Our relationships with members and their families are what set us apart. In a traditional practice, a physician cares for several thousand patients — and many insurance-based practices lean on the cheapest available labor, relying heavily on unsupervised mid-level providers to keep billing volume high. That approach has been linked to worse outcomes at higher cost.

At Specialized, each physician maintains a panel of just 300 patients. That's what lets your physician actually know you, respond quickly, advocate on your behalf, and coordinate care with specialists. Because we're not bound by insurance billing codes, our members pay a simple annual membership fee — and every member has a dedicated care coordinator handling scheduling, refills, and questions.

Sometimes travel to the office isn't possible. Telemedicine covers most of those moments — but if you're too ill for a virtual visit to suffice, your physician will determine whether a house call is appropriate. House calls are always at the physician's discretion.

• Medicare does not cover the membership fee, and private insurance rarely does. Since plans vary, check with your plan administrator to be sure.
• Your membership may qualify for FSA or HSA reimbursement — confirm eligibility with your benefits administrator.

Yes — a one-time visit is available. Our model is built around lifelong relationships and the depth of care that comes from knowing a member well, but we recognize needs vary. Cash-pay pricing for one-time visits is listed under Insurance & Fees.

We don't currently offer pediatric care, though we'd consider adding it with enough member interest. If pediatrics matters to you, let us know through the contact form.

We coordinate directly with your admitting physician and advocate on your behalf throughout the stay. At hospitals where we have an established relationship, we'll visit you in person and help arrange nursing support for a smoother transition home. Note that hospital-stay costs remain your responsibility.

• Yes — we recommend all members keep health insurance for catastrophic illness or injury. Membership covers a higher level of physician access and service, not the full range of medical costs.
• Use your insurance for labs, vaccinations, diagnostics, hospitalizations, specialist visits, and medications.
• We are not a Medicaid, HMO, or Tricare Prime provider, and our model isn't compatible with those plans. If that's your coverage, only your assigned primary care physician can issue referrals and order tests.