Off Grid Doc
Quick Facts
| Membership Price Range | $57/mo (ages 18-25) | $85/mo (ages 26-39) | $95/mo (ages 40-49) | $120/mo (ages 50-59) | $145/mo (ages 60+) | $1,880 one-time for Metabolic Health Program (patients on metabolic medications); $125/mo ongoing if still on metabolic meds after 6 months | $100 non-refundable enrollment fee |
| Practice Type | Direct Primary Care |
| Location | Bonners Ferry, Idaho |
| Doctors | Ramon Issa MD, Family Medicine |
| Telehealth Type | Secure video chat, phone, text, email, video conferencing |
| Housecalls | Yes |
| Telehealth Available | Yes |
About
At Off Grid Doc in Bonners Ferry, Idaho, Dr. Ramon Issa delivers direct primary care built around metabolic health, nutrition, and root-cause medicine. He founded the practice on a straightforward conviction: finding the source of illness matters more than managing its symptoms. His approach operates entirely outside insurance networks, giving him full freedom to focus on each patient's individual needs.
The practice serves patients ages 0 to 99 through age-based monthly memberships starting at $57 per month. Members receive 90-minute annual physicals, same-day access for acute needs, and 24/7 physician availability by call, text, and email. Dr. Issa runs a dedicated Metabolic Health Program and Medical Weight Loss Program for patients managing diabetes, obesity, hypertension, and related conditions. He accommodates a wide range of dietary approaches, from ketogenic and carnivore to plant-based and intermittent fasting. The practice also performs minor surgical procedures, joint injections, wound care, and IV fluids in-office. Telemedicine visits extend access to patients across Idaho after an initial in-person visit or meet-and-greet.
Details
Address
514857 Highway 95, Bonners Ferry, ID 83805
Phone
(208) 217-3485Website
Visit websiteMembership
$57/monthly
Membership Details
Age-based monthly membership tiers ranging from $57/mo (ages 18-25) to $145/mo (ages 60+). Patients on medications for metabolic health conditions (diabetes, pre-diabetes, high blood pressure, high cholesterol, obesity, or fatty liver) are automatically enrolled in the Metabolic Health Program at $1,880 for 6 months; if still on metabolic medications after initial 6 months, membership is an additional $125/mo. Non-refundable enrollment fee of $100 per new patient. One-time visits available: 15 min $125, 30 min $175, 45 min $225, 60 min $275, 75 min $325, 90 min $375. Medical Weight Loss 6-month individual program starting at $1,880; couples starting at $3,530. Metabolic Health Consultation: $375 for 90-minute session. Medical Consultation: $375 for 90-minute session.
Typical Appointment
90 minutes
Our Doctors
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Frequently Asked Questions
Off Grid Doc offers age-based monthly memberships starting at $57 per month for patients ages 18 to 25. Rates increase by age tier up to $145 per month for patients 60 and older. A one-time non-refundable enrollment fee of $100 applies to each new patient. Patients on medications for metabolic health conditions automatically enroll in the Metabolic Health Program, billed at $1,880 for the first six months.
Off Grid Doc does not accept insurance for membership or visit fees. The practice operates on a direct-pay model, billing patients directly. It pairs well with PPO plans and healthcare sharing programs, which patients can use for care outside the practice such as specialist visits, imaging, or hospitalizations.
Yes. Off Grid Doc offers telemedicine visits by secure video chat, phone, or email after your initial in-person visit or meet-and-greet. For your first appointment, you need to reside in Idaho. After that, virtual visits give members flexible access to Dr. Issa from wherever they are.
Yes. Dr. Issa offers house calls in addition to in-office and telemedicine visits. Contact the practice directly to arrange a house call appointment.
Members receive a 90-minute comprehensive annual physical, highly discounted new patient metabolic health screening labs, acute and non-acute office visits, body composition analysis, chronic disease management, sports physicals, minor surgical procedures, and preventive care. Members also reach Dr. Issa by call, text, or email around the clock and access same-day or next-day appointments for urgent needs.
Yes. Children join for a small additional monthly fee as long as at least one parent holds an active membership. The practice serves patients from age 0 through 99 and beyond.
The Metabolic Health Program is a structured six-month program for patients managing diabetes, pre-diabetes, high blood pressure, high cholesterol, obesity, or fatty liver. Patients on medications for any of these conditions automatically enroll in the program at $1,880 for six months. If they still require metabolic medications after six months, an additional $125 per month applies for ongoing membership.
Off Grid Doc's Medical Weight Loss Program runs six months and includes nutrition and lifestyle counseling, up to four lab draws, remote monitoring, and ongoing communication with Dr. Issa. com subscription, and a Cronometer app subscription. The individual program starts at $1,880 for six months.
Yes. Off Grid Doc offers one-time visit options billed by appointment length, starting at $125 for 15 minutes and up to $375 for a 90-minute session. A 90-minute Metabolic Health Consultation and a 90-minute Medical Consultation each cost $375. After a consultation, patients have the option to join a DPC membership or the Medical Weight Loss Program to continue care.
The first step is scheduling a meet-and-greet with Dr. Issa. Prospective patients contact the practice by phone at 208-217-3485 or by email through the website. New patients must reside in Idaho for this initial visit. After the meet-and-greet, patients complete enrollment forms and pay the one-time $100 enrollment fee to begin their membership.
Practice last updated April 11, 2026