Heirloom Family Medicine
Quick Facts
| Membership Price Range | $175/member/month (Foundation); $600/month family maximum (Generations, up to 2 adults + dependent children under 26); 10% discount for full annual payment (Legacy Plan); $1/member/month for members 100+ years old (Centenarian). One-time enrollment fee $150/member (max $300/family). Re-enrollment fee may be $500. |
| Practice Type | Direct Primary Care |
| Location | Albany, Saratoga Springs, Capital Region, Schenectady, Troy |
| Doctors | Meghan Monthie M.D., Family Medicine |
| Panel Size | 250 patients per doctor |
| Telehealth Type | Virtual visits, phone, secure messaging, e-mail |
| Housecalls | Yes |
| Telehealth Available | Yes |
About
At Heirloom Family Medicine, Dr. Meghan Monthie delivers direct primary care to women and multi-generational families across Albany's Capital Region. D. from Albany Medical College and completing her Family Medicine residency there as well. Her panel stays capped at 250 patients, which allows 45-minute appointments and same- or next-day availability.
Dr. Monthie built the practice around six guiding values: continuity, nurturing, patient-centered care, efficiency, family focus, and intentionality. She emphasizes prevention, root cause analysis, and lifestyle medicine before reaching for prescriptions or tests. The practice shares office space with Keystone Physical Therapy, Milk Matters Lactation RN, and Elevé Physical Therapy, creating a natural hub for whole-family wellness. Members reach Dr. Monthie directly by phone, text, email, or patient portal. No nurse lines, no answering services.
Details
Website
Visit websiteMembership
$175/monthly
Membership Details
Foundation membership: $175/member/month for individuals. Generations membership: $600/month family maximum, includes up to 2 adults, all dependent children under age 26 or still in school, and other dependents. Legacy Plan: 10% discount for full annual payment upfront. Centenarian membership: $1/member/month for members 100 years of age and older. One-time enrollment fee of $150 per member (max $300 per family). No long-term contract; 30 days notice required to cancel. Re-enrollment subject to availability and may include a $500 re-enrollment fee. HSA-eligible membership plans available.
Typical Appointment
45 minutes
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Frequently Asked Questions
Heirloom Family Medicine offers several membership tiers. The Foundation membership costs $175 per member per month for individuals. The Generations membership covers up to two adults and all dependent children under age 26 or still in school for a maximum of $600 per month. Members who pay annually upfront receive a 10% discount through the Legacy Plan. A one-time enrollment fee of $150 per member applies, capped at $300 per family. Members who are 100 years of age or older enroll at $1 per month through the Centenarian membership.
Heirloom Family Medicine does not bill insurance for primary care visits. The monthly membership covers all visits, communication, and care coordination without copays or surprise bills. Dr. Monthie welcomes patients regardless of insurance status and helps members access discounted self-pay rates for labs and imaging when needed.
Yes. Heirloom Family Medicine's membership plans qualify as HSA-eligible expenses. Members can use their health savings account funds to cover the monthly membership fee.
Heirloom Family Medicine offers same- or next-business-day appointments for members. Appointments run 30 to 60 minutes, giving Dr. Monthie time to address concerns thoroughly without rushing.
Yes. Dr. Monthie offers telemedicine visits for members who prefer or need remote care. She also makes home visits for newborn patients and homebound patients, though home visits may incur an additional fee.
Heirloom Family Medicine caps its panel at approximately 250 patients. That limit allows Dr. Monthie to offer same- or next-day appointments and spend meaningful time with each member at every visit.
No. Heirloom Family Medicine does not require a long-term contract. Members cancel with 30 days notice. Re-enrollment is subject to availability and may include a $500 re-enrollment fee.
The membership covers a broad range of primary care services including annual physicals, well child checks, sick visits, chronic disease management, women's health care, mental health support, medically managed weight loss, vaccine administration, in-office procedures such as skin biopsies and joint injections, and care coordination with specialists. Members also receive direct access to Dr. Monthie by phone, text, email, and patient portal.
Yes. Dr. Monthie cares for patients across all life stages, from newborns to centenarians. The Generations membership specifically covers dependent children under age 26 or still in school, and the Centenarian membership offers a special rate for members 100 and older.
Prospective patients start by scheduling a free virtual meet and greet with Dr. Monthie. This gives both the patient and Dr. Monthie a chance to connect before enrollment. The practice currently accepts new patients as a founding member opportunity.
Practice last updated April 10, 2026