Why many patients choose membership

Focused Health & Wellness is a direct-pay, membership-based primary care practice in Jefferson City, Missouri. Instead of billing insurance for membership care, patients pay a membership fee for more personal, ongoing care with longer visits, direct physician access, and support for prevention, medications, chronic conditions, hormones, weight, mental health, and wellness goals.

Focused Health & Wellness is a direct-pay, membership-based primary care practice. We do not bill insurance for membership care, and we are considered out-of-network with insurance providers.

Membership is not insurance. Instead, it is a direct-pay model designed to allow for longer visits, more personal attention, transparent pricing, and care that does not feel rushed.

We can provide a superbill upon request, but reimbursement is not guaranteed because we are out-of-network. HSA/FSA payments are accepted.

Patients may still choose to use insurance separately for outside labs, imaging, medications, specialist care, or other services when applicable.

As-needed visits may be available for patients who prefer occasional care, while membership offers a more ongoing primary care relationship with longer visits and more direct access. Members receive the strongest access to ongoing care and scheduling.

Focused Health & Wellness membership includes ongoing primary care with longer visits, direct physician access, and support for prevention, medications, chronic conditions, hormones, weight, mental health, and wellness goals. The goal is to create a more personal care experience with time for thoughtful conversations, prevention, and follow-up.

Yes. Focused Health & Wellness offers virtual membership care for Missouri patients when care can be safely handled by phone or video. Virtual care may be used for follow-ups, medication management, lab review, hormone care, weight and metabolic health, mental health support, and many common primary care needs. Patients must be physically located in Missouri at the time of care.

We provide primary care and wellness-focused medical care for concerns such as prevention, chronic conditions, medications, weight and metabolic health, perimenopause and menopause, hormone concerns, mental health, nutrition, and long-term wellness planning. Care is personalized based on your symptoms, goals, history, and lifestyle.

Yes. Members may have access to timely sick visits for common acute concerns such as sore throat, cough, sinus symptoms, urinary symptoms, minor infections, and other short-term illnesses. Availability may vary.

For patients who are not members, acute care visits may be available on a limited, as-needed basis when the schedule allows. Membership is the best fit for patients who want ongoing access, longer visits, direct physician communication, and relationship-based primary care.

Yes, I can treat multiple family members in a home visit. They are scheduled and billed as separate appointments.

I practice in Missouri only. You must be physically located in Missouri at the time of care.

Direct communication is part of membership care, but it is not 24/7 emergency coverage. To maintain safe, thoughtful care, direct phone and messaging responses pause overnight until the next morning. In an emergency, call 911.

If you do not show for a scheduled appointment or cancel with less than 24 hours’ notice, a no-show/late cancellation fee of $50 may be charged to your account.

Please notify the practice 30 days before your termination date.

Yes. Focused Health & Wellness is currently welcoming new patients and new members who are looking for personalized, direct-pay primary care in Jefferson City, Missouri.

Yes. Dr. Lenora Epple completed her Internal Medicine residency at the University of Missouri and provides adult primary care, preventive care, chronic disease support, and wellness-focused medical care.