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Direct Primary Care
Internal Medicine

Monarca Health

Quick Facts

Membership Price Range16 to 44 years old: $69/month | 45 to 64 years old: $89/month | 65 and older: $109/month | Couples: 10% discount | 3 or more members: 12% discount
Practice TypeDirect Primary Care
LocationKeene, NH, Cheshire County, New Hampshire, Connecticut
DoctorsAurora Leon MD, Internal Medicine
Telehealth TypeVideo calls, phone calls, text, email
Telehealth AvailableYes

About

At Monarca Health in Keene, NH, Dr. Aurora Leon MD delivers primary care and internal medicine through the Direct Primary Care model. She serves adults 16 and older across Cheshire County and beyond. The practice operates bilingually in English and Spanish, reflecting a deep commitment to the Hispanic community in New Hampshire and Connecticut.

Dr. Leon pairs evidence-based medicine with integrative approaches. She puts nutrition at the center of chronic disease management, helping patients reverse conditions through diet and lifestyle change. Every appointment runs 30 to 45 minutes, and patients work directly with their physician from start to finish. Monarca Health also offers point-of-care ultrasound, minor procedures, telehealth visits, and healthy cooking classes. Members reach their doctor by phone, text, or email, with response times of 30 minutes for calls and one hour for texts.

Details

Address

340 West St, Keene, NH 03431

Membership

$69/monthly

Membership Details

Full Membership includes access to all in-person and tele-health services. Age-based monthly pricing: $69/mo (ages 16-44), $89/mo (ages 45-64), $109/mo (ages 65+). Couples receive 10% discount; groups of 3 or more receive 12% discount. Wholesale/at-cost pricing for labs, medical supplies, and imaging referrals.

Typical Appointment

37 minutes

Telemedicine

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Frequently Asked Questions

Monarca Health structures membership pricing by age. Adults ages 16 to 44 pay $69 per month, ages 45 to 64 pay $89 per month, and members 65 and older pay $109 per month. Couples receive a 10% discount, and groups of three or more receive a 12% discount. The monthly fee covers all in-person and telehealth primary care services.

A full membership covers all in-person visits and telehealth appointments. The practice also passes along wholesale and at-cost pricing for labs, medical supplies, and imaging referrals, so members avoid marked-up charges. Minor procedures such as joint injections, sutures, pap smears, and cryosurgery are included in your care.

Appointments at Monarca Health run 30 to 45 minutes. The doctor spends the entire visit with each patient directly, without handing off to nurses or medical assistants. That time covers medical concerns, medications, lifestyle, nutrition, and any other relevant personal details.

Monarca Health schedules new appointments within 48 hours. The practice also offers telehealth visits for situations where an in-person visit is not needed. Members can reach their physician directly by phone, text, or email, with return calls within 30 minutes and text responses within one hour.

Monarca Health does not bill insurance for membership fees or primary care services. The DPC model gives members direct access to their physician for a straightforward monthly fee. For labs, imaging, and referrals, the practice secures wholesale and at-cost pricing to keep out-of-pocket expenses low.

Yes. Telehealth visits are part of every full membership at no additional cost. Members can schedule virtual appointments for a wide range of concerns covered under primary and internal medicine. The same direct physician access applies for virtual visits as for in-person ones.

Dr. Leon manages a broad scope of adult medicine. The practice addresses chronic conditions including hypertension, diabetes, high cholesterol, thyroid dysfunction, asthma, COPD, autoimmune diseases, and gastrointestinal diseases. She also provides mental health support for depression and anxiety, women's health services, weight management, and supportive cancer care. Preventive medicine, travel medicine, and lifestyle medicine round out the clinical scope.

Yes. Monarca Health runs healthy cooking classes and programs focused on altering chronic disease progression through diet. Dr. Leon believes food functions as one of the most effective medicines available. These classes give members practical tools to apply nutrition-based strategies to their own health.

Yes. Monarca Health operates as a fully bilingual practice in English and Spanish. The practice serves the Hispanic community across New Hampshire and Connecticut. Patients can communicate with the practice and receive care entirely in Spanish.

Monarca Health serves patients ages 16 and older. The practice welcomes adults across all socioeconomic and geographic backgrounds. Patients managing acute illness, chronic disease, or ongoing mental and physical health concerns all fall within the practice's scope of care.

Practice last updated March 21, 2026