Fishtown Medicine

Fishtown Medicine membership starts at $250 per month. The membership covers Dr. Ash's time and the practice's direct care services, including unlimited secure messaging, same-day access, telehealth visits, and home visits. There are no copays, no initiation fees, and no cancellation fees. The membership qualifies as HSA/FSA-eligible under the 2025 Primary Care Enhancement Act, which can reduce the effective cost by 25 to 35 percent depending on your tax bracket.

Yes, Fishtown Medicine recommends keeping your existing insurance. Membership covers Dr. Ash's time and clinical care. Insurance continues to handle labs, imaging, pharmacy medications, specialist procedures, and hospitalization. The practice routes lab orders through your insurance benefits, and over 90 percent of labs are fully covered.

Care Packages give non-members one-time access to Dr. Ash without a monthly commitment. Options include a single session at $250, three sessions at $750 total, or a five-session package. They suit patients who need a second opinion, a one-time physical, or a focused review of complex lab results. Patients who find themselves returning frequently will typically find membership the better long-term value.

Initial Diagnostic Evaluations run 60 to 90 minutes. Fishtown Medicine structures onboarding as a 90-day process that includes a deep-dive consultation, advanced labs, and optional body composition, genetic testing, and imaging. The practice offers same-day appointments and does not operate on a short-visit treadmill.

Yes. Dr. Ash delivers most care through secure video visits, direct messaging via the Ultralight app, and in-home visits throughout Philadelphia. Home visits include physician exams, blood draws, and IV therapy. This mobile-first model means the practice operates without a traditional waiting room.

Fishtown Medicine uses a broad set of advanced diagnostics beyond standard panels. These include ApoB, Lp(a), fasting insulin, HOMA-IR, hs-CRP, full thyroid panels, Organic Acids Testing, pharmacogenomics, continuous glucose monitoring, and wearable data integration from devices like Oura, Whoop, and Apple Watch. Dr. Ash interprets results through an optimization lens, not just standard reference ranges.

No. Fishtown Medicine does not accept Medicare or Medicaid. The practice also does not provide active cancer treatment, care for organ transplant recipients, pediatric care, pregnancy management, or chronic opioid management.

New patients start with a free 20-minute discovery call with Dr. Ash. If the practice is a good fit, onboarding takes about one week. Day one involves setting up the Ultralight app. Days two and three cover medical record transfers and wearable data linking. Days four through seven include labs and scheduling the initial 90-minute Diagnostic Evaluation.

Yes. Fishtown Medicine operates with full clinical independence. Dr. Ash accepts no pharmaceutical payments, no device industry fees, and no paid referrals. The practice does not sell supplements or use affiliate links. Recommendations reflect clinical judgment only.

Fishtown Medicine organizes care around the GER·O·SPAN framework, which structures health around Three Modulators (Genetics, Environment, Relationships) and Three Fundamentals (Sleep, Physical Activity, Nutrition). Dr. Ash focuses particular attention on what he calls the Four Horsemen of chronic disease: cardiovascular disease, cancer, neurodegeneration, and metabolic dysfunction. The goal is healthspan, meaning years lived in full mental and physical function, not just total years of life.