Concierge Primary Care
in Jefferson City, MO
Physician-led, membership-based primary care for people who want more time, easier access, and a doctor who knows the full picture.
Focused Health & Wellness offers a direct-pay primary care model that blends the accessibility of Direct Primary Care with the personalized service of concierge medicine.
Patients receive longer visits, direct physician access, and ongoing support for prevention, chronic conditions, medications, hormones, weight, mental health, and long-term wellness.
Primary Care Should Feel Personal
Many people are looking for a different kind of primary care relationship — one with enough time to ask questions, review the full picture, and make a plan that actually fits their life.
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At Focused Health & Wellness, membership care allows for a smaller, more connected practice. That means more time for thoughtful visits, easier communication, and a physician who can get to know your goals, history, preferences, and concerns over time.
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What Makes Focused Health & Wellness Different?
Physician-led concierge primary care that blends the access of Direct Primary Care with the personal service of a smaller membership practice.
Focused Health & Wellness is a physician-led concierge primary care practice in Jefferson City, Missouri, founded by Dr. Lenora Epple, an Internal Medicine physician.
The practice is intentionally designed for patients who want more than a quick visit. Membership care allows for longer appointments, direct physician communication, and a more proactive approach to prevention, chronic disease, hormones, weight, mental health, and wellness.
For eligible members, care may also include home or workplace visits when clinically appropriate and when the schedule allows — a level of flexibility that helps care fit more naturally into real life.
Physician-led internal medicine care
Care is led by an Internal Medicine physician with experience caring for adults with complex, overlapping health concerns.
Smaller, relationship-
based panel
The membership model allows the practice to stay smaller and more personal, so visits can include time for questions, planning, and follow-up.
Flexible care options
Members may have access to in-office visits, telehealth, and home or workplace visits depending on membership type, clinical need, location, and availability.
Is This Concierge Medicine or Direct Primary Care?
Focused Health & Wellness uses a direct-pay, membership-based primary care model. That means patients pay a membership fee directly to the practice instead of using insurance for membership care.
Some people call this Direct Primary Care. Some people call it concierge medicine. At Focused Health & Wellness, the goal is simple: more time, better access, transparent pricing, and a more personal relationship with your physician.
Membership is not insurance. Patients may still choose to use insurance separately for outside labs, imaging, medications, specialist care, hospital care, or other services when applicable.
This May Be a Good Fit If You...
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Want a physician who has time to understand your full health story
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Prefer proactive planning instead of only addressing problems visit by visit
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Have multiple concerns that feel connected, such as fatigue, weight changes, sleep, mood, hormones, blood pressure, cholesterol, or blood sugar
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Want help making sense of labs, medications, symptoms, and lifestyle changes
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Value direct communication and continuity with the same physician
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Want virtual care, in-office care, and possible home or workplace visits depending on your membership type and clinical need
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Are looking for primary care that can coordinate with specialists while still keeping the big picture in focus
What Membership-Based Primary Care Can Support
Instead of separating every concern into a different silo, membership care gives us room to look at how your health connects.
Primary care and prevention
Annual wellness visits, risk-factor review, medication management, screening guidance, and long-term health planning.
Chronic conditions
Support for blood pressure, cholesterol, diabetes, thyroid concerns, insulin resistance, and other ongoing health needs.
Hormones and midlife health
Care for perimenopause, menopause, testosterone concerns, fatigue, sleep changes, mood changes, and sexual wellness concerns.
Weight and metabolic health
Physician-guided support using nutrition, lifestyle, sleep, medications when appropriate, and body composition tracking.
Mental health and wellbeing
Thoughtful support for mood, stress, anxiety, sleep, medications when appropriate, and lifestyle factors that affect mental health.
Care That Can Meet You Where You Are
For eligible comprehensive members, home and workplace visits may be available when clinically appropriate and when the schedule allows.
This can be especially helpful for certain sick visits, follow-ups, family care needs, mobility challenges, or times when leaving home is difficult. It also allows care to feel more personal, practical, and connected to real life.
Availability may vary by membership type, location, schedule, visit type, and clinical need.
Transparent Membership Options
Focused Health & Wellness offers membership options designed for different care needs, including virtual and comprehensive care.
Virtual membership starts at $149/month for Missouri patients who want relationship-based primary care through telehealth when clinically appropriate.
We do not bill insurance for membership care and are considered out-of-network with insurance providers. HSA/FSA payments are accepted. Patients may still choose to use insurance separately for outside labs, imaging, medications, specialist care, hospital care, or other services when applicable.
