Two Rivers Primary Care

Membership fees vary by age. Children ages 0 to 18 pay $50 per month, with each additional sibling at $10 per month. Adults ages 19 to 65 pay $100 per month. Members over 65 pay $140 per month. Two Rivers Primary Care charges no initial enrollment fee, though a $75 re-enrollment fee applies if a member leaves and rejoins. Paying annually saves one month's cost.

The monthly membership covers a wide range of services with no copays. Members receive wellness exams, complete physicals, sports physicals, pap smears, sick visits, chronic disease management, and telehealth appointments. In-office procedures like skin biopsies, cryotherapy, cerumen removal, laceration repair, and osteopathic manipulative medicine are also included. Joint injections, IUD placement, and Nexplanon placement carry an additional supply fee.

No. Two Rivers Primary Care does not bill insurance. Members pay a flat monthly fee directly to the practice. The practice encourages members to carry separate major medical insurance for hospitalizations, specialist visits, and emergency care. Many members pair their membership with a low-premium, high-deductible health plan.

Yes, starting in January 2026. A change in federal rules allows members to use Health Savings Account funds to pay for DPC agreements of $150 per month or less. Starting in 2026, monthly DPC payments also count toward an HDHP deductible. Employers can include Two Rivers Primary Care as part of employee health benefits, even alongside a high-deductible plan.

Two Rivers Primary Care keeps its patient panel small so members can access care the same day or the next day. Appointments happen in person, by phone, or by video. The practice does not operate as a walk-in clinic or urgent care, so members schedule through the care team directly.

Yes. Members reach Dr. Grant-Nierman by phone or video for telehealth appointments. The practice also supports after-hours contact for urgent concerns via the main phone line. Non-urgent questions about scheduling or billing go through email or the patient hub.

Yes. Two Rivers Primary Care serves patients of all ages, from newborns to older adults. The practice actively cares for the families of Chaffee County. Children under 18 pay $50 per month, with a discounted rate for additional siblings.

Two Rivers Primary Care is currently building a waitlist for new members. Prospective patients can submit their name and contact information through the enrollment form on the practice website. The practice will reach out as panel space opens.

Yes. Dr. Grant-Nierman provides pregnancy prenatal care as part of the membership. She maintains hospital privileges at HRRMC and delivers babies there, including both vaginal deliveries and C-sections.

Yes. Two Rivers Primary Care has negotiated lower prices on labs and select generic medications. Members access those savings as part of their membership. This can reduce out-of-pocket costs significantly for routine testing and common prescriptions.