Sanguine Direct Primary Care

Sanguine Direct Primary Care charges a flat $100 per month. That fee covers unlimited in-person visits, telehealth consultations, app messaging, phone calls, and after-hours access for urgent concerns. There are no copays or surprise bills on top of the monthly fee.

Sanguine Direct Primary Care does not bill insurance and has opted out of Medicare and Medicaid. The practice accepts patients regardless of their insurance status. Members can still use their insurance for labs, prescriptions, or specialist referrals outside the practice.

Yes. Starting in 2026, Sanguine accepts HSA payments for the monthly membership fee. This makes the membership compatible with many high-deductible health plan arrangements.

Appointments at Sanguine run 30 to 60 minutes, with a standard visit averaging around 45 minutes. Same-day and next-day appointments are available. Dr. Shearer focuses each visit on the patient without the time pressures that come with large-panel practices.

Yes. Telehealth visits are included in the monthly membership. Members can also reach Dr. Shearer through the patient app or by phone. She responds to urgent issues typically within one to two hours and to routine messages within 24 hours.

Yes. Sanguine offers home visits for $50 per visit. Home visits require advance arrangement, take place within Idaho, and must be within reasonable proximity to Moscow. This option suits patients who have difficulty traveling to the clinic.

Sanguine includes several point-of-care labs within the membership fee. These cover rapid strep, flu, COVID, urinalysis, blood sugar, and pregnancy tests. For additional lab work, the practice provides access to low-cost external labs, and members can also use their own insurance for lab testing.

Yes. Sanguine dispenses many medications directly through the clinic at wholesale prices. This can significantly reduce prescription costs for members. Patients may also use their insurance or pharmacy of choice for medications the clinic does not carry.

Sanguine does not perform routine hospital admissions. When a patient needs hospital-level care, Dr. Shearer coordinates directly with hospital staff to ensure continuity. The practice handles roughly 80 to 90 percent of healthcare needs within the clinic itself.

New patients can enroll through the Sanguine website. The practice is currently open and accepting new members. Patients who enrolled before July 1, 2026 had their enrollment fee waived as a founding member offer.