Sound Internal Medicine

Sound Internal Medicine charges $195 per month for adults ages 18 to 99. Members ages 100 and older pay $1 per month. A one-time registration fee of $150 applies at enrollment. Choosing annual billing earns one free month. Additional family members receive a 10 percent discount, and Dr. Gierer offers deeply discounted rates for medical trainees in medical school, residency, or fellowship.

No. Sound Internal Medicine does not bill insurance. The monthly membership fee covers all services Dr. Gierer provides. Patients should carry insurance separately for hospitalizations, specialist visits, diagnostic testing, and prescriptions. Many members use high-deductible PPO plans, catastrophic plans, or traditional Medicare with a supplement alongside their membership.

Michigan recognizes direct primary care as an eligible medical expense for HSA purposes. The federal IRS has not issued an official ruling on this question. Sound Internal Medicine recommends that patients contact their Health Plan Administrator or accountant for guidance before using HSA funds toward the membership fee.

Members contact Dr. Gierer directly through secure messaging, phone, and the patient portal. Dr. Gierer responds to messages same-day in most cases. She also provides evening and weekend phone access for emergencies, so members can always reach their doctor when it matters.

Sound Internal Medicine offers same-day and next-day appointments for members who need in-person visits. The practice keeps its panel at approximately 200 patients, which allows Dr. Gierer to maintain this level of availability consistently.

Yes. Dr. Gierer offers telemedicine visits and house calls as part of the membership. The 4th Trimester package specifically includes a comprehensive in-home postpartum physical for new mothers.

Due to high demand, Sound Internal Medicine currently operates on a waitlist basis. Prospective patients can submit their contact information and the practice will reach out as space becomes available.

The membership covers all primary care services Dr. Gierer provides. This includes annual comprehensive physicals, chronic disease management, preoperative evaluations, preconception counseling, mental health treatment, obesity and lifestyle medicine, travel consultations, and wearable data interpretation including continuous glucose monitors. Basic in-office procedures such as EKG, skin tag removal, suture and staple removal, and earwax removal are also included.

Yes. Dr. Gierer offers deeply discounted rates for MD and DO students, residents, and fellows for the duration of their training. She also provides temporary discounted rates for international trainees whose family members are visiting Michigan. Interested trainees should contact Dr. Gierer directly for details.

The 4th Trimester package delivers a comprehensive in-home physical for new mothers, open to biological, adoptive, surrogate, and loss mothers. The visit includes a full medical and pregnancy history, labor and delivery review, physical exam, feeding support, and mental health assessment. Members receive the package at no additional charge. Non-members pay $775. The package also includes 12 weeks of unlimited access by office visit, phone, video, and email. Gift cards for the package are available.