HouseCalls, PLC logo
Direct Primary Care
Family Medicine

HouseCalls, PLC

Quick Facts

Membership Price Range$50/month In-Clinic Plan | $90/month House-Calls Plan | Non-Membership Consult starting at $175.00
Practice TypeDirect Primary Care
LocationCharlottesville, Albemarle, Western Albemarle, Crozet
DoctorsJoy Spiekermann M.D., Family Medicine
Year Founded2017
Telehealth TypePhone, email, and video chat
HousecallsYes
Insurance AcceptedMedicare, Medicaid
Telehealth AvailableYes

About

At HouseCalls, PLC, Dr. Joy C. Spiekermann has spent more than two decades making medicine accessible to patients across the Charlottesville-Albemarle area. She built her reputation on house calls before adding a clinical setting at her home in western Albemarle. The practice operates on a direct primary care model, with Dr. Spiekermann collecting fees only from patients.

Two membership tiers give patients flexibility. The In-Clinic Plan runs $50 per month and covers unlimited visits plus phone, email, and video access. The House-Calls Plan runs $90 per month and includes unlimited house calls at no extra charge. Every appointment runs a full hour. 50. The practice does not provide gynecological or maternal-infant care.

Details

Address

1022 Tilman Rd., Charlottesville, VA 22901

Membership

$50/monthly

Membership Details

Two membership plans: In-Clinic Plan at $50/month (includes unlimited visits, phone/email/video access, excludes house calls which require additional fee per visit) and House-Calls Plan at $90/month (includes unlimited house calls at no additional fee). Non-membership consult options start at $175.00. First payment not collected until patient has met with Dr. Spiekermann in person. Free initial consult available.

Typical Appointment

60 minutes

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House Calls

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Frequently Asked Questions

HouseCalls, PLC offers two membership tiers. The In-Clinic Plan costs $50 per month and covers unlimited clinic visits plus phone, email, and video access. The House-Calls Plan costs $90 per month and adds unlimited house calls at no extra charge. Both plans give members direct access to Dr. Spiekermann by text, phone, or email.

Yes. HouseCalls, PLC offers a free initial consultation so prospective patients can meet Dr. Spiekermann before enrolling. The practice does not collect the first monthly payment until after that in-person meeting. Any medical care beyond the initial consult requires enrollment.

HouseCalls, PLC does not bill insurance for membership fees. Dr. Spiekermann collects fees directly from patients only. The practice recommends that members maintain insurance coverage for emergencies, hospitalizations, imaging, and specialist visits. Membership does not replace a health insurance plan.

HouseCalls, PLC passes wholesale lab pricing directly to patients with no markup. 50. Patients pay only when labs fall outside what their insurance covers, or when they choose not to use insurance.

Yes. HouseCalls, PLC recommends that all members carry health insurance. Membership covers primary care visits and direct access to Dr. Spiekermann, but it does not cover hospitalizations, specialist visits, or expensive imaging studies. A higher-deductible plan often pairs well with a DPC membership.

Yes. House calls are central to the practice. Members on the House-Calls Plan at $90 per month receive unlimited house calls at no additional charge. Members on the In-Clinic Plan can still schedule house calls for an additional per-visit fee, with pricing disclosed in advance.

Each appointment at HouseCalls, PLC runs a full hour. Dr. Spiekermann schedules one hour of dedicated time per visit. That allows thorough conversations and careful attention to each patient's concerns.

Yes. Medicare and Medicaid patients can enroll at HouseCalls, PLC. Each patient signs a one-time waiver confirming that neither the patient nor the practice will bill Medicare or Medicaid for practice services. Existing Medicare and Medicaid coverage remains unchanged for all other providers.

No. HouseCalls, PLC does not offer gynecological or maternal-infant care. The practice can provide referrals to DPC providers who specialize in those services.

Yes. Members can connect with Dr. Spiekermann by phone, email, or video consultation. This access is included in both the In-Clinic Plan and the House-Calls Plan at no additional charge.

Practice last updated April 10, 2026