Membership & Services
Care worth
investing in.
Trillium Concierge Medicine is built around one idea: that great healthcare starts with time, access, and a physician who truly knows you. Our membership model makes that possible — for your whole family, across every stage of life.
A free 20-minute conversation — no commitment required.
Every Membership Includes
Next business day appointments
Direct secure messaging with your physician
Longer, unrushed appointments
In-office lab draws
Care coordination with specialists
Phone and video visits
Physician coverage between Dr. Casey & Dr. Nelson
The Trillium Model
A medical home, not a revolving door.
At Trillium, we intentionally keep our panels small. That means more time with each patient, careful consideration of all contributing factors, and real continuity of care — getting to know patients and their families over time.
The result is comprehensive, personalized primary care that the traditional insurance model simply doesn't allow. No rushed visits. No insurance company deciding what care you receive. Just two experienced physicians who are fully invested in your health.
Unhurried appointments built around what you actually need
A physician who knows your history — no repeating yourself
Urgent care handled in-clinic, by your own doctor
Transparent, predictable pricing — no surprise bills
Two physicians who cover for each other seamlessly
Membership Plans
Find the plan that fits your family.
LIMITED AVAILABILITY
INDIVIDUAL · BEST VALUE
Founding Member
$3,500
/yr ($295/month)
By joining as a founding member, you lock in our lowest-ever rate. This is the best value we will ever offer.
All standard membership benefits
Founding member pricing
Priority enrollment
Next business day appointments
Direct secure messaging with your physician
In-office lab draws & care coordination
FAMILY ADD-ON
Spouse or Partner
$3,250
/yr ($271/month)
The same personalized relationship-driven care – now for both of you. Your household shares a physician who understands your full family health picture.
All Concierge Membership benefits
Shared physician relationship
Streamlined family care coordination
FAMILY ADD-ON
Young Adult (18–25)
$3,000
/yr ($250/month)
For young adults navigating their health independently for the first time – often without a parent in the room. Full membership benefits, including telehealth access.
All Concierge Membership benefits
Phone and video visits
Continuity with the family physician
FAMILY ADD-ON
Children (6-17)
$2,100
/yr ($175/month)
Comprehensive primary care for your child within the same trusted practice. Sick visits, well-child care, physicals, and direct physician access when questions come up.
Well-child visits & physicals
Next business day sick visits
Continuity with the family physician
ALSO AVAILABLE
Young Child (0–5) - $2,500 ($208.33/month)
Newborns and young children receive full direct-access concierge and pediatric care as an early Trillium family member – from the very first visit.
Services
Primary care — and
everything beyond it.
Between Dr. Casey and Dr. Nelson, Trillium covers an exceptionally broad range of care — for every age, every stage, and every member of your family.
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PREVENTIVE care
Preventive & Primary Care
Annual wellness visits, physicals, vaccinations, chronic disease management, and routine care for all ages — newborn through older age — plus age-appropriate cancer screenings, gynecologic cancer prevention, and proactive monitoring, all coordinated as part of your ongoing care.
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WOMEN'S HEALTH
Women's Health & Menopause
Perimenopause and menopause care, hormone replacement therapy, sexual health, contraception, gynecologic procedures, IUD placement, colposcopies, and cancer screenings. -
Men's Health
Men's Health & Wellness
Hormone evaluation, metabolic health, cardiovascular risk management, weight management, and preventive screenings tailored to men at every stage of life — addressed with the same thoroughness and continuity as every other aspect of your care. -
Metabolic health
Metabolic & Weight Health
Evidence-based weight management, obesity medicine, diabetes care, metabolic health optimization, and heart disease and stroke prevention. -
MENTAL HEALTH
Mental Health Care
Anxiety, depression, ADD/ADHD, and mood concerns treated as part of the whole person — including mood changes related to hormonal transitions, life stages, and chronic conditions.
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HORMONE health
Women's & Men's Hormone Therapy
Testosterone and hormone therapy for men and women — evidence-based, personalized, and monitored closely as part of your ongoing care relationship.
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INCLUSIVE care
Gender-Affirming & Inclusive Care
Gender-affirming primary care and hormone management for transgender and non-binary patients — woven into comprehensive, whole-person care.
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BREASTFEEDING
Breastfeeding Medicine
Prenatal lactation consults, tongue-tie diagnosis and scissor frenotomy, 4th trimester support, pumping guidance, return-to-work planning, weaning, low supply and poor growth troubleshooting, and induction of lactation. (Dr. Casey, IBCLC)
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PROCEDURES
In-Office Procedures
Skin biopsies, IUD insertions, Nexplanon placement, colposcopies, IV fluids, antibiotic injections, and imaging coordination — all in a familiar, comfortable setting.
This is not an exhaustive list. If you're wondering whether we can help with something, just ask.
Why Concierge Medicine
Medicine the way it was always meant to be.
Concierge medicine at Trillium isn't about exclusivity — it's about restoring a more personal, relationship-centered approach to care. By keeping our panels intentionally small, we can offer something the traditional model has made nearly impossible: a physician who truly knows you.
"Profit-driven insurance pressures have made it difficult to provide the kind of care I would want for myself and my family. The Trillium model allows me the freedom to practice medicine the way I think it should be done — with time, thoughtfulness, and care."
For patients who value continuity, access, and a physician who is genuinely invested in their long-term health, concierge medicine offers something rare: confidence in your care, and peace of mind over time.
You still need health insurance
We strongly recommend maintaining health insurance for services outside our practice — specialist care, hospital stays, imaging, and emergency services. Your Trillium membership covers your primary care relationship; insurance covers everything else.
We don't bill your insurance
Trillium operates outside the insurance billing system. This is what allows us to give you the time and access you deserve. You may be able to submit visit-related fees to your HSA or FSA — we're happy to provide documentation.
We can refer you to specialists
We coordinate referrals to specialists in your insurance network, and they bill your insurance directly. After decades of practicing in this community, our physicians have personal relationships with many of the area's top specialists.
Concierge care is not DPC
Direct Primary Care (DPC) and concierge medicine share some similarities but differ in scope, pricing, and model. We're happy to walk you through the differences at your meet and greet.
Find the right fit for your care.
Choosing a primary care physician is personal. We invite you to schedule a complimentary meet and greet with Dr. Casey or Dr. Nelson — a free, no-pressure conversation to see if Trillium is the right home for you and your family.
Frequently Asked Questions
Answers to the questions
we hear most often.
What is Concierge Medicine?
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Concierge Care is an enhanced access plan for patients who prefer a premium healthcare product. Patients with Concierge Care pay an annual fee (or monthly payments) that covers their membership in the practice, all office visits, and an annual physical exam. In addition, Concierge Care patients have direct 24/7 access to their designated personal physician via cell phone and email.
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We are different in that neither the practice nor the patient is burdened by insurance. Many “boutique” practices charge significantly higher fees, from $3,000 to over $10,000, and still bill insurance at the much higher, insurance contracted rates. The patient is still subject to visit restrictions, insurance denials, high deductible charges, etc.
Our practices go above and beyond the traditional primary care practice in education to specialize in women’s healthcare. We built care for women, designed by women.
Concierge Medicine Cost & Membership Fees
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No. Our membership fees, as well as all ancillary offering fees, are available upon request. Since we do not participate in insurance billing we are able to secure contracted rates for items such as labs and pharmaceuticals at a much lower rate. These rates are often up to 90% lower than what you would pay utilizing your insurance coverage.
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No. It is currently not deductible at this time. However, there continues to be a push nationally and at the state government level to allow for tax deductions for Direct Primary Care fees.
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No. Direct primary care means you have a direct financial relationship with the practice, so membership fees are not eligible for insurance reimbursement. You can use your HSA or FSA for visit-related fees, such as an office visit or blood work.
Insurance, Medicare & Billing Questions
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Concierge Care is an alternative payment model to insurance, so our office does not file insurance claims for you. You may be able to submit claims to your insurance directly for some visits if your insurance plan offers out-of-network benefits. If you have a Health Savings Account (HSA), you may be able to submit invoices for reimbursement.
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Our providers are considered non-participating providers of Medicare. However, all of our providers can refer to specialists, hospitals and imaging facilities. If a patient has a managed care plan or Medicare, those visits, hospital stays, and imaging are typically covered by your insurance (unless you have a Medicare Advantage HMO or Medicaid).
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Yes. We strongly recommend you carry health insurance to help with costs for services not associated with the practice.
Access to Your Doctor & Care Experience
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Digital email and phone access are available through our Concierge Care plan, as concierge patients pay a premium price for direct access.
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Yes, we will be able to access your medical records through an HIC (Healthcare Information Exchange) through our online electronic medical records system.
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We think of "virtual visits" as a supplement to good primary care—not a replacement for in-person care. The office can offer these visits in some circumstances when appropriate. Patients who would like to request a visit should contact the office for prior approval. In cases where a physical exam is necessary, we reserve the right to recommend a traditional clinic visit.
Labs, Vaccines & Specialist Referrals
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We can coordinate your visit to a specialist in your insurance network, and they will bill your insurance.
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Our practice does have some vaccines that we can provide at a discounted rate. For patients seeking to have those vaccines covered by insurance, we are happy to provide a prescription to have vaccines administered at a local pharmacy when possible.
Membership Policies & Cancellation
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We ask that patients participate in their membership plan for a minimum of 6-months. After that 6-month period, if you feel that the practice isn’t a good fit for you, you can cancel with a 30-day written notice. Any fees for that month will be prorated to the cancellation date.
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Yes. Practices have a limited capacity for patients, but if there is availability, a patient may rejoin the practice.
Care that starts with
a conversation.
Choosing a primary care physician is personal. We invite you to learn more about our concierge model — and decide if Trillium is the right fit for you and your family.
Free · 20 minutes · No commitment