
Hope Direct Healthcare
Quick Facts
| Membership Price Range | Child (5-17): $35/mo with at least one parent membership | Adult 18-40: $59/mo | Adult 41-60: $69/mo | Adult 61+: $99/mo | Family of four: $178/mo, $10 for each additional child up to age 17 | House Call Membership: $99/mo | Medical Weight Loss: $269/mo (for 3 months) |
| Practice Type | Direct Primary Care |
| Location | Union City, Corry, Downtown Erie, Edinboro, Fairview, Girard, Jackson, Little Hope, McLane, McKean, Mill Village, Phillipsville, Platea, Waterford, Wattsburg |
| Doctors | Dorcas Lacayo MD, MPH, Family Medicine |
| Telehealth Type | Virtual visits |
| Housecalls | Yes |
| Telehealth Available | Yes |
About
At Hope Direct Healthcare, Dr. Dorcas Lacayo delivers family medicine and primary care without insurance middlemen. Her practice sits at 15 N Main St in Union City, PA, serving families across Erie County and into neighboring New York.
Dr. Lacayo holds board certification in Family Medicine and brings more than 13 years of clinical experience. She sees patients for chronic disease management, acute care, preventive visits, and medical weight loss. Appointments run 30 minutes to an hour, and same-day or next-day visits are available. Members reach Dr. Lacayo directly by text, phone, or email. The practice conducts office visits, virtual visits, and house calls within 20 miles of Union City. Nurse Amanda Willink, RN, supports the team. The practice conducts visits in both English and Spanish.
Details
Address
15 N Main St, Union City, PA 16438
Phone
(814) 438-6000Website
Visit websiteMembership
$59/monthly
Membership Details
Monthly membership with no copays, no deductibles, and no surprise bills. Includes office visits, virtual visits, one house call per year, most common in-office labs, procedures, discounted meds, discounted blood work. Non-member sick visits: $150/visit. Virtual visit (non-member): $55/visit. House call (additional): $220/visit. Physicals: $65. Immigration Physical (adult): $350, (child): $300. Meet and greet: Free.
Typical Appointment
30 minutes
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Frequently Asked Questions
Adult memberships start at $59 per month for patients ages 18 to 40. Rates adjust slightly for older age brackets. Child memberships for ages 5 to 17 run $35 per month with at least one parent as a member. Membership covers unlimited office visits, virtual visits, one house call per year, most common in-office labs, procedures, and access to wholesale-price medications. There are no copays, no deductibles, and no surprise bills.
Yes. Hope Direct Healthcare accepts non-member patients for sick visits at $150 per visit and virtual visits at $55 per visit. Physicals for non-members cost $65. These options work well for patients who need occasional care before deciding on a membership.
No. Patients pay a straightforward monthly fee rather than dealing with copays, deductibles, or claims. The practice passes savings from reduced overhead directly to patients through lower prices on labs and wholesale medications.
Hope Direct Healthcare offers same-day and next-day appointments. Members also reach Dr. Lacayo directly by text, phone, or email, so urgent questions do not have to wait for a scheduled visit.
Yes. Virtual visits are available for both members and non-members. Members receive virtual visits as part of their monthly membership. Non-members can book a virtual visit for $55 per session.
Yes. Each membership includes one house call per year at no additional charge. Dr. Lacayo personally performs all house calls within 20 miles of Union City, covering Erie County, PA, and parts of New York. Additional house calls beyond the included visit cost $220 each.
Members receive unlimited office visits, virtual visits, one annual house call, most common in-office labs and procedures, rapid testing for strep, flu, COVID, and mono, and access to medications at wholesale prices. Members also communicate directly with Dr. Lacayo by text, phone, or email.
Yes. The practice performs Immigration Physicals using Form I-693 for adults and children. Adults pay $350 and children pay $300. The process includes a physical exam, vaccination record review, and any required lab or vaccine orders. Dr. Lacayo completes and seals the documents within one week or less.
The practice is located at 15 N Main St in Union City, PA, and serves families throughout Erie County. Communities include Corry, Downtown Erie, Edinboro, Fairview, Girard, Waterford, Wattsburg, McKean, Mill Village, Platea, and others. House calls extend within 20 miles of Union City into parts of New York as well.
Yes. Hope Direct Healthcare runs a Medical Weight Loss Program using GLP-1 medications including Semaglutide and Tirzepatide. The program costs $269 per month for three months. It begins with a consultation to review health history and eligibility. Dr. Lacayo then prescribes the medication and ships it to the patient's home. The practice also accepts CareCredit financing for this program.
Practice last updated April 10, 2026


