Description
RaphaCare Individual Plan is a one-year medical membership designed to give you predictable costs, direct access to providers, and relationship-based care—without the stress of visit-by-visit decision making.
What’s Covered:
Each enrolled member is eligible for the following services during the membership year, subject to medical appropriateness:
Unlimited Medical Consultations
Includes medically appropriate:
- Phone consultations
- Provider follow-ups and care coordination
Unlimited access does not include emergency services, non-medical administrative requests, or services outside provider scope.
Four (4) In-Office or Tele-Video Visits Per Year
- Sick visits
- Chronic condition management visits
- Preventive care visits
Unused visits do not roll over to the next membership year.
One (1) Complete Lab Panel or Ultrasound Procedure Per Year
- Provider-directed laboratory testing
- Lab selection is determined by medical necessity
- Labs outside the included panel may incur additional charges
RaphaCare does not include:
- Emergency room care
- Hospitalization or inpatient services
- Ambulance services
- Specialty care outside Rapha Medical Center
- Imaging, procedures, or labs not specifically included
Members are strongly encouraged to maintain health insurance for services outside the scope of RaphaCare.
RaphaCare is a medical membership program and is not insurance. Services are subject to provider availability, medical appropriateness, and membership terms.