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Direct Primary Care
Internal Medicine

Fourth Tree Health

Quick Facts

Membership Price RangeAdult: $150/month | Family: $250/month (2 adults + $75 for each additional family member over age 16) | Student: $100/month (college students <26 years old) | One-time enrollment fee of $100 at sign-up
Practice TypeDirect Primary Care
LocationCamp Hill, Central Pennsylvania
DoctorsDaniel Hodge MD, Internal Medicine, Jessica Rubertone MD, Family Medicine
Year Founded2019
Telehealth TypeSecure messaging and video chat via Spruce Health mobile application
Telehealth AvailableYes

About

At Fourth Tree Health, Dr. Daniel Hodge and Dr. Jessica Rubertone deliver direct primary care with a focus on internal medicine, obesity medicine, and chronic disease management. Dr. Hodge founded the practice in 2019 and opened the Camp Hill clinic in 2020. Fourth Tree Health holds the distinction of being the first direct primary care clinic in Central Pennsylvania to specialize in both internal medicine and obesity medicine. Dr. Rubertone joined the team in 2023, bringing expertise in family medicine and obesity medicine.

The practice prioritizes transparency, quality, and timely access to care. Appointments run 45 to 60 minutes, and the team offers same or next-day visits within 48 hours for urgent needs. Members gain access to an in-house pharmacy with medications at wholesale cost, on-site metabolic testing with the InBody 770, advanced cardiometabolic evaluations, IV infusion therapy, and medical aesthetics services. Fourth Tree Health also holds veteran-owned status and partners with the Earth Day Network's Canopy Project, sponsoring four trees each month.

Details

Address

1800 Carlisle Rd., Camp Hill, PA 17011

Membership

$150/monthly

Membership Details

A one-time enrollment fee of $100 is due at sign-up. Adult membership is $150/month. Family membership is $250/month for 2 adults plus $75 for each additional family member over the age of 16. Student membership is $100/month for college students under 26 years old. Single visit fee is $350. Cardiometabolic Evaluation is $900.

Typical Appointment

52 minutes

Telemedicine
Same-Day Appointments

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Frequently Asked Questions

Adult membership at Fourth Tree Health costs $150 per month. A family membership covers two adults for $250 per month, with each additional family member over 16 adding $75 per month. College students under 26 can join for $100 per month. All new members pay a one-time $100 enrollment fee. The practice also offers a single-visit option for $350 and a Cardiometabolic Evaluation for $900.

No. Fourth Tree Health does not bill or accept health insurance. Members pay a flat monthly fee and receive care without co-pays for routine visits, urgent care, or telemedicine. The practice encourages pairing a high-deductible health plan with the DPC membership for broader coverage needs.

Fourth Tree Health offers same or next-day appointments within 48 hours for urgent care needs. Routine appointments run 45 to 60 minutes, giving members ample time with their physician.

Yes. Members can contact their doctor after hours, on weekends, and on holidays when needed. The practice uses Spruce Health for secure telehealth visits and direct messaging, keeping communication straightforward.

Yes. The practice offers telehealth visits through the Spruce Health platform. Members pay no co-pays for telemedicine visits, the same as in-person care.

Fourth Tree Health focuses on adult medicine with particular depth in obesity medicine and chronic disease management. The practice offers on-site tools most primary care offices do not carry, including the InBody 770 body composition analyzer, indirect calorimetry, advanced cardiometabolic testing through Cleveland Heart Lab, in-house medication dispensing at wholesale cost, IV infusion therapy, and medical aesthetics services.

Yes. Fourth Tree Health welcomes non-members for PIAA sports physicals at $50. The practice also offers single visits for $350 and a Cardiometabolic Evaluation for $900 for those who prefer not to join on a membership basis.

Yes. The practice maintains an in-house pharmacy and dispenses medications to members at wholesale or reduced cost. This allows patients to fill common prescriptions directly at the office without a separate pharmacy visit.

Yes. Fourth Tree Health partners with Sedera Health, a medical cost-sharing organization. The practice can help prospective members understand how to pair a DPC membership with a Sedera plan as an alternative to traditional insurance.

Yes. Fourth Tree Health accepts new patients on a rolling basis. Prospective members can sign up directly through the practice's membership portal or request a meet-and-greet visit to learn more before joining.

Practice last updated April 10, 2026