Seven Hills Family Medicine logo
Direct Primary Care
Family Medicine

Seven Hills Family Medicine

Quick Facts

Membership Price RangeAccessible: $60/month | Sustainable: $90/month | Equity: $100-$120/month | All tiers require a one-time enrollment fee of $100 per individual (caps at $500 per group)
Practice TypeDirect Primary Care
LocationRichmond, Richmond, VA
DoctorsStephanie Arnold MD, Family Medicine, Ian Blubaugh MD, Family Medicine, Victoria Witt DO, Family Medicine
Telehealth TypeVideo visits and virtual appointments
HousecallsYes
Insurance AcceptedMedicare (for labs, imaging, and medication only), Medicaid (for labs, imaging, and medication only)
Telehealth AvailableYes

About

At Seven Hills Family Medicine, three physicians deliver direct primary care rooted in health equity, shared decision-making, and trauma-informed practice. Dr. Stephanie Arnold co-founded the Richmond practice alongside business manager Taras Mauch and director of operations Vincent Webb. The team has since grown to include Dr. Ian Blubaugh and Dr. Victoria Witt.

The practice serves patients ages 3 and up. Each membership includes same-day and next-day urgent appointments, visits of 30 to 60 minutes, telehealth, and medically necessary house calls within 10 miles. Seven Hills runs an on-site pharmacy stocking HRT medications and dispensing deeply discounted prescriptions, with most labs priced at $10 or less. The practice offers three membership tiers built on a mutual-aid model: Accessible ($60/month), Sustainable ($90/month), and Equity ($100-$120/month). Comprehensive gender-affirming care and reproductive healthcare, including abortion services, sit fully within the DPC membership at no added charge. The current facility includes two procedure rooms, a lab and triage area, a group therapy room, and dedicated space for on-site mental health services.

Details

Address

25 E Main Street, Richmond, VA 23219

Membership

$90/monthly

Membership Details

Three membership tiers: Accessible ($60/month, self-assessed need, no means testing, first come first served); Sustainable ($90/month, standard rate); Equity ($100-$120/month, higher rate to offset costs for others). One-time enrollment fee of $100 per individual (caps at $500 per group). Group discounts: 10% off for 2-3 members, 15% off for 4+ members with single payer. Month-to-month, cancel with 30 days notice. No insurance accepted for physician services.

Typical Appointment

45 minutes

Telemedicine
House Calls
Same-Day Appointments

Our Doctors

Similar Practices Nearby

Explore More

Frequently Asked Questions

Seven Hills Family Medicine offers three membership tiers. The Accessible tier costs $60 per month for patients with self-assessed financial need. The Sustainable tier, the standard rate, costs $90 per month. The Equity tier runs $100 to $120 per month; members who choose this tier help offset costs for others. A one-time enrollment fee of $100 per individual applies, capped at $500 per group. Group discounts are available: 10% off for 2 to 3 members and 15% off for 4 or more members with a single payer.

Yes. Starting January 2026, members can use HSA funds for their DPC membership, up to $150 per month for an individual and up to $300 per month for a multi-person membership. This makes the membership even more accessible for those with HSA-eligible health plans.

Seven Hills does not accept insurance for physician services or membership fees. The practice operates on a direct-pay model, which allows it to keep costs transparent and avoid the administrative overhead of insurance billing. Members benefit from deeply discounted prescriptions and labs, with most individual labs priced at $10 or less.

Membership includes unlimited primary care visits with no copays, same-day and next-day urgent appointments, and comprehensive visits of 30 to 60 minutes. Members also receive telehealth access, medically necessary house calls within 10 miles, deeply discounted prescriptions dispensed through the on-site pharmacy, and full gender-affirming care at no additional charge. The practice uses Elation Passport for secure messaging, appointment scheduling, and refill requests.

Yes. Seven Hills provides abortion care to the general public, not only to DPC members. The practice offers abortion by pill and the SofTouch aspiration procedure. Appointments run Monday through Friday by private individual appointment. All-inclusive fees cover the office visit, ultrasound, and required follow-up. Nitrous oxide is available at no additional charge for the SofTouch procedure.

Seven Hills accepts DPC members ages 3 and up. All ages follow the same membership rate structure. The practice welcomes individuals and families, with group discounts available for households enrolling together.

The Health Equity Fund uses a mutual-aid approach to make membership more accessible. Members who choose the Equity tier ($100 to $120/month) pay above the standard rate. Those funds help support the Accessible tier, which keeps care available to patients facing economic barriers. The practice built this model with the explicit goal of keeping high-quality care available to those who need it most.

Yes. Seven Hills memberships run month-to-month. Members cancel with 30 days notice, with no long-term contract required.

Yes. The practice offers telehealth visits for members who prefer remote care. Physicians also make medically necessary house calls within 10 miles. Members can communicate with their care team by text, email, phone, or through the Elation Passport patient portal.

Members can contact their physician by phone for urgent concerns, even during practice closures. The urgent line number appears in each member's Elation Passport account. The practice also offers same-day and next-day appointments for urgent needs during regular hours.

Practice last updated April 10, 2026