
Neff & Karem Concierge Care
Quick Facts
| Membership Price Range | Ages 0–26: $50/mo ($25/mo each additional child) | Ages 27+: $175/mo (one adult) | Couple: $350/mo (two adults) | Family: $400/mo (2 adults + unlimited children 26 and under) | Yearly option: 1 month free |
| Practice Type | Concierge |
| Location | Anchorage, KY, Louisville |
| Doctors | Tony Karem MD, Internal Medicine, Adam Neff MD, Internal Medicine |
| Panel Size | 300 patients per doctor |
| Housecalls | Yes |
| Insurance Accepted | Medicare, Most major insurance plans |
About
At Neff & Karem Concierge Care, two physicians deliver primary care for patients of every age, from newborns to seniors. Dr. Adam Neff and Dr. Tony Karem co-founded the Anchorage, KY practice with a shared conviction: medicine works best when physicians control time, access, and trust. The practice limits its panel to approximately 300 patients and serves Louisville families and busy professionals.
The clinical scope runs wide. Both doctors cover primary care, chronic disease management, and pediatrics. The practice also offers metabolic health and weight management, hormone optimization for men and women, and integrative wellness services including sleep, stress, and cardiometabolic prevention. Every membership includes 24/7 direct physician access, same or next-day appointments, extended visits of 30 to 60 minutes, and a comprehensive annual exam with EKG, pulmonary function testing, vision and hearing screening, and cardiovascular risk assessment. Members also access wholesale lab and imaging pricing. The practice philosophy is direct: reverse chronic disease by addressing root causes, not just symptoms.
Details
Address
1411 Evergreen Road, Anchorage, KY 40223
Phone
(502) 469-5002Website
Visit websiteMembership
$175/monthly
Membership Details
Monthly membership fee covers comprehensive concierge care benefits including 24/7 direct physician access, extended visits, annual comprehensive exam (EKG, PFT, vision, hearing screening, cardiovascular risk assessment), care coordination, wholesale labs & imaging access, and home/hospital visits as clinically appropriate. Annual exam fee is separate from insurance billing. Labs and imaging not included but available at reduced wholesale pricing.
Typical Appointment
60 minutes
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Frequently Asked Questions
Membership at Neff & Karem starts at $50 per month for patients ages 0 to 26. Adults 27 and older pay $175 per month. Couples pay $350 per month, and a family plan covering two adults plus unlimited children under 26 runs $400 per month. The practice also offers an annual payment option that includes one month free.
Every membership includes 24/7 direct physician access by phone, text, or email, extended visits of 30 to 60 minutes, same or next-day appointments, a comprehensive annual exam with EKG, pulmonary function testing, vision and hearing screening, and cardiovascular risk assessment. Members also receive care coordination, home and hospital visits as clinically appropriate, and access to wholesale lab and imaging pricing.
Yes. The practice will credential with most major insurance plans, including Medicare, and bills insurance for covered medical services. The annual exam fee is separate and does not go through insurance. Depending on your plan, certain services may qualify for HSA or FSA reimbursement, and the practice provides documentation on request.
The first step is a free discovery consultation. During that conversation, you can share your health goals, ask questions, and find out whether Neff & Karem is the right fit. After enrolling, you schedule your comprehensive intake visit, which runs 60 to 90 minutes.
Neff & Karem limits its panel to approximately 300 patients total. That cap allows both physicians to provide the level of access, attention, and personalization the practice is built around. Availability is limited, so the practice encourages prospective patients to reach out early.
Yes. Dr. Neff and Dr. Karem both hold training in Internal Medicine and Pediatrics. The practice cares for patients from newborns through seniors. A family plan covers two adults and unlimited children under 26 for $400 per month.
Yes. The practice provides home visits and hospital visits as clinically appropriate. Members also communicate directly with their physician by phone, text, or email, which handles many concerns without requiring an office visit.
Labs and imaging are not included in the membership fee, but the practice gives members access to wholesale pricing through its provider partnerships. That typically means significantly reduced costs compared to standard retail rates.
Members reach their physician directly by phone, text, or email at any time. The 24/7 direct access is a core benefit of membership at Neff & Karem. Patients do not navigate a call center or answering service to get a response.
Yes to both. The practice offers physician-supervised medical weight loss plans, body composition tracking, nutrition and behavioral coaching, and medically supervised weight-loss therapy when clinically appropriate. It also provides hormone optimization for men and women, including perimenopause, menopause, and thyroid support, all with ongoing lab monitoring.
Practice last updated September 17, 2026


