You can ask about early telehealth membership, second-opinion consults, or future in-person care. The team will help determine which next step makes sense.

The early telehealth membership is $150/month. It includes quarterly 30-minute telehealth check-in visits and as-needed non-emergency urgent-care telehealth visits when clinically appropriate while the Helena office opens in phases.

As in-person services come online, planned full concierge tiers include Concierge Premier at $259/month and Concierge Plus Advanced Wellness at $499/month. Customized care plans are available by request for needs such as in-home or nursing-home visits, executive physicals, or direct physician access arrangements.

The launch phase begins with early telehealth membership and second-opinion consults. The full Helena model is planned to include wellness exams, acute illness evaluation, yearly physicals, preoperative evaluations, FAA exams, nurse visits, EKGs, in-office blood draws, telemedicine visits, genetic testing, and support for chronic medical conditions.

The concierge model also supports a more responsive service experience, including direct office access, same-day or next-day appointments when available, and help with medication refills, referrals, forms, and prior authorizations.

After membership fit is confirmed, the office can provide secure payment options. Early telehealth membership can be set up with recurring monthly card payment or a one-time card payment option, and full concierge service fees can be paid monthly or annually through the practice payment portal. Please do not send credit card information through the website form.

Concierge medicine is a membership-based care model. Instead of a traditional high-volume clinic structure, members pay a recurring fee that supports more time with the physician, easier access for non-emergency questions, and a smaller patient panel. At Helena Internal Medicine, the early membership begins with telehealth access while the in-person Helena office is being prepared.

The fee supports a different patient experience: more time for visits, clearer follow-up, responsive staff communication, and a smaller practice model designed to help the team know each patient's situation over time. Full concierge tiers are planned to support enhanced services such as same-day and next-day appointments when available, after-hours call support, longer visits, direct office access, and enhanced care coordination with specialists, home health services, and other care resources.

Possibly. HSA rules can depend on your specific plan, tax situation, and whether the membership arrangement meets current requirements. Please confirm with your HSA administrator or tax professional before using HSA funds. The office can provide documentation or a receipt if helpful.

The membership fee is paid directly to Helena Internal Medicine and is not billed to insurance. Eligible medical services may still involve insurance, and services outside the membership, such as outside labs, imaging, prescriptions, specialists, emergency care, and hospital care, remain separate and may be billed by those providers to your insurance.

Yes. Membership is not health insurance and does not replace coverage for emergencies, hospital care, specialists, surgery, prescriptions, or other services outside the practice. Most patients should keep health insurance or other appropriate major medical coverage.

Yes. The long-term plan is to offer membership-based internal medicine in Helena, including longer visits, preventive care, chronic care support, and practical in-office services once the location is ready. Planned in-office services include blood draws, EKGs, phlebotomy, select point-of-care testing, and other services listed on the Services page.

Start by sharing a brief, general overview through the Second Opinion Consults page. Please do not send medical records or detailed medical history through the form. If the consult looks appropriate, the office will follow up with next steps.

Availability depends on the clinical situation, patient location, records available, and applicable telehealth requirements. The team will confirm what is possible before scheduling.

Yes. Members have access to an after-hours on-call service that can help with medication refills after hours and triage medical concerns.

For all patients, the practice will proactively reach out to hospital doctors to help coordinate care and remain available to them and to you for questions. In-hospital rounding may be considered as part of a custom package.

Once the office is operating in person, planned office hours are Monday through Thursday, 9 a.m. to 5 p.m., and Friday, 9 a.m. to noon.

Once in-office phlebotomy is available, planned blood draw hours are Fridays from 9 a.m. to 11:30 a.m. No appointment is needed.

Send a message or call the office, and the team will work to complete refill requests within 24 hours.

Patient portal messages are reviewed the same day during business hours.

Yes. There is no extra fee for form completion.

The team works to complete medication prior authorizations within 24 hours.

If the physical office needs to close due to weather, video or phone visits can still be offered during standard business hours.

Because this is a concierge service practice, there are no fees or penalties for cancellations. Please let the office know when you need to reschedule.

No. The practice is not able to prescribe controlled substances. If a chronic controlled substance is part of your healthcare, another practice may be a better fit.

No. For worsening, severe, or potentially life-threatening symptoms, call 911 or seek emergency care.