who carry insurance may still use it for outside services such as specialist visits, imaging, or laboratory work.

Dutchess Signature Medicine does not operate a traditional office. Dr. Kaplan sees patients in their homes, at their workplaces, or through secure telemedicine. Care typically begins with an in-home visit so Dr. Kaplan can understand each patient's health in the context of their daily environment.

Yes. All membership tiers include same- or next-day visit access. The Access and Priority tiers offer greater scheduling flexibility and faster response times for members who want more immediate availability.

Yes. Dr. Kaplan conducts secure virtual visits for members throughout Dutchess County and the Hudson Valley. Telemedicine is available across all membership tiers, with priority virtual visit access included in the Access and Priority tiers.

Dutchess Signature Medicine invites prospective members to schedule a complimentary introductory meet and greet. This brief conversation allows you to ask questions about the membership, home visits, and whether the practice fits your needs. No medical care takes place during this meeting, and no physician-patient relationship begins until you enroll.

Dutchess Signature Medicine intentionally limits its panel size. That limit allows Dr. Kaplan to offer longer visits, careful clinical thinking, and genuine continuity of care. The practice currently welcomes a limited number of new members in Dutchess County.

Dutchess Signature Medicine covers a wide range of adult internal medicine. Key clinical focus areas include preventive and longevity medicine, cardiometabolic risk reduction, metabolic health, weight management with GLP-1 medication management, menopause and hormonal health, men's health and testosterone optimization, respiratory health, and sleep disorder management. Dr. Kaplan also coordinates specialty care when needed.

Dr. Kaplan manages both. He handles ongoing chronic conditions such as hypertension, diabetes, thyroid disease, lipid disorders, and cardiovascular disease alongside preventive and wellness-focused care. His background in pulmonary and critical care medicine also supports patients with complex or overlapping medical concerns.

Yes. Dr. Kaplan actively coordinates care with specialists when patients need them. He serves as the primary physician who maintains continuity across your full health picture, ensuring that specialist input integrates into a coherent, ongoing care plan.