Integrative Osteopathic Family Medicine of Vermont

Monthly membership fees vary by age. Children ages 0 to 17 pay $70 per month. Adults ages 18 to 39 pay $99 per month. Adults ages 40 to 59 pay $125 per month. Adults 60 and older pay $150 per month. The practice also charges a one-time re-enrollment fee of $300. Members receive wholesale pricing on medications, supplements, and lab testing.

Membership at Integrative Osteopathic Family Medicine of Vermont covers comprehensive primary care, urgent care visits, follow-ups, wellness exams, physical exams, preoperative evaluations, and in-office procedures including EKGs, cryosurgery, skin biopsies, ear irrigation, and laceration repair. Members also receive discounted rates on integrative treatments such as acupuncture, osteopathic manipulative treatment, trigger point therapy, and cupping.

The practice does not bill insurance for DPC membership fees or integrative treatments. Patients pay the practice directly each month. Insurance can still cover lab testing, imaging, medications, specialist referrals, and hospitalizations ordered through the practice. The practice encourages members to use HSA or FSA funds to offset costs.

Yes. Patients can use HSA and FSA funds to pay for medications, labs, imaging, and integrative treatments including acupuncture. Starting in 2026, new legislation will explicitly allow HSA funds to cover DPC membership fees directly. The practice recommends confirming the specifics with your HSA plan administrator.

Yes. DPC members receive same-day access for urgent and new concerns. Patients can reach Dr. Borja by phone, text, email, video, or in-person visit. Telehealth is available for those who prefer a remote option.

Yes. The practice offers house calls and nursing home visits for members who are homebound. The practice charges a $50 house call fee for visits within a 30-minute round trip from the office.

Most appointments run 30 to 60 minutes. Dr. Borja extends visits when the clinical situation calls for more time. Longer appointments allow for thorough evaluations and individualized treatment planning.

Health insurance is not required to join. The practice recommends that members carry some form of catastrophic coverage, such as a high-deductible plan paired with an HSA, to cover emergencies, hospitalizations, and specialist referrals. Some patients pair DPC membership with a health share program instead of traditional insurance.

Yes. The practice accepts Medicare patients, but does not bill Medicare for DPC membership fees or integrative treatments. New Medicare members sign a one-time waiver confirming that neither the patient nor Dr. Borja will bill Medicare for these services. Medicare continues to cover lab testing, imaging, medications, and specialist referrals.

Yes. The practice offers comprehensive medical consultations and integrative treatments on a fee-for-service basis for non-members. An initial consultation is required before receiving treatments. DPC members receive discounted rates on these same services as part of their membership.