Total Access Medical – Elise Hogan, MD

Membership at Total Access Medical costs $5,000 per year. Members can also pay $416.67 per month. The practice charges no enrollment fee. Membership requires a 12-month minimum commitment, after which it continues month-to-month with 30 days written notice to cancel.

Membership covers unlimited in-person, phone, and video visits with no copay. It includes preventive care, annual physicals, same-day sick visits, chronic disease management, prescription management, specialist referral coordination, minor in-office procedures, and travel medicine consultations. Lifestyle medicine, integrative medicine, weight loss counseling, and menopause and perimenopause care are also included at no extra cost.

The practice does not bill insurance for primary care services. Members pay a fixed membership fee that covers all included services. Patients do continue to use their insurance for medications, lab testing, imaging, immunizations, specialist visits, and hospital or emergency care. The practice strongly recommends that members maintain health insurance coverage for those needs.

Members have access to same-day and next-day appointments. Acute visits typically run 30 minutes. Comprehensive visits run an hour or more. The practice keeps the panel at approximately 350 patients, which allows little to no wait on the day of an appointment.

Yes. Members have direct access to Dr. Hogan by phone, text, and email, 24 hours a day, seven days a week. Office hours run Monday through Friday, 8:00 AM to 4:00 PM, but direct access extends beyond those hours.

Yes. The membership includes unlimited video and phone visits. Members can choose a virtual visit whenever an in-person visit is not necessary. The practice also offers a complimentary no-obligation meet and greet by video for prospective patients.

The practice offers a complimentary, no-obligation meet and greet with Dr. Hogan, either in person or by video. Prospective patients can ask questions, learn about the practice, and decide whether it is a good fit. There is no pressure to join. If membership feels right, the practice guides new patients through enrollment and their first visit.

Yes. The practice offers three optional testing packages for members who want more in-depth assessment. The Genova Diagnostics GI Package costs $1,500 and includes GI Effects, SIBO testing, and food sensitivity testing. The Wellness Package costs $1,800. The Longevity Package costs $5,000 and includes a Prenuvo Whole Body MRI scan, DEXA body composition, Coronary Calcium Score, toxin testing, metabolic testing, a sleep assessment, and four Fasting Mimicking Diet kits.

Yes. Dr. Hogan holds the Menopause Society Certified Practitioner credential and provides comprehensive menopause and perimenopause care. She addresses hot flashes, night sweats, sleep disruption, mood changes, brain fog, vaginal symptoms, bone health, and more. Menopause care is included in the membership at no extra cost.

Federal law changed in 2026 so that a qualifying direct primary care arrangement no longer disqualifies members from contributing to a Health Savings Account. Qualifying fees may also be reimbursable from an HSA. Whether a specific membership qualifies depends on individual circumstances and fee limits. The practice recommends checking with an HSA administrator or tax advisor. The practice provides receipts and documentation of membership fees upon request.