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Direct Primary Care
Family Medicine

Gem MD

Quick Facts

Membership Price RangeBusiness (3+ employees, registration waived): $21.40/mo (0-20 yrs), $53.50/mo (21-44 yrs), $80.25/mo (45+ yrs). Individual/Family (one-time $95 registration fee): $53.50/mo (0-20 yrs, $37.45 with enrolled parent/guardian), $69.55/mo (21-44 yrs), $101.65/mo (45+ yrs). 10% discount for families with 3+ enrolled individuals.
Practice TypeDirect Primary Care
LocationRockwall, Rowlett, Garland, Mesquite, North Texas
DoctorsEva Mackey Meyrat MD, Family Medicine
Year Founded2017
Telehealth TypePhone, email, text, Skype
Telehealth AvailableYes

About

Eva Mackey Meyrat is the founder of Gem MD. She founded the practice in 2017 after nearly a decade at the Baylor Family Health Center of Mesquite. Her guiding belief: quality care should be affordable and accessible to every patient, regardless of insurance status.

The practice covers unlimited office visits, unlimited phone and text access, and a wide range of in-office procedures under one monthly fee. Members pay no copays and receive no surprise bills. Gem MD also runs a structured weight management program, offering semaglutide starting at $105 per month and tirzepatide starting at $150 per month. IV hydration therapy is available to both members and non-members. Dr. Meyrat partners with Sedera Health Share for catastrophic coverage and Spirit Dental and Vision for supplemental insurance referrals.

Details

Address

1944 N Lakeshore Dr, Rockwall, TX 75087

Membership

$53.5/monthly

Membership Details

Monthly membership fee covers unlimited office visits, unlimited phone/email/text access, no-charge in-office tests (rapid strep, rapid flu, urinalysis, urine pregnancy, finger stick blood glucose, EKG), and no charge for paperwork. Labs/imaging available at discounted cash prices or through insurance. One-time registration fee of $95 per family for individual/family plans.

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Frequently Asked Questions

50 per month for adults ages 21 to 44. 50 per month. Families with three or more enrolled members receive a 10% discount. A one-time registration fee of $95 per family applies to individual and family plans.

The membership covers unlimited office visits during regular hours and unlimited access by phone, email, and text. In-office tests such as rapid strep, rapid flu, urinalysis, urine pregnancy, finger stick blood glucose, and EKG are all included at no extra charge. The practice also completes patient paperwork at no cost. Steroid and Rocephin injections are included in the membership as well.

Gem MD does not bill insurance for membership fees or in-office services. However, the practice can file your insurance for labs, imaging, and referrals when that works in your favor. Patients with an FSA or HSA can use those funds to pay their monthly membership fee. Members without insurance or those who prefer cash pricing gain access to deeply discounted lab rates, with most send-out labs costing under $20.

Yes, the practice welcomes Medicare patients. Dr. Meyrat does not bill Medicare directly, but she offers cash-pay rates that keep costs affordable. Patients with pre-existing conditions pay the same rates as everyone else and face no exclusions.

Dr. Meyrat is reachable after hours and on weekends for urgent issues. Call or text 972-961-4171 and select the urgent option. m. m.

Yes, the practice offers telemedicine visits for members. Patients can reach Dr. Meyrat by phone, text, or email, and schedule video appointments as needed. This access is included in the monthly membership at no additional charge.

Gem MD runs a structured weight management program through Dr. Meyrat. The practice prescribes semaglutide (generic Ozempic) starting at $105 per month and tirzepatide (generic Mounjaro) starting at $150 per month. Phentermine is also available. The program includes initial bloodwork review and follow-up labs every three months. Weight management services are open to anyone, not just members seeking to lose significant weight.

Yes, Gem MD offers IV hydration therapy to non-members with no long-term commitment required. The practice offers two formulas: Electrolyte Replenish at $150 per liter for non-members and Pure Hydration at $100 per liter for non-members. Enrolled members pay lower rates. An optional massage chair upgrade adds $10.

Gem MD partners with Sedera Health Share to offer DPC members access to discounted catastrophic coverage. This plan helps cover costs from hospital stays, emergency room visits, and surgeries. The practice does not require members to enroll in Sedera, but recommends carrying some form of catastrophic coverage.

After an initial 90-day commitment period, members can cancel with 30 days of written notice. The practice does not lock members into long-term contracts beyond that initial window. Patients who cancel and later wish to return pay a $95 re-enrollment fee. Gem MD reserves the right to decline re-enrollment for patients who have previously cancelled.

Practice last updated March 21, 2026