Sereno Medicine

Sereno Medicine membership starts at $125 per month, billed monthly. The initial term is six months, after which membership continues month-to-month. The practice charges no enrollment fees and no cancellation penalties after the initial term. Members who choose to contribute above the $125 floor fund sponsored memberships for patients experiencing hardship.

For non-Medicare members, the monthly fee covers all primary care - office visits, annual wellness exams, acute sick visits, medication management, in-office procedures including joint injections, care coordination, specialist referral management, home visits, telemedicine, and after-hours physician access. The practice also provides wholesale supplements at cost and discounted laboratory testing at negotiated cash rates.

Yes. Sereno Medicine membership covers your primary care relationship and is not a substitute for health insurance. You need insurance for hospitalization, emergency care, specialist visits, imaging, and prescriptions. Think of the membership as the layer that covers the physician who manages everything else.

Yes. Medicare Part B members are welcome at Sereno Medicine. For Medicare members, the monthly membership fee covers concierge access - same-day appointments, direct physician contact, and extended visit availability. Clinical services such as office visits, wellness exams, and chronic disease management are billed to Medicare, and standard Medicare cost-sharing applies.

Yes, for non-Medicare members. As of January 1, 2026, the Sereno Medicine membership fee qualifies as a direct primary care arrangement for HSA purposes. Medicare members should consult their tax advisor regarding HSA eligibility rules.

The Sereno Sponsors Program lets members who contribute above the $125 monthly floor fund subsidized memberships for patients experiencing hardship. Sereno reserves up to 15% of its panel for sponsored memberships, with a goal of reaching 20%. Sponsored members receive the same physician, the same access, and the same standard of care as every other member. Dr. Lopez does not know what any patient pays - tier placement is handled entirely by administrative staff.

Yes to both. Sereno Medicine offers telemedicine visits where clinically appropriate, including when members travel. The practice also provides home visits for members who are ill, recovering, or unable to come to the office. Both options are included in the membership.

Your first visit at Sereno Medicine runs 60 to 90 minutes. Dr. Lopez reviews your full medical history, current medications, past records, family history, and health goals, then conducts a physical examination. Before the visit, the practice requests records from previous providers so nothing is duplicated or missed. You leave with a clear picture of your health and a plan for what needs attention.

Yes. Children of a full-rate member between the ages of 17 and 25 can join at $50 per month. They receive the same physician access and clinical care as any other member. The add-on transitions to the standard membership rate at age 26. Spouses join at the standard $125 monthly rate.

Sereno Medicine offers sponsored memberships for patients experiencing hardship. Eligibility is assessed privately by administrative staff - no documentation required. The practice reserves up to 15% of its panel for sponsored members, with a goal of 20%. Interested patients can contact the office directly to inquire.