• direct patient care home
  • about the providers & staff
  • schedule an appointment
  • forms
  • Walk-in services with fees
  • Member services
  • Becoming a Member or Patient
  • Small Business Owner?
  • Functional Medicine & Integrative Services
  • Weight Loss Program
  • Healthy Living
  • Health Coaching
  • Functional Nutrition
  • Mental Health Counseling
  • NEW Wellness Suite
  • contact us
  • FAQs
  • blog
THRIVE DIRECT HEALTH CARE
  • direct patient care home
  • about the providers & staff
  • schedule an appointment
  • forms
  • Walk-in services with fees
  • Member services
  • Becoming a Member or Patient
  • Small Business Owner?
  • Functional Medicine & Integrative Services
  • Weight Loss Program
  • Healthy Living
  • Health Coaching
  • Functional Nutrition
  • Mental Health Counseling
  • NEW Wellness Suite
  • contact us
  • FAQs
  • blog
THRIVE DIRECT HEALTH CARE

How to
​become a
patient

Forms
Member Service Guide
Walk-in fees
Membership Fees
There are many ways to be apart of Thrive Direct Health Care's innovative method of health care delivery. Maybe you have a high deductible insurance plan or have maybe you have no insurance or maybe you own your own business and want to offer affordable medical services as a benefit. Maybe you just want a better way to do health. What you already know ... ? You want to have a different experience that is focused on you as an individual not as a symptom or disease.

​
Whatever path you choose—it’s the right path for you. You can come as a scheduled or true walk-in for acute needs or quick visits (no membership required). You can also join an affordable membership plan providing more access to your provider for chronic care or primary care management. 

​If you are looking to really make a difference in your health outcomes or have a meaningful relationship with your provider - membership may be the way to go.
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More about walk in services
Member Services and Fees
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Membership Options

Below are two options for membership and the difference between these two models to help you decide which path you want to take.

Direct Primary Care (DPC) is geared towards convenient access, after hour urgent needs and relationship based care for primary care and acute care needs. 

​Functional medicine gets deep into the roots of symptoms and attempts to find the cause in order to find resolution….this is NOT primary care. This is an intense personalized approach to medicine on complicated topics. 

Direct Primary Care

BASIC MEMBERSHIP OPTIONS
  • YOUTH & YOUTH PLUS
  • ADULT​
For generally healthy members who need health guidance for optimal wellness and primary care needs who want a deeper relationship with their provider and easy access for concerns. The average member uses Direct Primary Care services four times a year. Membership dues are $30/mo for children and $85/mo for adults beginning May 2025. Family max plans available. Signing up a whole family? We often decrease the initial intake fees. 

​Includes:
  • Annual Wellness Exam
  • Well child exams and newborn exams
  • Acute Care/Urgent visits
  • Same day or next day scheduling
  • Access to affordable basic labs and imaging need
  • Basic office procedures
  • Health screening recommendations
  • Mental health - affordable access
  • Health coaching for PLUS members
  • Complex Disease management with standard approaches and lifestyle management
  • Many needs met by quick check ins virtually

MEMBERSHIP is now required for any long term chronic care management. 

More Services

Functional Medicine 

  • DPC PLUS FUNCTIONAL MEMBERSHIP OPTION
  • PAY AS YOU GO OPTION 
  • FUNCTIONAL MEDICINE PROGRAM 
For individuals who are ready to really change their lifestyle and start feeling better with more intense guidance and coaching on root causes and evidenced based approaches for ...
  • Chronic fatigue or brain fog
  • Chronic inflammation: arthritis, fibromyalgia, migraines
  • Autoimmune diseases
  • HPA Axis Dysfunction
    • Hormone Imbalance - Complex including sexual dysfunction
    • Thyroid Dysfunction
    • Stress, anxiety, depression
  • Digestive Issues: constipation, chronic diarrhea, bloating, & gas
    • IBD, IBS, reflux
    • SIBO; SIFO
  • Allergies
    • Food intolerances/allergies
    • Complex skin issues
  • Mold, Lyme and environmental burden disorders including CIRS (chronic inflammatory response syndrome)
  • Root cause Diabetes, Pre-Diabetes, Cardiovascular disease
  • Obesity & weight management
  • Mitochondrial Disorders
  • ADD/ADHD, depression/anxiety and other neuro-diversities using a more natural approach
  • Post COVID long haulers (aka post viral syndrome)
Available as a pay as you go method, a membership focus PLUS plan for those with complex needs or a stand alone package with additional benefits. 


KEEP SCROLLING TO FIND OUT MORE


​INSURANCE IS NOT ACCEPTED
The Direct Patient Care (DPC) health care model is an innovative model to reduce consumer costs of primary health care and allow for more quality time with your provider. In working with specialists and imaging/laboratory providers in the community, we have a vast list of referral options at a fraction of the cost typically charged by insurance companies making health care more affordable. You always have the option of working with your insurance company personally for reimbursement or using them for labs and covered prescriptions. Need an affordable alternative? Look at health shares such as Zion Health (ZION currently on hold however for WA State). 

Request a superbill at the time of service to be able to submit a claim to your own insurance plan for reimbursement. 

EXCEPTION: We do accept Medicare Part B Washington only who are NOT eligible for membership.
No billing for Medicare Advantage/HMO or other Medicare Part B for other States so cash rates apply and these patients are eligible for membership.

Please see the Home page and FAQs page for more information on this model.


Please Note:
We are not health insurance provider. Any healthcare services you receive elsewhere, are subject to the costs of the service provider, insurance co-pays or co-insurance. It is recommended to have a high deductible plan with low premium aka catastrophic insurance. ​
Original Medicare Part B? ~ Click to continue to schedule

Process: How to become a patient

By now I’m sure you’ve received the run around from the traditional model. 10 minute appointments, long wait times, can never get in when you really need to be seen and have to end up using urgent care, . . . Or have no insurance so there is fear in the cost of getting health care . . . Or you own or work at a small business without health benefits.

Thrive Direct Health Care may just be what you need and we have many options to help you meet your health care needs and goals. ​

>Dr Brianna is closed for all patient types. No wait list is available at this time. 
​
>Provider Nicki is open to patients of all ages for MEMBERSHIP only for primary care/chronic care management and MEDICARE B

​​Sub-Specialties Include the following: 
  • ​Fertility
  • Pediatrics 

All with a functional medicine lens 

​
>Provider Sarah S is open to patients of all ages for MEMBERSHIP only for primary care/chronic care management and MEDICARE B

Sub-Specialties Include the following: 
  • ​Urology
  • Hormone Management 
  • Pediatrics
  • ​ 
    All with a functional medicine lens ​

​>Provider Sarah M is open to patients of all ages for MEMBERSHIP only for primary care/chronic care management and MEDICARE B

Sub-Specialties Include the following: 
  • ​Functional Medicine
  • Women's Health 
    All with a functional medicine lens  
Due to a conflict of interest - Provider Liz is no longer at Thrive Direct Health Care. 
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JULY 1, 2025 UPDATE

We are getting closer to being at max capacity. 
As of July 1, 2025 -- new establishing care patients will be required to maintain a membership to continue care. 

With our unique combination of natural and western medicine & our newly renovated 4400 sq ft space — our clinic is filling up fast. We want to maintain long visits and getting our patients in same day or same week. 
In order to do this … 

As of July 1 we are implementing a change in policy for “new” patients establishing care with our providers newly added in the last year. 

For our non-members: 
-We will always provide DOT, sports, pre-employment physicals to non members. 
-We will always provide exemptions and medical cannabis certifications
-We will always take scheduled or normal walk-ins for urgent care or acute/last minute ailments and for problem focused visits. 
-We will allow our weight loss patients on GLPs to not require a membership if micro-dosing. If full dose is needed our 6 month minimum coaching membership will be required. 

CHANGES
NEW patients establishing for ongoing primary care, medication management and chronic disease will be required to do a membership for our providers to manage chronic needs (exception - Medicare B original). 

Consultations can still be provided with recommendations or advice but management will need a membership. 
The above applies for NEW patients only and those scheduled on or after 7/1/2025. 

This will be in effect until at least end of this year. 
I’m always evaluating and re-evaluating our structure as well as patient and provider needs. 
​

Please PM or email us for questions.

​
Step 1 - MEET & GREET

Unsure? . . . start here!

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More about Dr Brianna and our providers

Your medical journey has led you to Thrive Direct Health Care. So now what? Schedule a meet and greet either in person or by phone/video call for 10-15 minutes at no charge or use our walk in services ($100-200) for urgent care needs. You can also establish care ($250)  and pay as you go (see if waitlist applies).

See if we are right for you!


OR...

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Schedule Now

Step 2 - Intake Exam $150 - Membership only openings
​All patients start here to establish primary care services,
​membership or functional medicine needs.
Establish care:
Schedule a 60 minute intake history and exam^.

​Review your health goals and Determine focus areas for optimal health. Get necessary baseline or specific blood work at time of visit or soon after.
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^QUALIFIER FOR ALL MEMBERSHIPS
Adults - $150 Intake
​Children - $100 Intake

$250 one time consult only - no Membership 
INCLUDES:
  • No lab draw fee
  • Free 15 minute phone review of lab results
  • Standard to do list for screening needs
  • Review basic concerns
  • Review medications
  • Formulate a health plan for the year
  • Brief intro to DPC or functional medicine approach
Prior to July 1, 2025 - Free super bill invoice to submit to insurance (intake only), otherwise $10 each (upon request only)

STEP 3 - determine your path
DIRECT PRIMARY CARE (DPC) WELLNESS MEMBERSHIP
​
or pay as you go with provider Liz.
Membership Fees
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Direct Primary Care - Wellness Membership (primary care only)

... $30-55/month for Youth

​...$85/month for Adults
Family Maximum Rate $225/mo


Primary Care only Wellness Plan 
  • Annual wellness exam with free annual labs**
  • 24/7 access to provider via phone/text/ email. Urgent needs only after business hours.
  • ​Expanded and relaxed visits for all ages addressing common primary care concerns and urgent care needs. Basic membership includes an annual wellness exam and unlimited in person or virtual visits per membership year. 
    • Youth Wellness plan: 3 visits per year or
    • Youth PLUS: unlimited visits, access to mental health counselor at discounted rates noted below. PLUS plan is required for controlled substances and children ages 0-12 months.
  • Same day and next day scheduling for urgent needs
  • House calls as defined per the member services guide
  • After hours visits and additional house calls for small surcharge of $15
  • Primary Care and Chronic Care management
  • Mental Health Counseling ~ affordable access through third party
  • Free in office basic diagnostics & procedures**
    • Free annual labs: Lipid Panel, CBC, CMP, A1c for adults only 
    • Member discounts on Advanced Diagnostics paid to facility in Bellingham. 
    • Member discounts for Youth on all diagnostics and procedures (Included in the PLUS plan)
  • Convenient medication refills and in office dispensing
  • Wholesale cost for in-clinic lab draws
  • Low cost access to radiology and imaging services
  • 10% off supplements in store and virtually 
  • Required for ongoing controlled substance prescriptions​


**Requires 6 month minimum memberships for some services. Some required for 6 months same calendar year.  Labs not included in Youth plans. See a la carte menu and Member Service Guide (to be updated January) for more information.
Membership is required for controlled medication prescriptions  
FUNCTIONAL MEDICINE & DPC MEMBERSHIP
​
or pay as you go (see below)
More about Functional Medicine
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Direct Primary Care - PLUS Functional Medicine -Membership

... $180/mo*
DPC members can temporarily bump to this plan for an intensive approach.


​Primary Care PLUS Functional Medicine
  • Everything offered under the DPC Wellness Plan 
  • Functional Medicine sessions
    • Limit 1 per month (60 min) 
  • Additional labs**: total of 2 A1c, Vitamin D x1
  • 1 Included Nutrition Consult with Functional Nutrition Coach
  • Health/Nutrition/Exercise Coach (Discounted at $40-60 per session) 
  • Supplement discount 15%
  • IV Nutrition 10% off 


​We also have an intensive 6 month program with twice a month visits and MORE included.
More details below. 


^Membership minimum for benefit requires a full year of membership otherwise membership discount applies at time of cancelation.
*Membership minimum for benefit requires 6 month membership otherwise membership discount applies at time of cancelation.  ​
​
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Pay per visit ~ Functional Medicine

  • Functional Medicine single visits:
    • $300 each 1 hour visit.
    • $150 each 30min follow.
    • No folder/binder.
    • Select from topic list or topics of interest.
  • Discount for primary care and pain members - 50%
    • $150 each hour visit -
    • $75 for a 30 minute
    • No discount on package
    • Would be in addition to DPC membership
Membership Plans
Add on options:
+$125/mo for chronic pain management. NO MORE OPENINGS AT THE MOMENT 
+$100-125/mo for BHRT pellets (includes advanced hormones)


Additional Services paid per visit option
-Health Coaching
​-Weight Loss Program 

​-Mental Health pay as you go ​


Functional Medicine Program 

For a more information on the intensive program and additional discounts please see Functional Medicine & Integrative Services

Step 4 - Optimal Wellness
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